Clinical predictors of shunt response in the diagnosis and treatment of idiopathic normal pressure hydrocephalus: a systematic review and meta-analysis - Takeaways - MDSpire

Clinical predictors of shunt response in the diagnosis and treatment of idiopathic normal pressure hydrocephalus: a systematic review and meta-analysis

  • By

  • Santhosh G. Thavarajasingam

  • Mahmoud El-Khatib

  • Mark Rea

  • Salvatore Russo

  • Johannes Lemcke

  • Lana Al-Nusair

  • Peter Vajkoczy

  • July 8, 2021

  • 0 min

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  • 1

    Idiopathic normal pressure hydrocephalus (iNPH) is characterized by dementia, gait disturbance, and urinary incontinence.

  • 2

    Shunt response (SR) is the gold standard for diagnosing and treating iNPH, with reported improvement rates varying significantly.

  • 3

    Existing guidelines lack explicit diagnostic parameters for tests like the tap test and infusion test, leading to inconsistent evaluations.

  • 4

    This systematic review aims to evaluate the diagnostic effectiveness of clinical features and tests in predicting SR in iNPH.

  • 5

    A total of 35 studies were included in the review, with low to moderate risk of bias and no significant publication bias detected.

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