Programmable valve represents an efficient and safe tool in the treatment of idiopathic normal-pressure hydrocephalus patients

Arquivos de Neuro-Psiquiatria

Matheus Fernandes De Oliveira¹  Felippe Saad¹  Rodolfo Casimiro Reis¹  José Marcus Rotta¹  Fernando Campos Gomes Pinto¹ 

关键词: hydrocephalus;    normal pressure;    cerebrospinal fluid shunts;    treatment;    hidrocefalia de pressão normal;    derivações do líquido cefalorraquidiano;    tratamento;   

DOI  :  10.1590/0004-282X20130007

来源: SciELO

【 摘 要 】

Idiopathic normal pressure hydrocephalus (iNPH) is characterized by gait disturbance, dementia and /or urinary incontinence, dilation of the ventricular system and normal opening cerebrospinal fluid pressure. Shunt surgery is the standard treatment of iNHP. Diversions with programmable valves are recommended, once drainage pressure can be changed. However, well-defined protocols still lack guiding the steps to attain proper pressure for each patient.Methods:In our study, we reported the experience of shunting 24 patients with iNPH using Strata® (Medtronic) valve, following a protocol based on a positive Tap Test.Results:We observed clinical improvement in 20 patients and stability/worsening in 4 patients. Complications occurred in five patients, including one death. The results display improvement, and complications occurred at a lower rate than reported in other studies.Conclusions:The Strata® valve used in the proposed protocol represents an efficient and safe tool in the treatment of iNPH.

【 授权许可】

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