Treatment of ventriculoperitoneal shunt dysfunction during rehabilitation therapy in patients with normal pressure hydrocephalus

Article type: Research Article

Authors: Muramatsu, Hikaru^a | Matsumoto, Masahiro^b | Shimura, Toshiro^b | Node, Yoji^{b; c} | Teramoto, Akira^b

Affiliations: [a] Department of Internal Medicine, Kasugai Rehabilitation Hospital, Yamanashi, Japan | [b] Department of Neurosurgery, Nippon Medical School, Tokyo, Japan | [c] Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan

Abstract: This report describes the effects of a programmable pressure-controlled valve shunt system (PVSS) for ventriculoperitoneal (V-P) shunt dysfunction, e.g. overdrainage, during rehabilitation therapy of two stroke (subarachnoid or intra-cerebral hemorrhage) patients with normal pressure hydrocephalus (NPH). The effects were superior to those in two other NPH patients who received a V-P shunt with a fixed valve-pressure system. The V-P shunt with PVSS was useful to treat non-invasively the functional overdrainage and slit ventricle syndrome that some patients experienced in the rehabilitation ward.

Keywords: ventriculoperitoneal shunt overdrainage, slit ventricle syndrome, rehabilitation, programmable valve shunt system

DOI: 10.3233/NRE-1999-12307

Journal: NeuroRehabilitation, vol. 12, no. 3, pp. 205-210, 1999