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Flow-regulated versus differential pressure-regulated shunt valves for adult patients with normal pressure hydrocephalus

  1. Morten Ziebell1,*,
  2. Jørn Wetterslev2,
  3. Magnus Tisell3,
  4. Christian Gluud4,
  5. Marianne Juhler1

Editorial Group: Cochrane Dementia and Cognitive Improvement Group

Published Online: 31 MAY 2013

Assessed as up-to-date: 25 JAN 2013

DOI: 10.1002/14651858.CD009706.pub2


How to Cite

Ziebell M, Wetterslev J, Tisell M, Gluud C, Juhler M. Flow-regulated versus differential pressure-regulated shunt valves for adult patients with normal pressure hydrocephalus. Cochrane Database of Systematic Reviews 2013, Issue 5. Art. No.: CD009706. DOI: 10.1002/14651858.CD009706.pub2.

Author Information

  1. 1

    Copenhagen University Hospital, Rigshospitalet, Department of Neurosurgery, Copenhagen, Denmark

  2. 2

    Rigshospitalet, Copenhagen University Hospital, Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Copenhagen, Denmark

  3. 3

    Sahlgrenska University Hospital, Department of Neurosurgery, Institute of Clinical Neurosciences, Göteborg, Sweden

  4. 4

    Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, The Cochrane Hepato-Biliary Group, Copenhagen, Denmark

*Morten Ziebell, Department of Neurosurgery, Copenhagen University Hospital, Rigshospitalet, Blegsdamsvej 9, Copenhagen, 2100, Denmark. ziebell@nru.dk.

Publication History

  1. Publication Status: New
  2. Published Online: 31 MAY 2013

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References

References to studies excluded from this review

  1. References to studies excluded from this review
  2. References to ongoing studies
  3. Additional references
Boon 1997 {published data only}
  • Boon AJW, Tans JTJ, Delwel EJ, Egeler-Peerdeman SM, Hanlo PW, Wurzer HAL, et al. Dutch normal-pressure hydrocephalus study: prediction of outcome after shunting by resistance to outflow of cerebrospinal fluid. Journal of Neurosurgery 1997;87(5):687-93.
Boon 1998 {published data only}
  • Boon AJW, Tans JTJ, Delwel EJ, Egeler-Peerdeman SM, Hanlo PW, Wurzer HAL, et al. Dutch normal-pressure hydrocephalus study: randomized comparison of low- and medium-pressure shunts. Journal of Neurosurgery 1998;88(3):490-5.
Farahmand 2009 {published data only}
  • Farahmand D, Hilmarsson H, Hogfeldt M, Tisell M. Perioperative risk factors for short term shunt revisions in adult hydrocephalus patients. Journal of Neurology, Neurosurgery, & Psychiatry 2009;80(11):1248-53.
Lund-Johansen 1994 {published data only}
  • Lund-Johansen M, Svendsen F, Wester K, McComb JG, Benzel EC. Shunt failures and complications in adults as related to shunt type, diagnosis, and the experience of the surgeon. Neurosurgery 1994;35(5):839-44.
Meier 2006a {published data only}
  • Meier U, Kiefer M, Lemcke J. On the optimal opening pressure of hydrostatic valves in cases of idiopathic normal-pressure hydrocephalus: a prospective randomized study with 122 patients. Neurosurgery Quarterly 2005;15(2):103-9.
Meier 2006b {published data only}
  • Meier U, Kiefer M, Neumann U, Lemcke J. On the optimal opening pressure of hydrostatic valves in cases of idiopathic normal-pressure hydrocephalus: a prospective randomized study with 123 patients. Acta Neurochirurgica 2006;Suppl 96:358-63.
Meier 2010 {published data only}
  • Meier U, Lemcke J, Muller C, Fritsch M, Kiefer M, Eymann R, et al. First results of the interim analysis of the randomized controlled SVASONA trial for idiopathic normal pressure hydrocephalus. Proceedings of the 78th Annual Meeting of the American Association of Neurological Surgeons; 2010; AANS.
Meier 2011 {published data only}
  • Meier U, Lemcke J, Muller C, Fritsch M, Kiefer M, Eymann R, et al. Final results of the SVASONA study in idiopathic normal pressure hydrocephalus. Proceedings of the Journal of Neurosurgery Conference; 2011; AANS.
Pollack 1999 {published data only}
Weiner 1995 {published data only}
  • Weiner HL, Constantini S, Cohen H, Wisoff JH. Current treatment of normal-pressure hydrocephalus - Comparison of flow-regulated and differential-pressure shunt valves. Neurosurgery 1995;37(5):877-84.

