Adult idiopathic communicating hydrocephalus with and without shunting
- PMID: 309503
- PMCID: PMC493207
- DOI: 10.1136/jnnp.41.11.961
Adult idiopathic communicating hydrocephalus with and without shunting
Abstract
The outcome in 37 adult patients with idiopathic communicating hydrocephalus treated by ventriculoatrial shunting is presented. Only 33% showed definite improvement, and no diagnostic procedures accurately predicted the outcome of surgery. These were compared with a "control" group of 12 patients who were not shunted; 50% of these were stable for up to 36 months. These findings, and the high frequency of serious complications (35%), suggest caution in recommending a shunt procedure.
Similar articles
-
[Subdural hematoma after cerebrospinal fluid shunt for hydrocephalus following subarachnoid hemorrhage-report of two cases (author's transl)].No Shinkei Geka. 1977 Feb;5(2):169-73. No Shinkei Geka. 1977. PMID: 557737 Japanese.
-
[Case of bilateral chronic subdural hematomas developing after ventriculo-atrial shunt for "normal pressure hydrocephalus"].No To Shinkei. 1970 Mar;22(3):325-9. No To Shinkei. 1970. PMID: 5468143 Japanese. No abstract available.
-
Occluded fourth ventricle after multiple shunt revisions for hydrocephalus.Pediatrics. 1989 Jun;83(6):981-5. Pediatrics. 1989. PMID: 2786184
-
Causes and treatment of intracranial haemorrhage complicating shunting for paediatric hydrocephalus.Childs Nerv Syst. 2000 Apr;16(4):218-21. doi: 10.1007/s003810050501. Childs Nerv Syst. 2000. PMID: 10855519 Review.
-
CSF shunts for dementia, incontinence, and gait disturbance.Clin Neurosurg. 1985;32:632-51. Clin Neurosurg. 1985. PMID: 3905156 Review.
Cited by
-
Idiopathic normal-pressure hydrocephalus in adults: result of shunting correlated with clinical findings in 18 patients and review of the literature.Neurosurg Rev. 1997;20(2):104-7. doi: 10.1007/BF01138192. Neurosurg Rev. 1997. PMID: 9226668 Review.
-
Conductance to outflow of CSF in normal pressure hydrocephalus.Acta Neurochir (Wien). 1984;71(1-2):1-45. doi: 10.1007/BF01401149. Acta Neurochir (Wien). 1984. PMID: 6731051
-
Computed tomography and pneumoencephalography compared to conductance to outflow of CSF in normal pressure hydrocephalus.Neuroradiology. 1980 Aug;20(1):17-22. doi: 10.1007/BF00346856. Neuroradiology. 1980. PMID: 6968415
-
Neuropathological changes caused by hydrocephalus.Acta Neuropathol. 1993;85(6):573-85. doi: 10.1007/BF00334666. Acta Neuropathol. 1993. PMID: 8337936 Review.
-
Effectiveness of shunting in patients with normal pressure hydrocephalus predicted by temporary, controlled-resistance, continuous lumbar drainage: a pilot study.J Neurol Neurosurg Psychiatry. 1994 Nov;57(11):1430-2. doi: 10.1136/jnnp.57.11.1430. J Neurol Neurosurg Psychiatry. 1994. PMID: 7964828 Free PMC article. Clinical Trial.
References
MeSH terms
LinkOut - more resources
Full Text Sources