Evidences in the treatment of idiopathic normal pressure hydrocephalus

被引：7
作者：
de Oliveira, Matheus Fernandes [1 ]
Reis, Rodolfo Casimiro [2 ]
Trindade, Evelinda Marramon [3 ]
Gomes Pinto, Fernando Campos [4 ]
机构：
[1] IAMSPE, Hlth Sci, Sao Paulo, SP, Brazil
[2] IAMSPE, Sao Paulo, SP, Brazil
[3] Univ Sao Paulo FMUSP, Fac Med, Evaluat & Incorp New Technol Brazilian Hlth Serv, Sao Paulo, SP, Brazil
[4] FMUSP, Neurol, Sao Paulo, SP, Brazil
来源：
REVISTA DA ASSOCIACAO MEDICA BRASILEIRA | 2015年 / 61卷 / 03期
关键词：
normal pressure hydrocephalus; advanced treatment; neuroendoscopy; ventriculoperitoneal shunt; ENDOSCOPIC 3RD VENTRICULOSTOMY; RANDOMIZED CLINICAL-TRIAL; VENTRICULOPERITONEAL SHUNT; STRATA VALVE; EXPERIENCE; MULTICENTER; MANAGEMENT; DIAGNOSIS; OVERDRAINAGE; POPULATION;
D O I：
10.1590/1806-9282.61.03.258
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Introduction: idiopathic normal pressure hydrocephalus (INPH) is characterized by gait apraxia, cognitive dysfunction and urinary incontinence. There are two main treatment options: ventriculoperitoneal shunt (VPS) and endoscopic third ventriculostomy (ETV). However, there are doubts about which modality is superior and what type of valve should be applied. We are summarizing the current evidence in INPH treatment. Methods: an electronic search of the literature was conducted on the Medline, Embase, Scielo and Lilacs databases from 1966 to the present to obtain data published about INPH treatment. Results: the treatment is based on three pillars: conservative, ETV and VPS. The conservative option has fallen into disuse after various studies showing good results after surgical intervention. ETV is an acceptable mode of treatment, but the superiority of VPS has made the latter the gold standard. Conclusion: well-designed studies with a high level of appropriate evidence are still scarce, but the current gold standard for treatment of INPH is conducted using VPS.
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收藏
页码：258 / 262
页数：5
相关论文
共 47 条
[1]   SYMPTOMATIC OCCULT HYDROCEPHALUS WITH NORMAL CEREBROSPINAL-FLUID PRESSURE - A TREATABLE SYNDROME [J].
ADAMS, RD ;
FISHER, CM ;
HAKIM, S ;
OJEMANN, RG ;
SWEET, WH .
NEW ENGLAND JOURNAL OF MEDICINE, 1965, 273 (03) :117-&
[2]   Cerebral hemodynamics before and after shunting in normal pressure hydrocephalus [J].
Bakker, SLM ;
Boon, AJW ;
Wijnhoud, AD ;
Dippel, DWJ ;
Delwel, EJ ;
Koudstaal, PJ .
ACTA NEUROLOGICA SCANDINAVICA, 2002, 106 (03) :123-127
[3]   Dutch normal-pressure hydrocephalus study: randomized comparison of low- and medium-pressure shunts [J].
Boon, AJW ;
Tans, JTJ ;
Delwel, EJ ;
Egeler-Peerdeman, SM ;
Hanlo, PW ;
Wurzer, HAL ;
Avezaat, CJJ ;
de Jong, DA ;
Gooskens, RHJM ;
Hermans, J .
JOURNAL OF NEUROSURGERY, 1998, 88 (03) :490-495
[4]   Prevalence of probable idiopathic normal pressure hydrocephalus in a Norwegian population [J].
Brean, A. ;
Eide, P. K. .
ACTA NEUROLOGICA SCANDINAVICA, 2008, 118 (01) :48-53
[5]  
Carmel P W, 1999, Neurosurg Focus, V7, pe7
[6]   Inferior Short-term Safety Profile of Endoscopic Third Ventriculostomy Compared With Ventriculoperitoneal Shunt Placement for Idiopathic Normal-Pressure Hydrocephalus: A Population-Based Study [J].
Chan, Andrew K. ;
McGovern, Robert A. ;
Zacharia, Brad E. ;
Mikell, Charles B. ;
Bruce, Sam S. ;
Sheehy, John Paul ;
Kelly, Kathleen M. ;
McKhann, Guy M., II .
NEUROSURGERY, 2013, 73 (06) :951-960
[7]   What Is the Appropriate Shunt System for Normal Pressure Hydrocephalus? [J].
Chrissicopoulos, Christos ;
Mourgela, S. ;
Kirgiannis, K. ;
Sakellaropoulos, A. ;
Ampertos, N. ;
Petritsis, K. ;
Spanos, A. .
HYDROCEPHALUS, 2012, 113 :119-+
[8]   Programmable valve represents an efficient and safe tool in the treatment of idiopathic normal-pressure hydrocephalus patients [J].
de Oliveira, Matheus Fernandes ;
Saad, Felippe ;
Reis, Rodolfo Casimiro ;
Rotta, Jose Marcus ;
Games Pinto, Fernando Campos .
ARQUIVOS DE NEURO-PSIQUIATRIA, 2013, 71 (04) :229-236
[9]   A randomised trial of high and low pressure level settings on an adjustable ventriculoperitoneal shunt valve for idiopathic normal pressure hydrocephalus: results of the Dutch evaluation programme Strata shunt (DEPSS) trial [J].
Delwel, Ernst J. ;
de Jong, Dirk A. ;
Dammers, Ruben ;
Kurt, Erkan ;
van den Brink, Wimar ;
Dirven, Clemens M. F. .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2013, 84 (07) :813-817
[10]   Changes in intracranial pulse pressure amplitudes after shunt implantation and adjustment of shunt valve opening pressure in normal pressure hydrocephalus [J].
Eide, Per Kristian ;
Sorteberg, Wilhelm .
ACTA NEUROCHIRURGICA, 2008, 150 (11) :1141-1147
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