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Programmable valve represents an efficient and safe tool in the treatment of idiopathic normal-pressure hydrocephalus patients

2013; Thieme Medical Publishers (Germany); Volume: 71; Issue: 4 Linguagem: Inglês

10.1590/0004-282x20130007

1678-4227

Matheus Fernandes de Oliveira, Felippe Saad, Rodolfo Casimiro Reis, José Marcus Rotta, Fernando Campos Gomes Pinto,

Neurosurgical Procedures and Complications

Idiopathic normal pressure hydrocephalus (iNPH) is characterized by gait disturbance, dementia and /or urinary incontinence, dilation of the ventricular system and normal opening cerebrospinal fluid pressure. Shunt surgery is the standard treatment of iNHP. Diversions with programmable valves are recommended, once drainage pressure can be changed. However, well-defined protocols still lack guiding the steps to attain proper pressure for each patient. Methods: In our study, we reported the experience of shunting 24 patients with iNPH using Strata® (Medtronic) valve, following a protocol based on a positive Tap Test. Results: We observed clinical improvement in 20 patients and stability/worsening in 4 patients. Complications occurred in five patients, including one death. The results display improvement, and complications occurred at a lower rate than reported in other studies. Conclusions: The Strata® valve used in the proposed protocol represents an efficient and safe tool in the treatment of iNPH.