Intervention Review

Shunting for normal pressure hydrocephalus (NPH)

  1. Thomas Esmonde1,*,
  2. Stephen Cooke2

Editorial Group: Cochrane Dementia and Cognitive Improvement Group

Published Online: 22 JUL 2002

Assessed as up-to-date: 5 SEP 2008

DOI: 10.1002/14651858.CD003157


How to Cite

Esmonde T, Cooke S. Shunting for normal pressure hydrocephalus (NPH). Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD003157. DOI: 10.1002/14651858.CD003157.

Author Information

  1. 1

    Antrim Area Hospital, Antrim, UK

  2. 2

    Royal Victoria Hospital, Dept of Neurosurgery, Belfast, UK

*Thomas Esmonde, Antrim Area Hospital, Antrim, BT41 2RL, UK. thomas.esmonde@ntlworld.com.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 22 JUL 2002

SEARCH

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary

Background

Since the condition was first described in 1965, the syndrome of normal pressure hydrocephalus (NPH) has conventionally been managed by placement of a cerebrospinal fluid (CSF) shunt.

Objectives

To determine the effectiveness of shunting procedures in promoting stability or improvement in the neurological symptoms and signs of NPH.

Search methods

The Specialized Register of the Cochrane Dementia and Cognitive Improvement Group (CDCIG), The Cochrane Library, MEDLINE, EMBASE, PsycINFO, CINAHL and LILACS were searched on 27 March 2008 using the terms: "Shunt*" AND "normal pressure hydrocephalus". The CDCIG Specialized Register contains records from all major health care databases (The Cochrane Library, MEDLINE, EMBASE, PsycINFO, CINAHL, LILACS) as well as from many trials databases and grey literature sources.

Selection criteria

Studies included for analysis were those involving the placement of a CSF shunt for the treatment of NPH as part of a randomized controlled trial.

Data collection and analysis

No data matching the selection criteria were found.

Main results

No randomized controlled trials of shunt placement versus no shunt were found.

Authors' conclusions

There is no evidence to indicate whether placement of a shunt is effective in the management of NPH.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary

There is no evidence to indicate whether placement of a shunt to remove fluid is effective in the management of normal pressure hydrocephalus

Normal pressure hydrocephalus is a rare but potentially treatable cause of dementia. Since the condition was first described in 1965, it has conventionally been treated by placement of a shunt to remove cerebrospinal fluid (CSF) from the ventricles of the brain. No trial has yet compared the placement of a shunt versus no shunt in a randomized controlled manner. Nor have the long-term outcomes of treated and untreated normal pressure hydrocephalus been compared. There is, therefore, no evidence for the use of shunts in the management of normal pressure hydrocephalus.