Outcome in Normal Pressure Hydrocephalus after Ventriculoperitoneal Shunt in Tertiary Care Hospital

  • Abdul Samad Panezai Sandeman Civil Hospital, Quetta, Pakistan
  • Aurangzeb Kalhoro Jinnah Medical and Dental College
  • Sher Hassan Jinnah Medical and Dental College, Karachi
  • Farrukh Javeed Jinnah Postgraduate Medical Centre, Karachi,
  • Lal Rehman Jinnah Postgraduate Medical Centre, Karachi,
Keywords: Normal Pressure Hydrocephalus, VP Shunt

Abstract

Objective:  To determine the outcome of the ventriculoperitoneal shunt in normal pressure hydrocephalus.

Material and Methods:  This study was conducted at Jinnah Postgraduate Medical Centre, a tertiary care hospital in Karachi. Patients with idiopathic normal pressure hydrocephalus (NPH) were included. Gender distribution, presentation of symptoms and post-operative outcome based on the Stein Langfitt Scale were assessed. CSF was sent for microbiological and biochemical analyses. All patients were evaluated preoperatively and compared postoperatively during 6 months duration for improvement and any associated complication.

Results:  In this study, we had 47 patients, 38 were male and 9 were female. 22 patients presented with dementia, 18 with urinary incontinence, 17 with gait disturbance 17, while 21 had headache based on Stein and Langfitt Scale. The 78.8% patients had an excellent outcome, 17% had a good outcome and 4.2% had poor results.

Conclusion:  Ventriculoperitoneal (VP) shunt had promising results selected on history and examination of normal pressure hydrocephalus and improved radiological in Evan’s ratio CT brain scan.

Keywords:  Normal Pressure Hydrocephalus (NPH), VP Shunt, Stein and Langfitt Scale.

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Published
2021-01-01
Section
Original Article