Abstract
In 1965, Hakim and Adams [28,29] described a syndrome of normal pressure hydrocephalus (NPH). Since then, 25 years have passed, but the search for clarity of diagnosis and reliable indices of the prognostic outcome of shunting procedures still occupies our attention. Beneficial results of diversionary procedures for cerebrospinal fluid (CSF) [1,5,22,44,50,55,56,66] have been obtained by many, but difficulties in sorting out patients and disappointing therapeutic results in other series [4,7,8,11,19,37,43,44,45,48,49,51,53,58,61,64,65] have emphasised the continuing need for careful selection before submitting patients to surgery. Our own experiences and those of other workers of a significant proportion of subdural fluid collection following shunt procedures (approaching 10% in the treatment of patients with little evidence of raised pressure in communicating hydrocephalus) was sufficient to convince us that the apparently simple surgical manoeuvre of insertion of a valve system in every patient with marked degree of ventricular dilatation was not desirable surgical management [36,45,57,63].
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© 1991 Springer-Verlag Berlin Heidelberg
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Symon, L. (1991). Communicating Hydrocephalus — Diagnosis and Management. In: Hartmann, A., Kuschinsky, W., Hoyer, S. (eds) Cerebral Ischemia and Dementia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76208-6_55
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DOI: https://doi.org/10.1007/978-3-642-76208-6_55
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