Analysis on the effectiveness of ETV in Normal pressure hydrocephalus
Abstract
Background : At present, idiopathic normal pressure
hydrocephalus (INPH) is managed by ventriculoperitoneal
shunt (VPS), preferably with programmable valve
implantation. Endoscopic third ventriculostomy (ETV) is an
alternate treatment option. Objective :
To identify the effectiveness of ETV in patients
diagnosed with NPH in terms of neurological improvement
after 12 months of treatment.
Methods : Observational study on ETV done on patients
diagnosed with NPH between the period of 2015-2016. The
outcome was assessed 12 months after surgery. The
neurological function outcomes were based on the results of
Japanese NPH score. Results :
ETV was found to be successful in 66.67%
Conclusion :
Though, VP shunt has been described to have better
outcomes, ETV is a successful alternative to VP shunt
especially in patients presenting early and when not all the
symptoms in Hakim-Adams triad is present.
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