Hydrocephalus Nervous System Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Neuroradiologically verified enlarged ventricular system 2. Either one or more of the following symptoms of hydrocephalus requiring treatment: headache, nausea, visual disturbances, cognitive dysfunction, difficulty walking, urinary incontinence, or have a previously implanted shunt that requires revision 3. Reserve drainage (cross-flow) to opposite sinuses transversus, demonstrated by MRI venogram 4. Jugular foramen with minimum diameter >7 mm on MRI scan 5. Normal lung scintigraphy with no evidence of sequelae from previous blood clots in the lungs 6. Normal coagulation status 7. May be treated by one of the surgeons associated with the study. 8. Is 18 years of age or older 9. Provision of signed informed consent
Exclusion criteria
Exclusion criteria: 1. Pregnant (test: urine stick HCG test, laboratory test code NPU10394) 2. Normal size ventricular system 3. Suspected of having multiple infarctus or leukodystrophic changes that may cause enlarged ventricular system 4. Paraclinical signs of affected coagulation function 5. Known allergy to nickel, Zinacef™ or acetylsalicylic acid
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAP remains open at the 3 month and 6 month endpoint tested by water column test | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Registration of clinical symptoms at inclusion and at 3 and 6 month follow-up measured using: 1.1. gait disturbances, evaluated by investigator in three levels (normal gait, moderate disturbance, severe disturbance) 1.2. dementia degree, evaluated by investigator in three levels (no dementia, moderate dementia, severe dementia) 1.3. incontinence evaluated by investigator in three levels (no incontinence, moderate incontinence, severe incontinence) 2. Overdrainage measured using MRI scan at 3 and 6 month follow up: observation of subdural haematoma or CSF effusion. Measurement of Evans' ratio. | — |
Countries
Denmark