[Lumboperitoneal shunts in hydrocephalus]

Normal pressure hydrocephalus, defined clinically by Hakim's triad of gait and balance disturbance, cognitive decline, and urinary incontinence, presents a critical challenge in neurology. While the ventriculoperitoneal shunt remains the standard treatment, growing evidence suggests that the lumboperitoneal shunt (LPS) rivals its effectiveness, achieving similar improvements in gait and balance, cognition, and continence, with comparable complication rates. LPS may also offer advantages, such as local anaesthesia, shorter procedures, and shorter hospital stays, which could lead to cost savings for the healthcare sector.