Turkish Neurosurgery 2018 , Vol 28 , Num 1
Efficacy of Lumboperitoneal Shunting in Patients with Normal Pressure Hydrocephalus
Mehmet Akif BAYAR1,Ayhan TEKINER1,Haydar CELIK1,Ali YILMAZ2,Guner MENEKSE1,Timur YILDIRIM2,Fatih ALAGOZ3,Yahya GUVENC4,Yavuz ERDEM1
1Ankara Training and Research Hospital, Department of Neurosurgery, Ankara, Turkey
2Ordu University, Faculty of Medicine, Department of Neurosurgery, Ordu, Turkey
3Ankara Numune Training and Research Hospital, Department of Neurosurgery, Ankara, Turkey
4Marmara University Faculty of Medicine, Department of Neurosurgery, Istanbul, Turkey
DOI : 10.5137/1019-5149.JTN.18702-16.1 AIM: To evaluate the effectiveness of lumboperitoneal (LP) shunt procedures in the treatment of normal pressure hydrocephalus (NPH).

MATERIAL and METHODS: A medical record review was conducted to obtain demographic, clinical, laboratory data, as well as pre-, intra, -postoperative details of 65 patients who underwent LP shunt surgery for NPH between January 1, 2001 and January 1, 2014 in the Neurosurgery Clinics of Ankara Training and Research Hospital and Ankara Numune Hospital.

RESULTS: At the 3rd month after LP shunt surgery, headache was resolved in almost all patients. At the end of first year, while statistically significant improvements were noted in the Modified Rankin Scale Scores and Mini-Mental State Examination Scores, gait disturbance, urinary incontinence and cognitive functions were improved by 86%, 72% and 65% of the patients, respectively.

CONCLUSION: LP shunt surgery is associated with a lower rate of complication in comparison to ventriculoperitoneal shunt surgery and is an effective procedure in the treatment of NPH. Keywords : Lumboperitoneal shunt, Normal pressure hydrocephalus, Cerebro-spinal fluid

Corresponding author : Timur YILDIRIM, mdtimur@hotmail.com