Impact of Subjective Evaluations in Predicting Response to Ventriculoperitoneal Shunt for Idiopathic Normal Pressure Hydrocephalus.

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License: CC BY 4.0
Serval ID
serval:BIB_BB7A7ED52E22
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of Subjective Evaluations in Predicting Response to Ventriculoperitoneal Shunt for Idiopathic Normal Pressure Hydrocephalus.
Journal
World neurosurgery
Author(s)
Messerer M., Blanchard M., Papadimitriou K., Vandenbulcke A., Rutz D., Beaud V., Shiban E., Bally J., Allali G., Daniel R.T., Cossu G.
ISSN
1878-8769 (Electronic)
ISSN-L
1878-8750
Publication state
Published
Issued date
10/2022
Peer-reviewed
Oui
Volume
166
Pages
e741-e749
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Cerebrospinal fluid tap test is a common procedure to predict the efficacy of ventriculoperitoneal shunt for idiopathic normal pressure hydrocephalus. Objective tests after cerebrospinal fluid tap test are used to establish the surgical indication, but subjective improvements may also be important in selection of surgical candidates. The aim of this study was to evaluate surgical outcomes of patients with ventriculoperitoneal shunt for idiopathic normal pressure hydrocephalus, comparing patients showing objective improvement with patients improving only on subjective assessments.
In this retrospective analysis, patients were divided into 2 groups: group 1 included patients with improvement on objective evaluation after cerebrospinal fluid tap test; group 2 included patients who showed only subjective improvement. The surgical outcomes of the 2 groups were compared.
Of 28 included patients, 17 were objective responders (group 1), and 11 were subjective responders (group 2). Clinical and radiological characteristics were similar. The only significant difference was the baseline Berg Balance Scale, which was lower in objective responders (P = 0.0015). At 3 months after surgery and at last follow-up, there was no difference in surgical outcomes between the 2 groups. However, in the group of subjective responders, a continuous improvement for incontinence and gait was more frequently observed (P = 0.04 and P < 0.001, respectively).
Surgical outcomes after ventriculoperitoneal shunt were similar between the 2 groups, with a more favorable trend in terms of symptom improvement for subjective responders. Subjective assessment seems to be an important factor to consider in preoperative evaluation.
Keywords
Gait, Humans, Hydrocephalus, Normal Pressure/etiology, Hydrocephalus, Normal Pressure/surgery, Retrospective Studies, Ventriculoperitoneal Shunt/adverse effects, Berg balance scale, Normal pressure hydrocephalus, Subjective assessment, Surgery, Ventriculoperitoneal shunt
Pubmed
Open Access
Yes
Create date
24/08/2022 8:51
Last modification date
31/12/2022 6:49
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