Changes in callosal angle and evans’ index after placing a lumboperitoneal shunt in patients with idiopathic normal pressure hydrocephalus

Kılınç, Mustafa Cemil; Kahiloğulları, Gökmen; Doğan, İhsan; Alpergin, Baran Can; Terzi, Macit; Bahadır, Eda Aslanbaba; İbiş, Muhammed Arif; Çağlar, Yusuf

doi:10.5137/1019-5149.jtn.35098-21.3

Cited by 6 publications

(6 citation statements)

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“…The treatment plan and prognosis of secondary hydrocephalus are related to different causes [ 21 , 22 ]. Early identification of the types of secondary hydrocephalus is of great significance to control the stability of the disease and improve the prognosis [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

[Retracted] Value of CSF‐Cl, CSF‐GS, CSF‐MALB, and CSF‐ADA in Differential Diagnosis of Secondary Hydrocephalus

Huang

Chen

2022

Contrast Media & Molecular Imaging

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Objectives. To investigate the value of cerebrospinal fluid chloride (CSF-Cl), cerebrospinal fluid glucose (CSF-GS), cerebrospinal fluid microalbumin (CSF-MALB), and cerebrospinal fluid adenosine deaminase (CSF-ADA) in the differential diagnosis of secondary hydrocephalus. Methods. 103 patients with secondary hydrocephalus treated in our hospital from January 2018 to April 2022 were selected. According to different types, it is divided into the hemorrhagic hydrocephalus group and tumor hydrocephalus group. By detecting the levels of inflammatory factors such as CSF-Cl, CSF-GS, CSF-MALB, and CSF-ADA in the two groups, we can analyze the value of these inflammatory factors in the differential diagnosis of secondary hydrocephalus. Results. The level of CSF-MALB in the hemorrhagic hydrocephalus group was significantly higher than that in the tumor hydrocephalus group, and the difference between the two groups was statistically significant ( P < 0.05 ). There was no significant difference in the levels of CSF-Cl, CSF-GS, and CSF-ADA between the two groups ( P > 0.05 ). The area under ROC curve (AUC) of CSF-Cl, CSF-GS, CSF-MALB, and CSF-ADA in the differential diagnosis of secondary hydrocephalus was 0.438, 0.553, 0.750, and 0.542, respectively, sensitivity was 15.1%, 45.3%, 79.2%, and 18.9%, respectively, and specificity was 96.0%, 80.0%, 80.0%, and 94.0%, respectively. Conclusions. The inflammatory reaction of hemorrhagic hydrocephalus was significantly greater than that of tumor hydrocephalus. Moreover, CSF-MALB is closely related to the pathogenesis of hemorrhagic hydrocephalus. At the same time, CSF-MALB can be used as a good index for rapid differential diagnosis of secondary hydrocephalus.

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Section: Discussionmentioning

confidence: 99%

[Retracted] Value of CSF‐Cl, CSF‐GS, CSF‐MALB, and CSF‐ADA in Differential Diagnosis of Secondary Hydrocephalus

Huang

Chen

2022

Contrast Media & Molecular Imaging

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“…Regarding the association of imaging markers with the severity of symptoms, tap test, and shunt responsiveness, the following conclusions can be drawn. EI and CA have been, according to many studies, correlated to both tap test and shunt responsiveness [16,[79][80][81]85]. Nevertheless, CA failed to predict shunt responsiveness according to Skalický et al, (2021) [83].…”

Section: Discussionmentioning

confidence: 98%

“…A significant decrease in CA and EI measurements in the early postoperative period could be an indicator of the possibility of iNPH patients to benefit from a surgical treatment and be clinically improved. Interestingly, postoperative imaging assessment predicted improvement of the gait disturbances and urinary incontinence but was unable to predict improvement of cognitive symptoms [81]. Virhammar et al, (2018) found that CA increased, and ventricular volume decreased after shunt surgery, with the alteration of CA being most explicit, indicating that this imaging marker could be used as an indirect tool to evaluate shunt function [82].…”

Section: Imaging Markers Of Inph With Possible Prognostic Valuementioning

confidence: 99%

Imaging Markers for Normal Pressure Hydrocephalus: An Overview

et al. 2023

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Idiopathic bormal pressure hydrocephalus (iNPH) is a neurological syndrome that clinically presents with Hakim’s triad, namely cognitive impairment, gait disturbances, and urinary incontinence. The fact that iNPH is potentially reversible makes its accurate and early diagnosis of paramount importance. Its main imaging characteristic is the dilation of the brain’s ventricular system and the imaging parameters are also included in its diagnostic criteria along with clinical data. There is a variety of different modalities used and a great number of imaging markers that have been described while assessing iNPH patients. The present literature review attempts to describe the most important of these imaging markers and to shed some light on their role in diagnosis, differential diagnosis, and possibly prognosis of this potentially reversible neurological syndrome.

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“…This type of shunt is typically used in cases where VP shunts are not suitable or have failed, such as in patients with blocked or scarred ventricles or those with previous abdominal surgery. [35,36] The LP shunt consists of a catheter that is inserted into the lumbar subarachnoid space, usually at the L4-L5 or L5-S1 level, and a valve that controls the flow of CSF. The catheter is tunnelled under the skin and connected to a reservoir or valve that is implanted in the abdomen.…”

Section: Low-profile Vp Shuntmentioning

confidence: 99%

An overview of hydrocephalus and shunts used in the clinical management of hydrocephalus

Jakiela,

Billavara,

Kaliaperumal

et al. 2023

Preprint

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<p>As hydrocephalus is a complex neurological condition with significant clinical implications, we believe that this review article is timely to provide a comprehensive overview of shunts used in neurosurgery. This article delves into the etiology, clinical presentation, and challenges associated with hydrocephalus, while focusing primarily on the surgical placement of shunt systems as a key management strategy. We believe that this review will offer valuable insights to clinicians and researchers involved in the management of hydrocephalus. It will provide an in-depth understanding of different shunt systems, their specific characteristics, and associated advantages and limitations, thus empowering clinicians to make informed decisions tailored to individual patients.</p>

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Changes in callosal angle and evans’ index after placing a lumboperitoneal shunt in patients with idiopathic normal pressure hydrocephalus

Cited by 6 publications

References 0 publications

[Retracted] Value of CSF‐Cl, CSF‐GS, CSF‐MALB, and CSF‐ADA in Differential Diagnosis of Secondary Hydrocephalus

[Retracted] Value of CSF‐Cl, CSF‐GS, CSF‐MALB, and CSF‐ADA in Differential Diagnosis of Secondary Hydrocephalus

Imaging Markers for Normal Pressure Hydrocephalus: An Overview

An overview of hydrocephalus and shunts used in the clinical management of hydrocephalus

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