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Lumboperitoneal Shunt for iNPH

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Normal Pressure Hydrocephalus

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Abstract

Lumboperitoneal shunt (LPS), a creative development based on the lumbar puncture technique used in the cerebrospinal fluid (CSF) drainage test (tap test), is an increasingly popular treatment option around the world, but particularly in Japan, as it avoids an intervention on the brain, and even keeps the postsurgical scar not visible. It mainly avoids the risk of symptomatic intraparenchymal haematoma from ventricular catheter placement, which is seen in approximately 1% of the patients with idiopathic normal pressure hydrocephalus (iNPH). However, LPS has not generally been favoured by neurosurgeons because of the relatively higher than the ventriculoperitoneal shunt (VPS) failure rates and the possibility of symptomatic over-drainage. Another possible reason is that there is no reported standardized surgical technique, and the procedure is considered rather specific, out of the mainstream of neurosurgical operative routine skills. This understanding is in process of change.

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Abbreviations

CSF:

Cerebrospinal fluid

CT:

Computed tomography

ICP:

Intracranial pressure

iNPH:

Idiopathic normal pressure hydrocephalus

MRI:

Magnetic resonance imaging

LPS:

Lumboperitoneal shunt

VPS:

Ventriculoperitoneal shunt

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Acknowledgements

This work was supported in part by Grants-in-Aid for Scientific Research (grant numbers 16KK0187, 17K10908, 18H02916, 20K09398) from the Japan Society for the Promotion of Science. Ethical approval Not required.

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Juntendo University, Bunkyo, Japan

    Madoka Nakajima

  2. Department of Neurosurgery, Jikei University School of Medicine, Minato, Japan

    Kostadin Karagiozov

Authors
  1. Madoka Nakajima
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  2. Kostadin Karagiozov
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Corresponding author

Correspondence to Madoka Nakajima .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, 2nd Medical School, Motol University Hospital, Charles University, Prague, Czech Republic

    Ondrej Bradac

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Nakajima, M., Karagiozov, K. (2023). Lumboperitoneal Shunt for iNPH. In: Bradac, O. (eds) Normal Pressure Hydrocephalus. Springer, Cham. https://doi.org/10.1007/978-3-031-36522-5_23

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  • DOI: https://doi.org/10.1007/978-3-031-36522-5_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-36521-8

  • Online ISBN: 978-3-031-36522-5

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