Research Article
A Study of Factors Affecting Surgical Outcome In Patients of Idiopathic Normal Pressure Hydrocephalus Treated With Programmable Ventriculoperitoneal Shunt
Rana A1, Ghimire N2*, Sing H3 and Sing D3
1Department of Neurosurgery, Consultant Neurosurgeon Mathura, India
2Department of Neurosurgery, Lecturer, Neurosurgeon, Nepalgunj Medical College Kohalpur-5, Banke, Nepal
3Department of Neurosurgery, Fifth floor, A block, GIPMER, Delhi India
*Corresponding author: Ghimire N, Department of Neurosurgery, Lecturer, Neurosurgeon, Nepalgunj Medical College Kohalpur-5, Banke, Nepal Email: nirajghimirebarca@gmail.com
Article Information: Submission: 17/11/2022; Accepted: 28/07/2023; Published: 31/07/2023
Copyright: © 2023 Rana A, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction: A triad of symptoms: gait disorder, cognitive impairment, and urinary incontinence with communicating Hydrocephalus and normal CSF pressure define the Normal Pressure Hydrocephalus (NPH). iNPH has reported incidence between 0.5–5.5 cases per 100,000 per year Secondary NPHoccurs after head trauma, subarachnoid hemorrhage, or other brain insults. When no such predisposing factors are identified, the syndrome is idiopathic NPH (iNPH).
Aims and Objectives: The aim and objective of the study was1)To assess surgical outcome after programmable ventriculoperitoneal shunt in idiopathic NPH and, 2) To assess relation of opening pressure of ventricle with surgical outcome and functioning of programmable VP shunt in idiopathic NPH.
Methodology: A prospective observational study was done in the Department of Neurosurgery, GIPMER, for one year after obtaining institutional ethical clearance among 15 patient who meet diagnostic criteria for idiopathic NPH according to international guidelines for NPH 2008. The collected data were entered in Microsoft Excel. Data were analyzed and statistically evaluated using the SPSS-PC-25 version.
Results: A total of 15 patients were included in the study. The mean age of the patient was 67.53±3.18 years. There were 13 (86.7 %) males and 2 (13.3%) females. The mean duration of gait abnormalities, urinary incontinence, and dementia were8.80 ±3.55, 7.07 ±2.66, and 5.87 ±2.23 months respectively.
Conclusion: Rapid establishment of optimum programmable pressure valve setting improve patient outcome as well as reduce medical cost by preventing over drainage and shortening hospitalization time
Aims and Objectives: The aim and objective of the study was1)To assess surgical outcome after programmable ventriculoperitoneal shunt in idiopathic NPH and, 2) To assess relation of opening pressure of ventricle with surgical outcome and functioning of programmable VP shunt in idiopathic NPH.
Methodology: A prospective observational study was done in the Department of Neurosurgery, GIPMER, for one year after obtaining institutional ethical clearance among 15 patient who meet diagnostic criteria for idiopathic NPH according to international guidelines for NPH 2008. The collected data were entered in Microsoft Excel. Data were analyzed and statistically evaluated using the SPSS-PC-25 version.
Results: A total of 15 patients were included in the study. The mean age of the patient was 67.53±3.18 years. There were 13 (86.7 %) males and 2 (13.3%) females. The mean duration of gait abnormalities, urinary incontinence, and dementia were8.80 ±3.55, 7.07 ±2.66, and 5.87 ±2.23 months respectively.
Conclusion: Rapid establishment of optimum programmable pressure valve setting improve patient outcome as well as reduce medical cost by preventing over drainage and shortening hospitalization time
Keywords: INPH; Valve setting; Ventriculoperitoneal shunt