Vp Shunt For Normal Pressure Hydrocephalus
Vp shunting is a surgical procedure that primarily treats a condition called.
Vp shunt for normal pressure hydrocephalus. Few studies have focused on predictive factors of ventriculoperitoneal vp shunt revision in patients with idiopathic normal pressure hydrocephalus inph. The most common type used to treat nph is ventriculoperitoneal vp shunts which drain csf fluid to the peritoneal cavity. Treating normal pressure hydrocephalus.
In the older patient with idiopathic normal pressure hydrocephalus insertion of a vp shunt shows improvement rates in 61 to 90 of patients presenting with this condition saehle et al. Objectives herein we examine the outcomes complication rates and associations between predictors and outcomes after vps in patients with nph. Eligible patients may undergo shunt surgery which involves inserting a long thin tube that drains excess csf from the brain to the abdomen allowing the ventricles to return to normal.
The medical team will wash the head and body with special soap. There are two types of shunts. This study aims to determine whether comorbidities and baseline symptoms are associated with the need for shunt revision.
Idiopathic normal pressure hydrocephalus is often diagnosed in older adults and is characterised by gait disturbances cognitive impairment and urinary incontinence saehle et al. A low outflow resistance corresponds to high cerebral compliance and vice versa. Methods this was a.
Normal values are 5 10 mm hg ml minute and a value 18 mm hg ml minute appears to be the approximate cut off point for diagnosing active hydrocephalus in the elderly. A shunt tube is surgically inserted into the brain and connected to a flexible tube placed under the skin to drain the excess fluid into either the chest cavity or the abdomen so it can be absorbed by the body. A ventriculoperitoneal vp shunt is a medical device that relieves pressure on the brain caused by fluid accumulation.
Background permanent cerebrospinal fluid csf diversion with a ventriculoperitoneal shunt vps is a treatment option for patients with normal pressure hydrocephalus nph. In order to help prevent infection some of the hair on the patient s head may need to be shaved. They will cover the patient with sterile linen to maintain a sterile environment throughout the procedure.