Systematic review of the outcome of shunt surgery in idiopathic normal-pressure hydrocephalus.
Acta Neurochir (Wien)
; 155(10): 1977-80, 2013 Oct.
Article
em En
| MEDLINE
| ID: mdl-23975646
ABSTRACT
INTRODUCTION:
Early surgical series of shunt insertion for idiopathic normal-pressure hydrocephalus reported a low rate of short-term improvement with a relatively high rate of mortality and morbidity; subsequently shunt insertion was recommended for patients in whom there is favourable risk-to-benefit ratio.METHODS:
Bibliographic search for studies that objectively assessed the outcome following shunt insertion in idiopathic normal-pressure hydrocephalus was done; the aim was to estimate the outcome of shunt insertion in terms of improvement rates and associated mortality and morbidity.RESULTS:
A total of 64 studies of 3,063 patients were reviewed. Positive improvement following shunt insertion was reported in an average of 71 % of patients with an average 1 % mortality. Results from studies published in the last 5 years showed 82 % improvement following shunt insertion, mortality of 0.2 %, and combined common complications rate of 8.2 %.CONCLUSION:
When patients are properly selected, shunt insertion is a safe and effective management of idiopathic normal-pressure hydrocephalus with a prolonged positive outcome.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Derivações do Líquido Cefalorraquidiano
/
Hidrocefalia de Pressão Normal
Tipo de estudo:
Systematic_reviews
Limite:
Humans
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article