NDLI: Overdrainage shunt complications in idiopathic normal-pressure hydrocephalus and lumbar puncture opening pressure.

Please wait, while we are loading the content...

Intraventricular and lumbar intrathecal administration of antibiotics in postneurosurgical patients with meningitis and/or ventriculitis in a serious clinical state.

Effect of stereotactic radiosurgery before bilateral adrenalectomy for Cushing's disease on the incidence of Nelson's syndrome.

Effect of antiplatelet therapy on thromboembolism after flow diversion with the pipeline embolization device.

Glioblastoma.

Risk of very early recurrent cerebrovascular events in symptomatic carotid artery stenosis.

Factors predicting postoperative hyponatremia and efficacy of hyponatremia management strategies after more than 1000 pituitary operations.

Barrow Ruptured Aneurysm Trial: 3-year results.

Hypertensive slit ventricle syndrome: pseudotumor cerebri with a malfunctioning shunt?

The prevalence of patient safety indicators and hospital-acquired conditions in patients with ruptured cerebral aneurysms: establishing standard performance measures using the Nationwide Inpatient Sample database.

Gamma knife surgery.

Assessment of intracranial dynamics in hydrocephalus: effects of viscoelasticity on the outcome of infusion tests.

Racial/ethnic differences in inpatient mortality and use of institutional postacute care following subarachnoid hemorrhage.

Posterior inferior cerebellar artery aneurysms.

Magnetic resonance imaging validation of pituitary gland compression and distortion by typical sellar pathology.

Low-dose intravenous heparin infusion in patients with aneurysmal subarachnoid hemorrhage: a preliminary assessment.

Awake craniotomy.

Delayed postoperative hyponatremia after transsphenoidal surgery: prevalence and associated factors.

Effect of dural detachment on long-term tumor control for meningiomas treated using Simpson grade IV resection.

Hypertonic saline.

Quality of life following endoscopic endonasal resection of anterior skull base cancers.

Dural detachment and long-term tumor control in unresectable meningiomas.

Craniopharyngiomas and the hypothalamus.

Individualized surgical strategies for Rathke cleft cyst based on cyst location.

Selection of intraoperative tasks for awake mapping based on relationships between tumor location and functional networks.

Safety and efficacy of early thromboembolism chemoprophylaxis after intracranial hemorrhage from traumatic brain injury.

Role of gamma knife surgery for intracranial atypical (WHO grade II) meningiomas.

The relationship between clinical phenotype and early staged bilateral deep brain stimulation in Parkinson disease.

Cavitation-based third ventriculostomy using MRI-guided focused ultrasound.

Tumor shrinkage after transsphenoidal surgery for nonfunctioning pituitary adenoma.

Treatment of acromegaly by endoscopic transsphenoidal surgery: surgical experience in 214 cases and cure rates according to current consensus criteria.

Acinetobacter baumannii.

Unchanged safety outcomes in deep brain stimulation surgery for Parkinson disease despite a decentralization of care.

Proteasome inhibition with bortezomib induces cell death in GBM stem-like cells and temozolomide-resistant glioma cell lines, but stimulates GBM stem-like cells' VEGF production and angiogenesis.

Marked reduction in mortality in patients with severe traumatic brain injury.

Craniectomy.

Postoperative ischemic changes following brain metastasis resection as measured by diffusion-weighted magnetic resonance imaging.

A randomized double-blind crossover trial comparing subthalamic and pallidal deep brain stimulation for dystonia.

Development of the Mayo Investigational Neuromodulation Control System: toward a closed-loop electrochemical feedback system for deep brain stimulation.

Prognostic relevance of global histone 3 lysine 9 acetylation in ependymal tumors.

Molecular mechanism of hearing loss.

Decompressive craniectomy for severe traumatic brain injury: is life worth living?

Changing our culture to advance patient safety: the 2013 AANS Presidential Address.

