Normal Pressure Hydrocephalus: Selection of Patients for Shunt Placement

Authors

  • Mukhtar Ahmad Department of Neurosurgery AMC / PGMI / Lahore General Hospital, Lahore
  • Azam Niaz KEMU, Lahore
  • Samra Majeed Department of Neurosurgery, AMC / PGMI / Lahore General Hospital
  • Anjum Habib Vohra Department of Neurosurgery, AMC / PGMI / Lahore General Hospital
  • M. Hamza Bokhari Department of Neurosurgery, AMC / PGMI / Lahore General Hospital

Abstract

Objective: To determine the criteria in our setup, for patients with normal pressure hydrocephalus (NPH), based on clinical and radiological findings.
Material and Methods: This is multiple center study, including departments of Neurosurgery at LGH, Lahore / KEMU, Lahore. Over 25 years, 240 patients were included purely on clinical criteria of poor memory, sphincter loss, gait apraxia and Evan’s ratio ? 0.30 on CT or MRI. All patients had shunting procedures.
Results: Hundred and ninety patients were improved and all of them had significant reduction in Evan’s ratio i.e. ? 0.06. Only 10 patients had infection out of whom 8 lost to follow up while 2 had shunt revision.
Conclusion: Shunting procedures especially VP shunt shows good results if selection is stringent and no co-morbidity is associated.

References

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Published

2014-12-30

Issue

Vol. 18 No. 2 (2014): July-December

Section

Original Articles

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The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).