Endoscopic Third Ventriculostomy Outcomes in Patients with Normal Pressure Hydrocephalus
Background and purpose: Endoscopic third ventriculostomy (STV) is an important technique used in treatment of various forms of adult hydrocephalus and, in many cases, is more effective than traditional shunts. This study aimed at investigating the results of ETV in patients with normal pressure hydr...
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| Format: | Article |
| Language: | English |
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Mazandaran University of Medical Sciences
2021-05-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
| Subjects: | |
| Online Access: | http://jmums.mazums.ac.ir/article-1-15690-en.html |
| _version_ | 1797944031850790912 |
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| author | Misagh Shafizad Sajad Shafiee Seyed Mohammad Baghbanian Maryam Khoshnazar Maryam Hasannezhad Reskati |
| author_facet | Misagh Shafizad Sajad Shafiee Seyed Mohammad Baghbanian Maryam Khoshnazar Maryam Hasannezhad Reskati |
| author_sort | Misagh Shafizad |
| collection | DOAJ |
| description | Background and purpose: Endoscopic third ventriculostomy (STV) is an important technique used in treatment of various forms of adult hydrocephalus and, in many cases, is more effective than traditional shunts. This study aimed at investigating the results of ETV in patients with normal pressure hydrocephalus.
Materials and methods: This cross-sectional descriptive study was performed in 20 patients with normal pressure hydrocephalus attending Sari Imam Khomeini Hospital (2018-2020) after considering the inclusion/exclusion criteria. All patients were evaluated by the grading system of the Japanese Committee for Scientific Research on Intractable Hydrocephalus (JCSRIH). Pre-ETV indicators included: age, ICP, largest diameter of the frontal horns of the lateral ventricles, maximum width of cranial cavity, and Evans Ratio. The patients were evaluated before and after ETV, and also one week, one month, and 6 months later. Ventriculoperitoneal (VP) shunting was performed after one week, if there was no improvement in clinical symptoms.
Results: The participants included 65% men and 35% women (mean age: 75.40 ± 4.12 and ICP: 11.35 ± 0.87 mmgh). VP shunting was carried out in 55% of the patients due to lack of improvements in clinical conditions after a week. In 45% of patients, after one week, 2-3 degrees improvements were seen in symptoms based on the JCSRIH scale (P> 0.05).
Conclusion: ETV can be an effective treatment in patients with normal pressure hydrocephalus. Further studies are needed to clarify the pathophysiology of the disease and the dynamics of CSF. |
| first_indexed | 2024-04-10T20:33:21Z |
| format | Article |
| id | doaj.art-d91943e0ebc9400190662ba67b5583bc |
| institution | Directory Open Access Journal |
| issn | 1735-9260 1735-9279 |
| language | English |
| last_indexed | 2024-04-10T20:33:21Z |
| publishDate | 2021-05-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | Journal of Mazandaran University of Medical Sciences |
| spelling | doaj.art-d91943e0ebc9400190662ba67b5583bc2023-01-25T05:14:14ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792021-05-0131197162169Endoscopic Third Ventriculostomy Outcomes in Patients with Normal Pressure HydrocephalusMisagh Shafizad0Sajad Shafiee1Seyed Mohammad Baghbanian2Maryam Khoshnazar3Maryam Hasannezhad Reskati4 Assistant Professor, Department of Neurosurgery, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Neurosurgery, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Neurology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran General Practitioner, Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran PhD in Educational Psychology, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: Endoscopic third ventriculostomy (STV) is an important technique used in treatment of various forms of adult hydrocephalus and, in many cases, is more effective than traditional shunts. This study aimed at investigating the results of ETV in patients with normal pressure hydrocephalus. Materials and methods: This cross-sectional descriptive study was performed in 20 patients with normal pressure hydrocephalus attending Sari Imam Khomeini Hospital (2018-2020) after considering the inclusion/exclusion criteria. All patients were evaluated by the grading system of the Japanese Committee for Scientific Research on Intractable Hydrocephalus (JCSRIH). Pre-ETV indicators included: age, ICP, largest diameter of the frontal horns of the lateral ventricles, maximum width of cranial cavity, and Evans Ratio. The patients were evaluated before and after ETV, and also one week, one month, and 6 months later. Ventriculoperitoneal (VP) shunting was performed after one week, if there was no improvement in clinical symptoms. Results: The participants included 65% men and 35% women (mean age: 75.40 ± 4.12 and ICP: 11.35 ± 0.87 mmgh). VP shunting was carried out in 55% of the patients due to lack of improvements in clinical conditions after a week. In 45% of patients, after one week, 2-3 degrees improvements were seen in symptoms based on the JCSRIH scale (P> 0.05). Conclusion: ETV can be an effective treatment in patients with normal pressure hydrocephalus. Further studies are needed to clarify the pathophysiology of the disease and the dynamics of CSF.http://jmums.mazums.ac.ir/article-1-15690-en.htmlnormal pressure hydrocephalusendoscopic third ventriculostomyventriculoperitoneal shunting |
| spellingShingle | Misagh Shafizad Sajad Shafiee Seyed Mohammad Baghbanian Maryam Khoshnazar Maryam Hasannezhad Reskati Endoscopic Third Ventriculostomy Outcomes in Patients with Normal Pressure Hydrocephalus Journal of Mazandaran University of Medical Sciences normal pressure hydrocephalus endoscopic third ventriculostomy ventriculoperitoneal shunting |
| title | Endoscopic Third Ventriculostomy Outcomes in Patients
with Normal Pressure Hydrocephalus |
| title_full | Endoscopic Third Ventriculostomy Outcomes in Patients
with Normal Pressure Hydrocephalus |
| title_fullStr | Endoscopic Third Ventriculostomy Outcomes in Patients
with Normal Pressure Hydrocephalus |
| title_full_unstemmed | Endoscopic Third Ventriculostomy Outcomes in Patients
with Normal Pressure Hydrocephalus |
| title_short | Endoscopic Third Ventriculostomy Outcomes in Patients
with Normal Pressure Hydrocephalus |
| title_sort | endoscopic third ventriculostomy outcomes in patients with normal pressure hydrocephalus |
| topic | normal pressure hydrocephalus endoscopic third ventriculostomy ventriculoperitoneal shunting |
| url | http://jmums.mazums.ac.ir/article-1-15690-en.html |
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