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Ventriculoperitoneal Shunt Outcomes of Normal Pressure Hydrocephalus: A Case Series of 116 Patients
- Source :
- Cureus
- Publication Year :
- 2019
-
Abstract
- Background Permanent cerebrospinal fluid (CSF) diversion with a ventriculoperitoneal shunt (VPS) is a treatment option for patients with normal pressure hydrocephalus (NPH). Objectives Herein, we examine the outcomes, complication rates, and associations between predictors and outcomes after VPS in patients with NPH. Methods This was a retrospective review of 116 patients (68 males, 48 females) with NPH who underwent VPS placement from March 2008 to September 2017 after demonstrating objective and/or subjective improvement after a lumbar drain trial. The Chi-square test of independence was used to examine associations between predictors and clinical improvement after shunting. Complications associated with the VPS procedure were recorded. Results The mean age was 77 years (range 52-93). The mean duration of disturbance in gait, cognition, and continence were 29, 32, and 28 months, respectively. Of the 116 patients, 111 followed up at two weeks; of these, improvement in gait, incontinence, and cognition were reported in 72, 20, and 23 patients, respectively. Gait improved more than incontinence or cognition. A shorter duration of gait disturbance predicted an improvement in gait after shunting (p
- Subjects :
- medicine.medical_specialty
normal pressure hydrocephalus
Physical Medicine & Rehabilitation
complications
Neurosurgery
macromolecular substances
030204 cardiovascular system & hematology
Asymptomatic
03 medical and health sciences
0302 clinical medicine
Lumbar
Cerebrospinal fluid
Normal pressure hydrocephalus
medicine
Psychology
nph
ventriculoperitoneal shunt
Gait Disturbance
business.industry
General Engineering
medicine.disease
Surgery
Shunting
Catheter
predictors
vps
outcome
medicine.symptom
Complication
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 21688184
- Volume :
- 11
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Cureus
- Accession number :
- edsair.doi.dedup.....d60aaac055957e130963b9725868decc