The Comparison of Outcome of Ventriculoperitoneal Shunts vs. Endoscopic Third Ventriculostomy in Patients with Idiopathic Normal Pressure Hydrocephalus
DOI:
https://doi.org/10.36552/pjns.v27i2.854Abstract
Objective: To compare functional outcomes in terms of INPGHS score and overall improvement in patients of iNPH treated with ETV vs. VP shunting.
Materials & Methods: A Randomized control trial was conducted for 6 months at the Department of Neurosurgery, Rawalpindi Medical University and Allied Hospitals, Rawalpindi. 62 patients (31 in each group) were enrolled & allocated into two groups. In group A patients ETV was done and in group B VP shunting. Post-operatively, Patients were followed up for 1 month.
Results: The mean age of the patients in the ETV & VP shunting groups was 63.19 ± 6.95 & 63 ± 6.82 years respectively. Males were 64.5% (n = 20) in both groups. Improvement was noted in 9 (29%) patients in the ETV group & 15 (48.4%) patients in the latter group (p-value = 0.118).
Conclusion: Ventriculoperitoneal shunts are superior to endoscopic third ventriculostomy in terms of functional neurological outcomes and improvement in symptoms.
Keywords: Endoscopic Third Ventriculostomy, Ventriculoperitoneal Shunt, Idiopathic Normal Pressure Hydrocephalus Grading Scale (iNPHGS), Aqueductal CSF Stroke Volume (ACSV).
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Copyright (c) 2023 Syed Hammad Naqvi, Muhammad Motsim Shah, Yasir Shahzad, Soban Sarwar, Fraz Mehmood, Nadeem AkhtarThe 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).
