Turkish Neurosurgery
Efficacy of Lumboperitoneal Shunting in Patients with Normal Pressure Hydrocephalus
MEHMET AKIF BAYAR1, AYHAN TEKİNER 1, HAYDAR CELIK1, ALI YILMAZ2, GUNER MENEKSE1, TIMUR YILDIRIM2, FATIH ALAGOZ3, YAHYA GUVENC4, YAVUZ ERDEM1
1Ankara Training and Research Hospital, Department of Neurosurgery, ANKARA,
2Ordu University,Faculty of Medicine, Department of Neurosurgery, ORDU,
3Ankara Numune Training and Research Hospital, Department of Neurosurgery, ANKARA,
4Marmara University Faculty of Medicine, Department of Neurosurgery, ISTANBUL,
DOI: 10.5137/1019-5149.JTN.18702-16.1
Aim:To evaluate the effectiveness of lumboperitoneal shunt procedures in the treatment of normal pressure hydrocephalusMaterial and Methods:A medical record review was conducted to obtain demographic, clinical, laboratory data, as well as pre-, intra, -post-operative details of 65 patients who underwent lumboperitoneal shunt surgery between January 1, 2001 and January 1, 2014 in the Neurosurgery Clinics of Ankara Training and Research Hospital and Ankara Numune Hospital. Results:At about 3 months after LP shunt surgery, the complaint of headache resolved in almost all patients; at the end of the first year, while statistically significant improvements were noted in the Modified Rankin Scores and Mini Mental Test Scores, gait disturbance, urinary incontinence and cognitive functions improved by 86%, 72% and 65% of the patients, respectively.Conclusion:LP shunt surgery is associated with a lower rate of complication in comparison to VP shunt surgery and is an effective procedure in the treatment of NPH patients.
Corresponding author : TIMUR YILDIRIM