References to ongoing studies

  1. References to studies excluded from this review
  2. References to ongoing studies
  3. Additional references
Lemcke 2012 {published data only}
  • On the method of a randomised comparison of programmable valves with and without anti-gravitational units: The SVASONA trial.. Ongoing study Starting date of trial not provided. Contact author for more information.
Toma 2011 {published data only}
  • Conservative versus surgical management of idiopathic normal pressure hydrocephalus: a prospective double-blind randomised clinical trial: trial protocol.. Ongoing study Starting date of trial not provided. Contact author for more information.

Additional references

  1. References to studies excluded from this review
  2. References to ongoing studies
  3. Additional references
Adams 1965
  • Adams RD, Fisher CM, Hakim S, Ojemann RG, Sweet WH. Symptomatic occult hydrocephalus with "normal" cerebrospinal-fluid pressure: a treatable syndrome. New England Journal of Medicine 1965;273:117-26. [PUBMED: 14303656]
Altman 2003
Bateman 2000
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Brean 2008
Brok 2008
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Brok 2009
  • Brok J, Thorlund K, Wetterslev J, Gluud C. Apparently conclusive meta-analyses may be inconclusive -Trial sequential analysis adjustment of random error risk due to repetitive testing of accumulating data in apparently conclusive neonatal meta-analyses. International Journal of Epidemiology 2009;38(1):287-98. [PUBMED: 18824466]
Chan 2004
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Dickersin 1990
Drake 1998
  • Drake JM, Kestle JR, Milner R, Cinalli G, Boop F, Piatt J Jr, et al. Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus. Neurosurgery 1998;43(2):294-303; discussion 303-5. [PUBMED: 9696082]
Egger 1997
Gamble 2005
Higgins 2003a
Higgins 2008
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Hollis 1999
Kestle 2000
Keus 2009
  • Keus F, Wetterslev J, Gluud C, Gooszen HG, van Laarhoven CJ. Robustness assessments are needed to reduce bias in meta-analyses that include zero-event randomized trials. American Journal of Gastroenterology 2009;104(3):546-51. [PUBMED: 19262513]
Klassen 2011
Lan 1983
Nulsen 1951
  • Nulsen FE, Spitz EB. Treatment of hydrocephalus by direct shunt from ventricle to jugular vein. Surgical Forum 1951;351:399-403.
Pogue 1997
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Pogue 1998
Reddy 2011
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Relkin 2005
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Rücker 2008
Sgouros 2010
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Skjolding 2010a
  • Skjolding AD, Rowland IJ, Sogaard LV, Praetorius J, Penkowa M, Juhler M. Hydrocephalus induces dynamic spatiotemporal regulation of aquaporin-4 expression in the rat brain. Cerebrospinal Fluid Research 2010;7:20. [PUBMED: 21054845]
Sotelo 2005
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Sutton 2002
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Sweeting 2004
Thorlund 2009
  • Thorlund K, Devereaux PJ, Wetterslev J, Guyatt G, Ioannidis JP, Thabane L, et al. Can trial sequential monitoring boundaries reduce spurious inferences from meta-analyses?. International Journal of Epidemiology 2009;38(1):276-86. [PUBMED: 18824467]
Tisell 2011
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Wetterslev 2008
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Wetterslev 2009
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