Normal pressure hydrocephalus (NPH): shunting

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Normal pressure hydrocephalus (NPH): shunting. Predominant gait abnormality, Mild or absent cognitive impairment. Fully referenced neurology checklist.

Clinical predictors of response to shunting

  • Predominant gait abnormality
  • Mild or absent cognitive impairment
  • An identified cause

CSF test predictors of response to shunting

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Imaging predictors of response to shunting

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Outcomes of shunting

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Monitoring indices for ventriculo-atrial shunts

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Acronyms

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References

  1. Kiefer M, Unterberg A. The differential diagnosis and treatment of normal-pressure hydrocephalus. Dtsch Arztebl Int 2012; 109:15-26.
  2. Bret P, Guyotat J, Chazal J. Is normal pressure hydrocephalus a valid concept in 2002? A reappraisal in five questions and proposal for a new designation of the syndrome as "chronic hydrocephalus". JNNP 2002; 73:9-12.
  3. Lee WJ, Wang SJ, Hsu LC, Lirng JF, Wu CH, Fuh JL. Brain MRI as a predictor of CSF tap test response in patients with idiopathic normal pressure hydrocephalus. J Neurol 2010: 257:1675-1681.
  4. Halperin JJ, Kurlan R, Schwalb JM, Cusimano MD, Gronseth G, Gloss D. Practice guideline: Idiopathic normal pressure hydrocephalus: Response to shunting and predictors of response Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology 2015; 85:2063-2071.
  5. Halperin JJ, Kurlan R, Schwalb JM, Cusimano MD, Gronseth G, Gloss D. Practice guideline: idiopathic normal pressure hydrocephalus: response to shunting and predictors of response: report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology 2015; 85:2063-2071. 
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