Shunting normal-pressure hydrocephalus: do the benefits outweigh the risks? A multicenter study and literature review.

@article{Vanneste1992ShuntingNH,
  title={Shunting normal-pressure hydrocephalus: do the benefits outweigh the risks? A multicenter study and literature review.},
  author={Jan A. L. Vanneste and Paul B Augustijn and Clemens M. F. Dirven and Wee Fu Tan and Z D Goedhart},
  journal={Neurology},
  year={1992},
  volume={42 1},
  pages={54-9}
}
We performed a multicenter retrospective study in 166 consecutive patients shunted for presumed normal-pressure hydrocephalus (NPH) in the four neurosurgical departments of Amsterdam. Overall improvement occurred in 36%, substantial improvement in 21%. In the subgroup of idiopathic NPH (N = 127), marked improvement was only 15%. The incidence of shunt-responsive NPH in our area was 2.2/million/year. The rate of severe and moderate shunt-related complications was 28%, leading to death or severe… CONTINUE READING

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