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Updated: Feb 6, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

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[The surgical treatment in adults with idiopathic normal pressure hydrocephalus]

B T Ma1, J J Wei, J Gao

  • 1The Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.

Zhonghua Yi Xue Za Zhi
|August 24, 2018
PubMed

Insights

Ventriculoperitoneal shunt (VPS) effectively treats adult idiopathic normal pressure hydrocephalus (iNPH) by significantly reducing symptoms and ventricular size. This surgical intervention offers a safe and beneficial treatment option for iNPH patients.

Area of Science:

  • Neurosurgery
  • Neurology

Background:

  • Idiopathic normal pressure hydrocephalus (iNPH) is a neurological condition characterized by gait disturbance, urinary incontinence, and cognitive impairment.
  • The exact cause of iNPH remains unknown, but it is associated with increased cerebrospinal fluid pressure and ventricular enlargement.

Purpose of the Study:

  • To evaluate the efficacy and safety of Ventriculoperitoneal shunt (VPS) in adult patients diagnosed with idiopathic normal pressure hydrocephalus (iNPH).

Main Methods:

  • Retrospective analysis of 33 adult patients with iNPH treated with VPS between October 2010 and October 2016.
  • Data collected included clinical features, iNPH scores, and imaging data (Evans index, ventricular width).

Main Results:

  • VPS treatment led to a significant decrease in iNPH scores at 3 months post-operation (P<0.01), with sustained improvement at 6 and 12 months.
  • Significant reductions were observed in the Evans index and the width of the three ventricles.
  • One patient experienced a subdural hematoma; no other major complications like infection or obstruction were reported.

Conclusions:

  • Ventriculoperitoneal shunt (VPS) is an effective therapeutic strategy for managing idiopathic normal pressure hydrocephalus (iNPH) in adults.
  • Accurate diagnosis and treatment of iNPH require a multidisciplinary team approach.

Keywords:
DementiaIdiopathic normal pressure hydrocephalusMultidisciplinary teamVentriculoperitoneal shunt

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