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Objective The strict relationship between shunt-responsiveness and increased resistance to CSF outflow (Rout) as reported in 1981 by Borgensen and Gjerris [1] was later presented as significant but not strong in the‘Dutch NPH’ trial [2] and recently reported as unconvincing in the ‘European NPH study’ [3]. We reviewed our ongoing database to study the relationship between parameters describing CSF circulation and pressure-volume compensation with clinical improvement after shunting.

Relationship between CSF dynamics and outcome after shunting in NPH- 20 years of single centre experience