Comparison of outcomes between patients with idiopathic normal pressure hydrocephalus who received a primary versus a salvage shunt

Highlights • Salvage shunts have comparable long-term rates of symptomatic relief to primary shunts. • There is a higher rate of shunt infection and obstruction, following placement of a salvage shunt compared to a primary shunt. • Patients who received a salvage shunt were more likely to require a...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2016-07, Vol.29, p.117-120
Main Authors: Moran, Dane, Hung, Alice, Vakili, Sharif, Fialho, Hugo, Jeon, Lee, Sankey, Eric W, Jusué-Torres, Ignacio, Lu, Jennifer, Goodwin, C. Rory, Elder, Benjamin D, Rigamonti, Daniele
Format: Article
Language:English
Subjects:
Adult
Aged
Cognition
Female
Gait Disorders, Neurologic - etiology
Gait Disorders, Neurologic - therapy
Humans
Hydrocephalus, Normal Pressure - cerebrospinal fluid
Hydrocephalus, Normal Pressure - complications
Hydrocephalus, Normal Pressure - surgery
Male
Middle Aged
Neurology
Neurosurgical Procedures
Normal pressure hydrocephalus
Reoperation
Reoperation - statistics & numerical data
Retrospective Studies
Salvage Therapy
Shunt revision
Treatment Outcome
Urinary Incontinence - etiology
Urinary Incontinence - therapy
Ventriculoperitoneal Shunt
Ventriculostomy
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Description
Summary:Highlights • Salvage shunts have comparable long-term rates of symptomatic relief to primary shunts. • There is a higher rate of shunt infection and obstruction, following placement of a salvage shunt compared to a primary shunt. • Patients who received a salvage shunt were more likely to require a revision, and were more likely to require a larger number of revisions.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2015.12.009