scholarly journals Ventriculoatrial Shunts as an Alternate Therapy in Patients with Normal Pressure Hydrocephalus Refractory to Ventriculoperitoneal Shunts: A Case Series

2021 ◽  
pp. 101433
Author(s):  
Vivian Hagerty ◽  
Christopher Galvin ◽  
Amrika Maharaj ◽  
Frank Vrionis
Keyword(s):  
Normal Pressure Hydrocephalus ◽  
Case Series ◽  
Normal Pressure ◽  
Ventriculoperitoneal Shunts ◽  
Alternate Therapy

scholarly journals Ventriculoperitoneal Shunt Outcomes of Normal Pressure Hydrocephalus: A Case Series of 116 Patients

Cureus ◽  
2019 ◽  
Author(s):  
Eva M Wu ◽  
Tarek Y Ahmadieh ◽  
Benjamin Kafka ◽  
James Caruso ◽  
Salah G Aoun ◽  
...  
Keyword(s):  
Normal Pressure Hydrocephalus ◽  
Ventriculoperitoneal Shunt ◽  
Case Series ◽  
Normal Pressure

Normal pressure hydrocephalus or progressive supranuclear palsy? A clinicopathological case series

2012 ◽  
Vol 260 (4) ◽  
pp. 1009-1013 ◽  
Author(s):  
Nadia K. Magdalinou ◽  
Helen Ling ◽  
James D. Shand Smith ◽  
Jonathan M. Schott ◽  
Laurence D. Watkins ◽  
...  
Keyword(s):  
Progressive Supranuclear Palsy ◽  
Normal Pressure Hydrocephalus ◽  
Case Series ◽  
Normal Pressure

scholarly journals A Distinct Scenario of a Patient with Parkinson’s Disease and Comorbid Normal Pressure Hydrocephalus

2020 ◽  
Vol 9 (02) ◽  
pp. 127-130
Author(s):  
Halil Onder
Keyword(s):  
Normal Pressure Hydrocephalus ◽  
Treatment Process ◽  
Case Series ◽  
Normal Pressure ◽  
Extrapyramidal Side Effects ◽  
Antipsychotic Medications ◽  
Neurodegenerative Pathology ◽  
Long Term Follow Up

AbstractIn literature, patients with coexistence of normal pressure hydrocephalus (NPH) and Parkinsons’s disease (PD) have been rarely reported. Herein, I illustrate the evaluation processes of a remarkable patient with PD and comorbid NPH from my experience, which I think may provide crucial perspectives regarding the management problems of these patients. Besides, the patient had also developed bipolar disorder in the follow-up course and extrapyramidal side effects related to antipsychotic medications, which further complicated the treatment process. I think that results of future reports of larger case series including the long-term follow-up of this group of patients with coexisting NPH and PD would provide substantial perspectives regarding the contributory effects of these two pathophysiologies, as well as management, of NPH in these specific patients with neurodegenerative pathology.

TM3-9 Neurosarcoidosis presenting with normal pressure hydrocephalus: case series

2019 ◽  
Vol 90 (3) ◽  
pp. e17.2-e17
Author(s):  
AK Golahmadi ◽  
CL Craven ◽  
LT Thorne ◽  
AK Toma ◽  
LD Watkins
Keyword(s):  
Mr Imaging ◽  
Normal Pressure Hydrocephalus ◽  
Medical Management ◽  
Early Recognition ◽  
Combined Treatment ◽  
Case Series ◽  
Normal Pressure ◽  
Symptom Improvement ◽  
Shunt Insertion ◽  
Csf Diversion

ObjectivesNeurosarcoidosis is a rare condition with a high mortality. Early recognition of symptoms is important to enable prompt interventions. We report a case series of NS with ventriculomegaly that presented with symptoms resembling normal pressure hydrocephalus (NPH).DesignCase series.SubjectsPatients with ventriculomegaly on MR imaging and diagnosis of confirmed or probable NS.MethodsAnalysis of medical records for presenting clinical features, neuroradiology, intervention and clinical outcomes in patients with ventriculomegaly and confirmed or probable NS.ResultsFour patients (2M:2F) aged 49.0±3.01 years (mean ±SD) were identified. Three had definite NS and one probable. Three presented with gait disturbance and one with memory impairment. MR Imaging (with gadolinium) demonstrated ventriculomegaly with leptomeningeal enhancement. One patient underwent 24 hour ICPM, with a median ICP of 3.47 mmHg and pulse amplitude of 4.35 mmHg. CSF showed mild increase in chronic inflammatory cells in the absence of infection. Patients underwent medical management plus ventriculoperionteal shunt insertion (with adjustable valves set to 5 cm H2O and anti-siphon devices). There was a propensity for transient development of slit-like ventricles but without other features of over-drainage. All patients showed symptom improvement following CSF diversion at mean follow-up of 27 months.ConclusionsNS can present similarly to NPH. Early combined treatment of CSF diversion and medical management is effective for symptom management.

scholarly journals Normal Pressure Hydrocephalus Secondary to Intracranial Mass: A Case Series

2017 ◽  
Vol 4 (2) ◽  
pp. 1-4
Author(s):  
Noman Lateef ◽  
◽  
Abdul Basit Ansari ◽  
Abubakar Tauseef ◽  
Aneela Darbar
Keyword(s):  
Normal Pressure Hydrocephalus ◽  
Case Series ◽  
Normal Pressure ◽  
Intracranial Mass

Shunt system patency testing by lumbar infusion

1976 ◽  
Vol 45 (1) ◽  
pp. 60-65 ◽  
Author(s):  
Jack Woodford ◽  
Richard L. Saunders ◽  
Ernest Sachs
Keyword(s):  
Normal Pressure Hydrocephalus ◽  
Normal Pressure ◽  
Adult Patients ◽  
Shunt Malfunction ◽  
Infusion Test ◽  
Shunt Surgery ◽  
Shunt System ◽  
Content Type ◽  
Ventriculoperitoneal Shunts ◽  
Fine Print

✓ A simple and reliable bedside infusion test is described to evaluate shunt-system patency in adult patients with treated “normal” pressure hydrocephalus. Fifteen consecutive patients with ventriculoperitoneal shunts were tested by a two-part infusion test between 2 days and 32 months after shunt surgery. When we used the criteria presented, shunt patency could be established with certainty, and shunt malfunction could be established with relative certainty. Shunt malfunction was verified surgically.

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