Esmonde T, Cooke S
Dept of Neurology, Royal Victoria Hospital, Dept of Neurology, Royal Victoria Hospital, Belfast, UK, BT12 6BA.
Cochrane Database Syst Rev. 2002;2002(3):CD003157. doi: 10.1002/14651858.CD003157.
Since the condition was first described in 1965, the syndrome of normal pressure hydrocephalus (NPH) has conventionally been managed by placement of a cerebrospinal fluid (CSF) shunt.
To determine the effectiveness of shunting procedures in promoting stability or improvement in the neurological symptoms and signs of NPH.
The trials were identified from a search of the Specialized Register of the Cochrane Dementia and Cognitive Improvement Group on 26 June 2001 using the terms 'shunt*' and 'normal pressure hydrocephalus'.
Studies included for analysis were those involving the placement of a CSF shunt for the treatment of NPH as part of a randomized controlled trial.
No data matching the selection criteria were found.
No randomized controlled trials of shunt placement versus no shunt were found.
REVIEWER'S CONCLUSIONS: There is no evidence to indicate whether placement of a shunt is effective in the management of NPH.
自1965年首次描述该病症以来,常压性脑积水(NPH)综合征传统上通过放置脑脊液(CSF)分流管进行治疗。
确定分流手术在促进NPH神经症状和体征稳定或改善方面的有效性。
2001年6月26日,通过检索Cochrane痴呆与认知改善小组专业注册库,使用检索词“分流*”和“常压性脑积水”确定相关试验。
纳入分析的研究是那些作为随机对照试验一部分,涉及放置CSF分流管治疗NPH的研究。
未找到符合入选标准的数据。
未找到分流管放置与未放置分流管的随机对照试验。
没有证据表明放置分流管在NPH治疗中是否有效。