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Cochrane Database Syst Rev. 2002;(3):CD003157.

Shunting for normal pressure hydrocephalus (NPH).

Author information

1
Dept of Neurology, Royal Victoria Hospital, Dept of Neurology, Royal Victoria Hospital, Belfast, UK, BT12 6BA. tesmonde@breathemail.net

Abstract

BACKGROUND:

Since the condition was first described in 1965, the syndrome of normal pressure hydrocephalus (NPH) has conventionally been managed by placement of a cerebrospinal fluid (CSF) shunt.

OBJECTIVES:

To determine the effectiveness of shunting procedures in promoting stability or improvement in the neurological symptoms and signs of NPH.

SEARCH STRATEGY:

The trials were identified from a search of the Specialized Register of the Cochrane Dementia and Cognitive Improvement Group on 26 June 2001 using the terms 'shunt*' and 'normal pressure hydrocephalus'.

SELECTION CRITERIA:

Studies included for analysis were those involving the placement of a CSF shunt for the treatment of NPH as part of a randomized controlled trial.

DATA COLLECTION AND ANALYSIS:

No data matching the selection criteria were found.

MAIN RESULTS:

No randomized controlled trials of shunt placement versus no shunt were found.

REVIEWER'S CONCLUSIONS:

There is no evidence to indicate whether placement of a shunt is effective in the management of NPH.

PMID:
12137677
DOI:
10.1002/14651858.CD003157
[Indexed for MEDLINE]

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