Abstract
The classical normal pressure hydrocephalus combines the clinical triad of dementia, gait disturbances, and urinary incontinence with ventricular dilatation on computed tomography (CT). Despite multiple diagnostic tools [e.g., continuous intracranial pressure (ICP) monitoring and cerebrospinal fluid (CSF) infusion tests, cerebral blood flow measurements, CSF tap tests and magnetic resonance imaging techniques] the therapeutic successes after shunting are obscured by shunt-related complications. Besides infection, overdrainage of implanted shunt systems is one of the problems caused by normal pressure hydrocephalus. Therefore in our present prospective study we evaluated a well-characterized group of shunted normal pressure hydrocephalus patients and were especially interested in the following issues:
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1.
How often are shunt-related complications after shunting of normal pressure hydrocephalus and what kind of complications occur?
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2.
Is there a benefit after shunting for these hydrocephalus patients in their follow-up?
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References
Black P McL, Ojemann RG, Tzouras A (1985) CSF shunts for dementia, incontinence, and gait disturbance. Clin Neurosurg 32:632–651
Borgensen SE, Gjerris F (1982) The predictive value of conductance to outflow of CSF in normal pressure hydrocephalus. Brain 105:65–86
Borgensen SE, Gjerris F (1987) Relationships between intracranial pressure, ventricular size, and resistance to outflow. J Neurosurg 67:535–539
Delwel EJ, Hasa D, de Jong DA, Krening EP, Avezaat CJJ (1992) Diagnostic and predictive value of axial and coronal SPECT with technetium-99m labelled, D,L-hexam-ethyl-propylene amine oxime (99m TC HM-PAO) in patients with normal pressure hydrocephalus syndrome (NPH). In: Intracranial pressure VIII Springer, Berlin Heidelberg New York
Gyldensted C (1977) Measurements of the normal ventricular system and hemispheric sulci of 100 adults with computed tomography. Neuroradiology 14:183–192
Marmaro A, Shulma K, LaMorgese J (1975) Compartmental analysis of compliance and outflow resistance of the cerebrospinal fluid system. J Neurosurg 43:523–524
Portnoy HD, Schulte RR, Fox JL et al. (1973) Anti-siphon and reversible occlusion valves for shunting in hydrocephalus and preventing post-shunt subdural hematomas. J Neurosurg 38:729–728
Trost HA, Clausse G, Heissler HE, Gaab R (1992) Long term in vitro test results of various new and explanted hydrocephalus shunt valves. In: Intracranial pressure VIII. Springer, Berlin Heidelberg New York
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© 1993 Springer-Verlag Berlin Heidelberg
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Meixensberger, J., Grimm, M., Janka, M. (1993). Complications and Clinical Course After Shunting of Normal Pressure Hydrocephalus. In: Lorenz, R., Klinger, M., Brock, M. (eds) Intracerebral Hemorrhage Hydrocephalus malresorptivus Peripheral Nerves. Advances in Neurosurgery, vol 21. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77997-8_21
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DOI: https://doi.org/10.1007/978-3-642-77997-8_21
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-56304-4
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