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Ventriculoperitonea...
Ventriculoperitoneal Shunt Complications in the European Idiopathic Normal Pressure Hydrocephalus Multicenter Study
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Feletti, A. (author)
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d'Avella, D. (author)
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- Wikkelsö, Carsten, 1947 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology
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Klinge, P. (author)
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- Hellström, Per (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology
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Tans, J. (author)
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Kiefer, M. (author)
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Meier, U. (author)
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Lemcke, J. (author)
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Paternò, V. (author)
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Stieglitz, L. (author)
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Sames, M. (author)
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Saur, K. (author)
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Kordás, M. (author)
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Vitanovic, D. (author)
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Gabarrós, A. (author)
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Llarga, F. (author)
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Triffaux, M. (author)
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Tyberghien, A. (author)
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Juhler, M. (author)
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Hasselbalch, S. (author)
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Cesarini, K. (author)
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Laurell, K. (author)
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(creator_code:org_t)
- 2019-07
- 2019
- English.
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In: Operative neurosurgery. - : Ovid Technologies (Wolters Kluwer Health). - 2332-4260 .- 2332-4252. ; 17:1, s. 97-102
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
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- BACKGROUND: Ventriculoperitoneal shunt (VP-shunt) is the standard of treatment for idiopathic normal pressure hydrocephalus (iNPH). However, a thorough investigation of VP-shunt complications in this population is lacking. OBJECTIVE: To present the analysis and the rates of complications progressively occurring during the first year after shunt surgery in the patients with iNPH included in the European multicenter (EU-iNPH) study. METHODS: Patients (n=142) were prospectively included in the EU-iNPH study by 13 institutions. All patients received a programmable VP-shunt. One hundred fifteen patients completed the 12-mo follow-up. Reexaminations were performed 1, 3, and 12 mo after surgery. Data regarding symptomatic over- or underdrainage, infections, malposition, subdural collections, and shunt surgery were collected and analyzed. RESULTS: Thirty patients (26%) experienced symptoms due to shunt underdrainage. Symptomatic overdrainage was reported in 10 (9%). Shunt adjustments were made in 43 (37%). Shunt malposition was recognized as the primary cause of shunt malfunction in 8 (7%), while only 1 infection (0.9%) occurred. Subdural hematoma was diagnosed in 7 (6%) and was treated by increasing the opening pressure of the valve in 5 patients. Hygroma was diagnosed in 10 (9%), requiring surgery in 1 patient. Overall, 17 patients (15%) underwent 19 shunt surgeries. CONCLUSION: The advances in valve technology, a careful opening pressure setting, and rigorous follow-up allow a significant reduction of complications, which can be usually managed nonsurgically within the first 3 to 6 mo. Copyright © 2018 by the Congress of Neurological Surgeons.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Complication
- Idiopathic normal pressure hydrocephalus
- Multicenter study
- Symptoms and signs
- Ventriculoperitoneal shunt
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Feletti, A.
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d'Avella, D.
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Wikkelsö, Carste ...
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Klinge, P.
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Hellström, Per
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Tans, J.
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show more...
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Kiefer, M.
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Meier, U.
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Lemcke, J.
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Paternò, V.
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Stieglitz, L.
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Sames, M.
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Saur, K.
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Kordás, M.
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Vitanovic, D.
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Gabarrós, A.
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Llarga, F.
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Triffaux, M.
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Tyberghien, A.
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Juhler, M.
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Hasselbalch, S.
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Cesarini, K.
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Laurell, K.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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Operative neuros ...
- By the university
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University of Gothenburg