Analysis on the effectiveness of ETV in Normal pressure hydrocephalus

Saravana Santosh Kumar R, Sankar M M, Ja .

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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