Year: 2013 Volume: 119 Issue: 5

Year: 2013 Volume: 119 Issue: 4

Year: 2013 Volume: 119 Issue: 3

Year: 2013 Volume: 119 Issue: 2

Year: 2013 Volume: 119 Issue: 1

Year: 2013 Volume: 119 Issue: Supplementary

Year: 2013 Volume: 118

Year: 2012 Volume: 117

Year: 2012 Volume: 116

Year: 2011 Volume: 115

Year: 2011 Volume: 114

Year: 2010 Volume: 113

Year: 2010 Volume: 112

Year: 2009 Volume: 111

Overdrainage shunt complications in idiopathic normal-pressure hydrocephalus and lumbar puncture opening pressure.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Khan, Qurat Ul Ain Wharen, Robert E. Grewal, Sanjeet S. Thomas, Colleen S. Deen, H. Gordon Reimer, Ronald Van Gerpen, Jay A. Crook, Julia E. Graff-Radford, Neill R.
Description	Author Affiliation: Khan QU ( Departments of Neurology and.)
Abstract	OBJECT: Management of idiopathic normal-pressure hydrocephalus (iNPH) is hard because the diagnosis is difficult and shunt surgery has high complication rates. An important complication is overdrainage, which often can be treated with adjustable-shunt valve manipulations but also may result in the need for subdural hematoma evacuation. The authors evaluated shunt surgery overdrainage complications in iNPH and their relationship to lumbar puncture opening pressure (LPOP). METHODS: The authors reviewed the charts of 164 consecutive patients with iNPH who underwent shunt surgery at their institution from 2005 to 2011. They noted age, sex, presenting symptoms, symptom duration, hypertension, body mass index (BMI), imaging findings of atrophy, white matter changes, entrapped sulci, LPOP, valve opening pressure (VOP) setting, number of valve adjustments, serious overdrainage (subdural hematoma requiring surgery), radiological overdrainage (subdural hematomas or hygroma seen on postoperative imaging), clinical overdrainage (sustained or postural headache), other complications, and improvements in gait, urine control, and memory. RESULTS: Eight patients (5%) developed subdural hematomas requiring surgery. All had an LPOP of greater than 160 mm H2O and an LPOP-VOP of greater than 40 mm H2O. Radiological overdrainage was more common in those with an LPOP of greater than 160 mm H2O than in those with an LPOP of less than 160 mm H2O (38% vs. 21%, respectively; p = 0.024). The BMI was also significantly higher in those with an LPOP of greater than 160 mm H2O (median 30.2 vs. 27.0, respectively; p = 0.005). CONCLUSIONS: Serious overdrainage that caused subdural hematomas and also required surgery after shunting was related to LPOP and LPOP-VOP, which in turn were related to BMI. If this can be replicated, individuals with a high LPOP should have their VOP set close to the LPOP, or even higher. In doing this, perhaps overdrainage complications can be reduced.
File Format	HTM / HTML
ISSN	00223085
e-ISSN	19330693
Journal	Journal of Neurosurgery
Issue Number	6
Volume Number	119
Language	English
Publisher	American Association of Neurological Surgeons
Publisher Date	2013-12-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Neurosurgery Cerebrospinal Fluid Pressure Physiology Cerebrospinal Fluid Shunts Adverse Effects Drainage Hematoma, Subdural Etiology Hydrocephalus, Normal Pressure Surgery Spinal Puncture Body Mass Index Equipment Failure Reoperation Retrospective Studies
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical) Surgery

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Aspirin is associated with an increased risk of subdural hematoma in normal-pressure hydrocephalus patients following shunt implantation.

Shunting with gravitational valves--can adjustments end the era of revisions for overdrainage-related events?: clinical article.

Cerebral microdialysis and intracranial pressure monitoring in patients with idiopathic normal-pressure hydrocephalus: association with clinical response to extended lumbar drainage and shunt surgery.

Outcome of shunt operation on urinary incontinence in normal pressure hydrocephalus predicted by lumbar puncture.

Use of external lumbar cerebrospinal fluid drainage and lumboperitoneal shunts with Strata NSC valves in idiopathic normal pressure hydrocephalus: a single-center experience.

The clinical effect of lumbar puncture in normal pressure hydrocephalus.

Selection of patients with idiopathic normal-pressure hydrocephalus for shunt placement: a single-institution experience.

Cerebrospinal fluid biomarkers in patients with idiopathic normal pressure hydrocephalus with temporary response to shunt insertion

Validation of a noninvasive test routinely used in otology for the diagnosis of cerebrospinal fluid shunt malfunction in patients with normal pressure hydrocephalus.

Overdrainage shunt complications in idiopathic normal-pressure hydrocephalus and lumbar puncture opening pressure.

Similar Documents

Aspirin is associated with an increased risk of subdural hematoma in normal-pressure hydrocephalus patients following shunt implantation.

Shunting with gravitational valves--can adjustments end the era of revisions for overdrainage-related events?: clinical article.

Cerebral microdialysis and intracranial pressure monitoring in patients with idiopathic normal-pressure hydrocephalus: association with clinical response to extended lumbar drainage and shunt surgery.

Outcome of shunt operation on urinary incontinence in normal pressure hydrocephalus predicted by lumbar puncture.

Use of external lumbar cerebrospinal fluid drainage and lumboperitoneal shunts with Strata NSC valves in idiopathic normal pressure hydrocephalus: a single-center experience.

The clinical effect of lumbar puncture in normal pressure hydrocephalus.

Selection of patients with idiopathic normal-pressure hydrocephalus for shunt placement: a single-institution experience.

Cerebrospinal fluid biomarkers in patients with idiopathic normal pressure hydrocephalus with temporary response to shunt insertion

Validation of a noninvasive test routinely used in otology for the diagnosis of cerebrospinal fluid shunt malfunction in patients with normal pressure hydrocephalus.

Overdrainage shunt complications in idiopathic normal-pressure hydrocephalus and lumbar puncture opening pressure.