Ventriculoperitoneal Shunt Complications in the European Idiopathic Normal Pressure Hydrocephalus Multicenter Study

Operative Neurosurgery
Alberto FelettiKatarina Laurell

Abstract

Ventriculoperitoneal shunt (VP-shunt) is the standard of treatment for idiopathic normal pressure hydrocephalus (iNPH). However, a thorough investigation of VP-shunt complications in this population is lacking. To present the analysis and the rates of complications progressively occurring during the first year after shunt surgery in the patients with iNPH included in the European multicenter (EU-iNPH) study. Patients (n = 142) were prospectively included in the EU-iNPH study by 13 institutions. All patients received a programmable VP-shunt. One hundred fifteen patients completed the 12-mo follow-up. Reexaminations were performed 1, 3, and 12 mo after surgery. Data regarding symptomatic over- or underdrainage, infections, malposition, subdural collections, and shunt surgery were collected and analyzed. Thirty patients (26%) experienced symptoms due to shunt underdrainage. Symptomatic overdrainage was reported in 10 (9%). Shunt adjustments were made in 43 (37%). Shunt malposition was recognized as the primary cause of shunt malfunction in 8 (7%), while only 1 infection (0.9%) occurred. Subdural hematoma was diagnosed in 7 (6%) and was treated by increasing the opening pressure of the valve in 5 patients. Hygroma was diagnosed in ...Continue Reading

References

Oct 26, 2011·Clinical Neurology and Neurosurgery·Per HellströmCarsten Wikkelsø
Apr 6, 2012·Acta Neurochirurgica. Supplement·Maria Antonia PocaJuan Sahuquillo
May 11, 2012·Acta Neurologica Scandinavica·P KlingeUNKNOWN European iNPH Multicentre Study Group
Dec 20, 2012·Journal of Neurology, Neurosurgery, and Psychiatry·Carsten WikkelsøUNKNOWN European iNPH Multicentre Study Group
Aug 13, 2013·Journal of Neurosurgery·Qurat Ul Ain KhanNeill R Graff-Radford
Aug 8, 2015·Revista da Associação Médica Brasileira·Matheus Fernandes de OliveiraFernando Campos Gomes Pinto

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Citations

Feb 20, 2020·Arquivos de neuro-psiquiatria·Fernando Campos Gomes PintoManoel Jacobsen Teixeira
Jan 26, 2020·Neurosurgical Review·Aleš VlasákOndřej Bradáč
Sep 23, 2020·Movement Disorders : Official Journal of the Movement Disorder Society·Alfonso FasanoJoachim K Krauss
Sep 10, 2019·Asian Journal of Neurosurgery·Rajan Kumar SharmaYoko Kato
Nov 3, 2020·Acta neurologica Belgica·Matheus Fernandes de OliveiraF C G Pinto
Aug 14, 2020·Clinical Neurology and Neurosurgery·Marvin Darkwah OppongRamazan Jabbarli
Jan 8, 2021·Surgical Neurology International·Ruth PrietoAlberto Pueyo Rabanal
Feb 6, 2020·Arquivos de neuro-psiquiatria·Fernando Campos Gomes PintoManoel Jacobsen Teixeira

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