Different Therapeutic Approach to Idiopathic Normal Pressure Hydrocephalus: Lumboperitoneal Shunts Versus Ventriculoperitoneal Shunts
Journal Title: Bagcilar Medical Bulletin - Year 2019, Vol 4, Issue 1
Abstract
Objective: Idiopathic normal pressure hydrocehalus (iNPH) or Adam-Hakims syndrome is an uncommon but important cause of dementia, gait disturbance and bladder incontinence. Our aim was to compare the efficacy and complication rates of ventriculoperitoneal and lumboperitoneal shunts in the treatment of iNPH. Method: This is a retrospective study conducted in 25 patients who were treated with either ventriculoperitoneal or lumboperitoneal shunts for iNPH between 2003 and 2012. Age, gender, clinical presentation, methods of treatment, and complication rates were recorded. Results: Two of the twelve patients in lumboperitoneal shunt (LPS) group were revised; 1 distal catheter infection was replaced by a ventriculoperitoneal shunt (VPS). In addition, there was one revision for wound detachment (due to scratching by the patient). In VPS group (13 patients), one of the patients was complicated with subdural haemorrhage 3 months after the operation and extraction of shunt was carried out immediately. Moreover one dysfunctioning VPS was revised with a LPS after 3 years. Conclusion: Our results indicate that when the patients are properly selected for shunt insertion, both LPSs and VPSs, are effective in controlling all the clinical manifestations of iNPH with positive results.
Authors and Affiliations
Ayçiçek Çeçen, Merih İş, Erhan Çelikoğlu
Keywords
Related Articles
- EP ID EP48060
- DOI 10.4274/BMB.galenos.2019.285905
- Views 303
- Downloads 0
Mean Platelet Volume Values and Its Effects on Prognosis in Patients with Acute Ischemic Stroke
Objective: Stroke is a rapid onset of focal or global loss of cerebral function and is the most common cause of mortality and morbidity in adulthood cancer and heart disease patients. Although it has been reported that m...
The Importance of De Ritis Ratio in Patients with Bladder Cancer
Objective: Numerous studies prove the relationship between serum aspartate transaminase/alanine transaminase (AST/ALT) ratio (De Ritis Ratio) and cancer cases. However, the results obtained by the researchers are controv...
Anesthetic Management in Premature Newborn with Huge Sacrococcygeal Teratoma: A Case Report
Sacrococcygeal teratomas are the most common congenital tumors in newborns. The primary treatment is early surgical resection. However, the risks of surgical procedures and tumor morphology, as well as the challenges of...
Retrospective Analysis of Cases with Premature Thelarche
Objective: Premature thelarche is defined as breast enlargement in females (younger than eight years) without other signs of secondary gender character development. Although it is common in the first two years of life, i...
Anesthesia Management in Robinow Syndrome (A Case Report)
Robinow Syndrome (RS) is a rare disease characterized by anomalies in the face, head, external reproductive organs, and spine segmentation. The three main symptoms of the syndrome are fetal face appearance, genital hypop...