Shunting for normal pressure hydrocephalus (NPH)

Cochrane Database Syst Rev. 2002;2002(3):CD003157. doi: 10.1002/14651858.CD003157.


Background: 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.

Objectives: To determine the effectiveness of shunting procedures in promoting stability or improvement in the neurological symptoms and signs of NPH.

Search strategy: 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'.

Selection criteria: 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.

Data collection and analysis: No data matching the selection criteria were found.

Main results: 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.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Cerebrospinal Fluid Shunts*
  • Humans
  • Hydrocephalus, Normal Pressure / therapy*