RESUMO
Objective Ventriculoperitoneal shunt (VPS)is preferable in treatment for normal pressure hydrocephalus (NPH). In this study, the factors related to the motor recovery after VPS were analysed.Method Twenty-six patients were treated with VPS, and four factors, that are duration of symptoms, open lumbar puncture(LP) pressure, improvement after LP ,and motor recovery of twelve months after operation,were assessed. Results Twelve months after VPS, the better motor recovery after VPS was related to shorter duration of symptoms, higher open LP pressure, and symptom improvement after LP. Conclusion The patients with shorter duration of symptoms, higher open LP pressure, and symptom improvement after LP are often responsive to VPS.
RESUMO
Objective To explore the efficacy and complications of surgical treatment for secondary hydrocephalus of cryptococcal menigitis. Methods The clinical data of 26 patients with secondary hydrocephalus of cryptococcal meningitis who underwent ventricular drainage (11 cases) and ventriculoperitoneal shunting (15 cases) procedures in our department from 1980 to 2002 were retrospectively reviewed. Results Both operation approaches had good effect on the secondary hydrocephalus, but ventriculoperitoneal shunting procedure was safer and more persistent. Conclusion Shunting procedure is a safe and effective therapy for hydrocephalus in patients with cryptococcal meningitis.