Open AccessProtocolizing the Workup for Idiopathic Normal Pressure Hydrocephalus Improves Outcomes
Author(s) -
Lealani Mae Y. Acosta,
Kassandra Stubblefield,
Trisha L. Conwell,
Kiersten Espaillat,
Heather Koons,
Peter Konrad,
John P. Fang,
Howard S. Kirshner,
Thomas L. Davis
Publication year - 2021
Publication title -
neurology. clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.674
H-Index - 29
eISSN - 2163-0933
pISSN - 2163-0402
DOI - 10.1212/cpj.0000000000001018
Subject(s) - medicine , neuroradiology , neurology , normal pressure hydrocephalus , neurosurgery , shunting , gait , lumbar puncture , hydrocephalus , physical therapy , surgery , cerebrospinal fluid , dementia , disease , psychiatry
The workup for idiopathic normal pressure hydrocephalus (INPH) can be difficult to coordinate, and determining appropriate patients for ventriculoperitoneal shunting can be challenging. Therefore, we hypothesized that implementing a formalized protocol can improve patient selection for a shunt. In conjunction with neurology and neurosurgery, we instituted a standardized means of assessing patients whose presentation is concerning for INPH and compared their workup with similar patients seen without the Protocol (i.e., preprotocol [PP]) regarding baseline characteristics, assessment, and outcomes.