The Comparison of Outcome of Ventriculoperitoneal Shunts vs. Endoscopic Third Ventriculostomy in Patients with Idiopathic Normal Pressure Hydrocephalus | [Pakistan Journal of Neurological Surgery • 2023]

Author(s):

1. Syed Hammad Naqvi: Department of Neurosurgeries, DHQ Hospital Rawalpindi, Pakistan

2. Muhammad Motsim Shah: Department of Neurosurgeries, DHQ Hospital Rawalpindi, Pakistan

3. Yasir Shahzad: Rawal Institute of Health Sciences, Rawalpindi Pakistan

4. Soban Sarwar: Department of Neurosurgeries, DHQ Hospital Rawalpindi, Pakistan

5. Fraz Mehmood: Holy Family Hospital Rawalpindi, Pakistan

6. Nadeem Akhtar: Department of Neurosurgeries, DHQ Hospital Rawalpindi, Pakistan

Abstract:

Objective: To compare functional outcomes in terms of INPGHS score and overall improvement in patients of iNPH treated with ETV vs. VP shunting. Materials & Methods: A Randomized control trial was conducted for 6 months at the Department of Neurosurgery, Rawalpindi Medical University and Allied Hospitals, Rawalpindi. 62 patients (31 in each group) were enrolled & allocated into two groups. In group A patients ETV was done and in group B VP shunting. Post-operatively, Patients were followed up for 1 month. Results: The mean age of the patients in the ETV & VP shunting groups was 63.19 ± 6.95 & 63 ± 6.82 years respectively. Males were 64.5% (n = 20) in both groups. Improvement was noted in 9 (29%) patients in the ETV group & 15 (48.4%) patients in the latter group (p-value = 0.118). Conclusion: Ventriculoperitoneal shunts are superior to endoscopic third ventriculostomy in terms of functional neurological outcomes and improvement in symptoms.

Page(s): 169-177

DOI: 10.36552/pjns.v27i2.854

Published: Journal: Pakistan Journal of Neurological Surgery, Volume: 27, Issue: 2, Year: 2023

Keywords:

Ventriculoperitoneal shunt , Endoscopic third ventriculostomy , Idiopathic Normal Pressure Hydrocephalus Grading Scale iNPHGS , Aqueductal CSF Stroke Volume ACSV

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