Effects of shunt types used in idiopathic normal pressure hydrocephalus on patients’ clinical outcomes

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dc.contributor.authorÇetin, Eyüp
dc.contributor.authorAkyol, Mehmet Edip
dc.date.accessioned2024-03-13T09:50:07Z
dc.date.available2024-03-13T09:50:07Z
dc.date.issued2023
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractAim: Idiopathic normal pressure hydrocephalus (iNPH) is a surgically reversible neu- rological disease in adults. It is a neurological condition characterized by ventricular enlargement detected on cranial imaging as well as gait defect, cognitive reduction, and urinary incontinence, with no other reason to explain the clinical findings. Ventricular shunting, predominantly ventriculoperitoneal (VP) shunting, has been shown to be suc- cessful in relieving symptoms in patients. In this study, we aimed to investigate the effects of two VP shunts used in the iNPH patients treated in our clinic. Materials and Methods: Clinical and laboratory records of 28 patients who under- went VP shunting due to iNPH were reviewed retrospectively via the Enlyl system. A programmable shunt was inserted in 9 (32.1%) and a medium-pressure shunt was inserted in 19 (67.9%) patients. Results: There was no significant difference between the two shunt types with regard to patient age, gender, and preoperative tests (p>0.05). However, the prevalence of ataxic gait was significantly higher in the Programmable Shunt group compared to the Medium- Pressure Shunt group (p<0.05). Conversely, no significant difference was found between the shunt types with regard to postoperative examination findings and additional neuro- logical disorders (p>0.05 for both). Conclusion: In the present study, no significant difference was observed between the shunt types with regard to clinical outcomes and thus both types of shunts were revealed as viable options.en_US
dc.identifier.doi10.5455/annalsmedres.2022.11.333
dc.identifier.endpage247en_US
dc.identifier.issn2636-7688
dc.identifier.issue2en_US
dc.identifier.startpage243en_US
dc.identifier.trdizinid1162265en_US
dc.identifier.urihttps://doi.org/10.5455/annalsmedres.2022.11.333
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1162265
dc.identifier.urihttps://hdl.handle.net/20.500.12662/2455
dc.identifier.volume30en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleEffects of shunt types used in idiopathic normal pressure hydrocephalus on patients’ clinical outcomesen_US
dc.typeArticleen_US

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