IDIOPATHIC NORMAL PRESSURE HYDROCEPHALUS’ OUTCOME AFTER CEREBROSPINAL FLUID SHUNTING

Leonidas Leonidas, Lavrentios Roussos, Pavlos Myrianthefs, Ioannis Alamanos, Christos Kelesis, Cryssoula Lemonidou, Nikolaos Sakellaridis

Abstract


The aim of this study was to evaluate the clinical
outcome of patients diagnosed with Idiopathic Normal Pressure
Hydrocephalus (INPH) after cerebrospinal fluid (CSF) shunting.
Thirty patients diagnosed with INPH were treated with CSF
shunting. The patients were evaluated preoperatively and 6
months postoperatively, in terms of their clinical outcome of gait,
cognitive function and urinary incontinence. Sixteen patients
(53%) showed an average improvement of their clinical
symptoms and 6 months after shunting were able to function
independently. Ten patients (34%) were able to return to their
every day functioning. In four patients (16%) there was no
clinical improvement. Our data suggest that patients diagnosed
with INPH and subjected to CSF shunting had a significant
clinical improvement in the 6-month postoperative follow-up.
Positive outcome on patients with INPH after CSF shunting is
highly correlated with immediate and accurate diagnosis based
on the presence of the classic clinical “Adam-triad”, preoperative
cerebrospinal fluid pressure monitoring and drainage response.


Keywords


Cerebrospinal fluid shunting, Idiopathic Normal Pressure Hydrocephalus, Outcome

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