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Programmable versus fixed anti-siphon devices for normal pressure hydrocephalus

Not Applicable
Completed
Conditions
Idiopathic normal pressure hydrocephalus (iNPH)
Nervous System Diseases
Registration Number
ISRCTN13838310
Lead Sponsor
nfallkrankenhaus Berlin
Brief Summary

2018 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/30333067 protocol

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
306
Inclusion Criteria

1. Aged 18 years and over
2. Meet clinical, physiological, functional and radiological diagnostic criteria of iNPH
2. Scheduled for VP shunting
4. Capable to understand the trial concept and its implications, and to provide written (or witnessed verbal) informed consent

Exclusion Criteria

1. Secondary NPH after infection, trauma, tumours, etc.
2. Contraindication for shunt surgery (e.g., malignant disease with reduced life expectancy, florid infections etc.)
3. Advanced dementia
4. Guardianship
5. Any impediment prohibiting informed consent
6. Patients with previous shunt implantation
7. Patients with previous ventriculostomy

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Cumulative incidence of over- or underdrainage is measured through clinical observations 6 months post-surgery.
Secondary Outcome Measures
NameTimeMethod
1. Individual rates of overdrainage measured by clinical evaluation at 3, 6 and 12 months <br>2. Individual rates of underdrainage measured by clinical evaluation at 3, 6 and 12 months <br>3. Slit ventricle syndrome as detected by CT imaging at 3, 6 and 12 months <br>4. Subdural effusions as detected by CT imaging at 3, 6 and 12 months <br>5. Infections measured by clinical evaluation at 3, 6 and 12 months <br>6. Neurofunctional outcomes measured by Kiefer Score, Black Grading Scale, 10 min walk test and 360° test at baseline, 3, 6 and 12 months <br>7. Health-related quality of life measured by SF-12 and EQ-5D at baseline, 3, 6 and 12 months
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