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- Title
Systematic review of the outcome of shunt surgery in idiopathic normal-pressure hydrocephalus.
- Authors
Toma, Ahmed; Papadopoulos, Marios; Stapleton, Simon; Kitchen, Neil; Watkins, Laurence
- Abstract
Introduction: Early surgical series of shunt insertion for idiopathic normal-pressure hydrocephalus reported a low rate of short-term improvement with a relatively high rate of mortality and morbidity; subsequently shunt insertion was recommended for patients in whom there is favourable risk-to-benefit ratio. Methods: Bibliographic search for studies that objectively assessed the outcome following shunt insertion in idiopathic normal-pressure hydrocephalus was done; the aim was to estimate the outcome of shunt insertion in terms of improvement rates and associated mortality and morbidity. Results: A total of 64 studies of 3,063 patients were reviewed. Positive improvement following shunt insertion was reported in an average of 71 % of patients with an average 1 % mortality. Results from studies published in the last 5 years showed 82 % improvement following shunt insertion, mortality of 0.2 %, and combined common complications rate of 8.2 %. Conclusion: When patients are properly selected, shunt insertion is a safe and effective management of idiopathic normal-pressure hydrocephalus with a prolonged positive outcome.
- Subjects
HYDROCEPHALUS; SURGICAL anastomosis; CEREBROSPINAL fluid; TREATMENT of dementia; CASE studies
- Publication
Acta Neurochirurgica, 2013, Vol 155, Issue 10, p1977
- ISSN
0001-6268
- Publication type
Article
- DOI
10.1007/s00701-013-1835-5