In NPH, setting valve opening pressure close to lumbar puncture opening pressure decreases overdrainage | Zendy

Tito Vivas-Buitrago | Zendy; Ricardo A. Domingo | Zendy; Shashwat Tripathi | Zendy; Juan Pablo Herrera | Zendy; Johan L. Heemskerk | Zendy; Sanjeet S. Grewal | Zendy; Nicholas L. Zalewski | Zendy; Alfredo QuiñonesHinojosa | Zendy; Ronald Reimer | Zendy; Robert E. Wharen | Zendy; N. R. Graff-Radford | Zendy

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In NPH, setting valve opening pressure close to lumbar puncture opening pressure decreases overdrainage

Author(s) -

Tito Vivas-Buitrago,

Ricardo A. Domingo,

Shashwat Tripathi,

Juan Pablo Herrera,

Johan L. Heemskerk,

Sanjeet S. Grewal,

Nicholas L. Zalewski,

Alfredo QuiñonesHinojosa,

Ronald Reimer,

Robert E. Wharen,

N. R. Graff-Radford

Publication year - 2020

Publication title -

neurologia i neurochirurgia polska

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.484

H-Index - 26

eISSN - 1897-4260

pISSN - 0028-3843

DOI - 10.5603/pjnns.a2020.0077

Subject(s) - medicine , surgery , lumbar puncture , lumbar , cerebrospinal fluid

The management of normal pressure hydrocephalus (NPH) can be difficult, partly because there are frequent treatment complications such as overdrainage which, when serious, may require surgical intervention. We previously reported a correlation between the difference of lumbar puncture opening pressure minus the valve opening pressure setting (LPOP-VOP) (which we refer to as the delta) and increased rates of overdrainage. This led to a modification in our practice, whereby we now set the VOP equal to, or close to, the LPOP, resulting in lower deltas.

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