Epidemiology of adult-onset hydrocephalus: institutional experience with 2001 patients

Bir, Shyamal C.; Patra, Devi Prasad; Maiti, Tanmoy; Sun, Hai; Guthikonda, Bharat; Notarianni, Christina; Nanda, Anil

doi:10.3171/2016.7.focus16188

Cited by 36 publications

(19 citation statements)

References 28 publications

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“…The majority of the NPH patients at our support groups identified as Caucasian. According to Bir et al, NPH is seen predominantly in Caucasian males in America [4]. However, other factors such as language barriers, referral patterns, and access to healthcare may have impeded the attendance of non-Caucasian NPH patients.…”

Section: Discussionmentioning

confidence: 99%

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Establishment and Benefits of a Normal Pressure Hydrocephalus Support Group on Patient Education and Experience

Tran¹,

Nguyen²,

Huang³

et al. 2019

Cureus

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Introduction: Normal pressure hydrocephalus (NPH) is a debilitating, neurological condition that can lead to mental deterioration. With the diagnosis and treatment of NPH constantly evolving and its symptoms worsening with age, education for patients and their families is crucial. In this study, we aim to explore the potential educational benefits of a physician-led NPH support group. Methods: Between December 2015 and November 2018, six semiannual NPH support group meetings were held for patients and their families. Attendees, ages 20-90, completed a Likert scale-based survey designed to assess the support group's educational benefits using the following primary outcome variables: (1) subjective knowledge, (2) perceived utility/efficacy, and (3) patient satisfaction. Results: Our survey data suggests that patients and their family members agree on the efficacy of the support group in learning about NPH. They felt that the support group served its purpose and improved their comfort/knowledge regarding NPH. There was consensus about sustaining and maintaining the support group for the future. Of 65 survey responses, the composite average score of questions pertaining to subjective knowledge, perceived utility/efficacy, and patient satisfaction was 4.5 out of 5.0. Conclusion: We demonstrated that support groups are effective in educating the adult NPH population and their family/friends about NPH onset and treatment. Enhanced educational awareness for patients and families can help patients cope with their neurological condition and improve patient adherence to follow-up and physician recommendations.

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Section: Discussionmentioning

confidence: 99%

“…In the United States, the prevalence of NPH is estimated to be about 700,000 [3]. As patients age, the incidence becomes higher [4][5][6]. The diagnosis and treatment of NPH is rapidly undergoing continuous evolution [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Establishment and Benefits of a Normal Pressure Hydrocephalus Support Group on Patient Education and Experience

Tran¹,

Nguyen²,

Huang³

et al. 2019

Cureus

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“…The number of male patients in our study was more compared to female patients, which is consistent with other studies carried out around the globe. 12 Majority of children were below 18 years of age and all the patients below eight years reported with congenital hydrocephalus. Although post infectious hydrocephalus is also common amongst the children in low income countries, 13 but we didn’t see any such patient.…”

Section: Discussionmentioning

confidence: 99%

An experience with ventriculoperitoneal shunting at keen’s point for hydrocephalus

Junaid¹,

Ahmed

Rashid

2018

Pak J Med Sci

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Objective:This study was conducted to assess outcomes in patients with hydrocephalus who underwent ventriculoperitoneal shunting at Keen’s point.Methods:This retrospective study was conducted in Combined Military Hospital (CMH) Peshawar. Time frame was four years from January 2011 to January 2015. The presenting complaints, clinical findings, investigations, treatment plans and surgical outcomes were noted. Ventriculo-Peritoneal (VP) shunting was done at Keen’s point. The presence of shunt complications in the first week post-surgery was noted and at a three-month follow up in the outpatient department. General condition of the patient, shunt complications, presence of seizure and worsening of vision were noted.Results:Study included 143 patients, out of whom 46 were females and 95 were male patients. Most common causes of hydrocephalus were congenital (79). Majority of adults had hydrocephalus due to central nervous system tumors while congenital hydrocephalus in children was most frequently due to aqueductal stenosis. Good clinical improvement was seen in 114 patients after shunt placement, satisfactory in 20 patients, 7 patients died while we observed no change in two patients.Conclusion:Our experience with VP shunting at Keen’s point resulted in excellent outcomes. It can be used for the management of hydrocephalus both in pediatric as well as adult population.

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“…This is estimated to affect 1.1 in 1000 infants and 32 per 10,000 births and may be due to anatomical abnormalities such as neural tube defects and Chiari malformations or arise secondary to perinatal insults such as intraventricular haemorrhage and bacterial meningitis [ 36 ]. In HIV non-infected high-income populations, intracranial haemorrhage and malignancy account for 45 and 30% of new cases of adult onset hydrocephalus, respectively [ 37 ]. A lack of dedicated epidemiological research concerning HIV-associated hydrocephalus makes data from these small studies difficult to generalise, and little is known about the distribution of non-infective causes of hydrocephalus associated with HIV.…”

Section: Introductionmentioning

confidence: 99%

Ventriculoperitoneal shunt insertion for hydrocephalus in human immunodeficiency virus-infected adults: a systematic review and meta-analysis protocol

et al. 2017

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BackgroundHydrocephalus is a recognised complication of human immunodeficiency virus (HIV)-related opportunistic infections. Symptomatic raised cerebrospinal fluid pressure can be treated with ventriculoperitoneal shunt insertion (VPS). In HIV-infected patients however, there is a concern that VPS might be associated with unacceptably high rates of mortality. We aim to systematically review and appraise published literature to determine reported outcomes and identify predictors of outcome following VPS in relevant subgroups of HIV-infected adults.MethodsThe following electronic databases will be searched: The Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (PubMed), EMBASE, CINAHL (EBSCOhost), LILACS (BIREME), Research Registry (www.researchregistry.com), the metaRegister of Controlled Trials (mRCT) (www.controlled-trials.com), ClinicalTrials.gov (www.clinicaltrials.gov) and OpenSIGLE database. Any randomised studies, cohort studies, case-control studies, interrupted time series or sequential case series reporting survival following VPS in HIV-infected individuals will be included. If high-quality homogenous studies exist, meta-analysis will be conducted to determine 1-, 6- and 12-month mortality with comparison made between underlying aetiologies of hydrocephalus.Discussion and conclusionThis study will generate a comprehensive review of VPS in HIV-infected patients for publication. The primary outcome of meta-analysis is 12-month survival. If only low-quality, heterogeneous studies are available, this study will demonstrate this deficiency and will be of value in justifying and aiding the design of future studies.Systematic review registrationPROSPERO CRD42016052239Electronic supplementary materialThe online version of this article (10.1186/s13643-017-0603-7) contains supplementary material, which is available to authorized users.

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Epidemiology of adult-onset hydrocephalus: institutional experience with 2001 patients

Cited by 36 publications

References 28 publications

Establishment and Benefits of a Normal Pressure Hydrocephalus Support Group on Patient Education and Experience

Establishment and Benefits of a Normal Pressure Hydrocephalus Support Group on Patient Education and Experience

An experience with ventriculoperitoneal shunting at keen’s point for hydrocephalus

Ventriculoperitoneal shunt insertion for hydrocephalus in human immunodeficiency virus-infected adults: a systematic review and meta-analysis protocol

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