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Nervenheilkunde 2012; 31(09): 640-644
DOI: 10.1055/s-0038-1628291
DOI: 10.1055/s-0038-1628291
Serie iNPH
Therapie und Prognose des iNPH
Therapy and prognosis for idiopathic normal pressure hydrocephalusFurther Information
Publication History
eingegangen am:
21 February 2012
angenommen am:
03 March 2012
Publication Date:
23 January 2018 (online)
Zusammenfassung
Ventikuloperitoneale Shunts stellen die Standardtherapie des idiopathischen Normaldruckhydrozephalus dar. Die Entwicklung der Ventiltechnologien ging von einfachen Differenzdruckventilen aus und führte über programmierbare Ventile hin zu modernen programmierbaren Ventilen mit Gravitationseinheit. Im Rahmen dieser Entwicklung konnten die Effektivität der Therapie gesteigert und die Komplikationsrate gesenkt werden. Prognostisch hat sich die Zahl der Shuntresponder von ca. 60% in den 1960er-Jahren bis heute auf bis zu 90% gesteigert.
Summary
Venticuloperitoneal shunts represent the standard therapy for patients with idiopathic normal pressure hydrocephalus. The development of valve technologies started from simple differential pressure valves and led over programmable valves to programmable valves with gravitational unit. During this development the effectiveness of the valves could be improved while the rate of complication was lowered. The proportion of shunt responders raised from 60% in the 1960s to 90% today.
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