T Esmonde1, S Cooke. 1. Dept of Neurology, Royal Victoria Hospital, Dept of Neurology, Royal Victoria Hospital, Belfast, UK, BT12 6BA. tesmonde@breathemail.net
Abstract
BACKGROUND: Since the condition was first described in 1965, the syndrome of normal pressure hydrocephalus (NPH) has conventionally been managed by placement of a cerebrospinal fluid (CSF) shunt. OBJECTIVES: To determine the effectiveness of shunting procedures in promoting stability or improvement in the neurological symptoms and signs of NPH. SEARCH STRATEGY: The trials were identified from a search of the Specialized Register of the Cochrane Dementia and Cognitive Improvement Group on 26 June 2001 using the terms 'shunt*' and 'normal pressure hydrocephalus'. SELECTION CRITERIA: Studies included for analysis were those involving the placement of a CSF shunt for the treatment of NPH as part of a randomized controlled trial. DATA COLLECTION AND ANALYSIS: No data matching the selection criteria were found. MAIN RESULTS: No randomized controlled trials of shunt placement versus no shunt were found. REVIEWER'S CONCLUSIONS: There is no evidence to indicate whether placement of a shunt is effective in the management of NPH.
BACKGROUND: Since the condition was first described in 1965, the syndrome of normal pressure hydrocephalus (NPH) has conventionally been managed by placement of a cerebrospinal fluid (CSF) shunt. OBJECTIVES: To determine the effectiveness of shunting procedures in promoting stability or improvement in the neurological symptoms and signs of NPH. SEARCH STRATEGY: The trials were identified from a search of the Specialized Register of the Cochrane Dementia and Cognitive Improvement Group on 26 June 2001 using the terms 'shunt*' and 'normal pressure hydrocephalus'. SELECTION CRITERIA: Studies included for analysis were those involving the placement of a CSF shunt for the treatment of NPH as part of a randomized controlled trial. DATA COLLECTION AND ANALYSIS: No data matching the selection criteria were found. MAIN RESULTS: No randomized controlled trials of shunt placement versus no shunt were found. REVIEWER'S CONCLUSIONS: There is no evidence to indicate whether placement of a shunt is effective in the management of NPH.
Authors: W M Palm; R Walchenbach; B Bruinsma; F Admiraal-Behloul; H A M Middelkoop; L J Launer; J van der Grond; M A van Buchem Journal: AJNR Am J Neuroradiol Date: 2006-01 Impact factor: 3.825
Authors: Luis Garegnani; Juan Va Franco; Agustín Ciapponi; Virginia Garrote; Valeria Vietto; Santiago Adalberto Portillo Medina Journal: Cochrane Database Syst Rev Date: 2020-06-16