{"title":"Ventriculoperitoneal shunt management in patients with normal pressure hydrocephalus and cerebral atrophy: A retrospective chart review.","authors":"Karlyssa Chung, Zoe Hareng, Christopher Duma","doi":"10.1097/01.JAA.0000000000000319","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to determine whether cerebral atrophy is associated with ventriculoperitoneal (VP) shunt overdrainage in patients with normal pressure hydrocephalus (NPH).</p><p><strong>Methods: </strong>A 3-year retrospective chart review included 100 patients diagnosed with NPH who underwent VP shunt implantation for treatment. Radiologist CT or MRI reports were analyzed for a description of brain atrophy before shunting and overdrainage complications after shunting. Patients were categorized into four groups based on the presence or absence of cerebral atrophy and overdrainage complications.</p><p><strong>Results: </strong>Shunt overdrainage complications, including subdural hygromas and subdural hematomas, were found to occur significantly more often ( p = .0012) in patients with cerebral atrophy (n = 83) than in patients without cerebral atrophy (n = 17).</p><p><strong>Conclusion: </strong>In this study, adult patients with NPH who had cerebral atrophy before VP shunt placement were observed to have a higher frequency of overdrainage complications after placement, compared with patients who did not have cerebral atrophy preplacement.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"37-41"},"PeriodicalIF":0.9000,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jaapa-Journal of the American Academy of Physician Assistants","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/01.JAA.0000000000000319","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/24 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The objective of this study was to determine whether cerebral atrophy is associated with ventriculoperitoneal (VP) shunt overdrainage in patients with normal pressure hydrocephalus (NPH).
Methods: A 3-year retrospective chart review included 100 patients diagnosed with NPH who underwent VP shunt implantation for treatment. Radiologist CT or MRI reports were analyzed for a description of brain atrophy before shunting and overdrainage complications after shunting. Patients were categorized into four groups based on the presence or absence of cerebral atrophy and overdrainage complications.
Results: Shunt overdrainage complications, including subdural hygromas and subdural hematomas, were found to occur significantly more often ( p = .0012) in patients with cerebral atrophy (n = 83) than in patients without cerebral atrophy (n = 17).
Conclusion: In this study, adult patients with NPH who had cerebral atrophy before VP shunt placement were observed to have a higher frequency of overdrainage complications after placement, compared with patients who did not have cerebral atrophy preplacement.
期刊介绍：
JAAPA is the peer-reviewed clinical journal of the American Academy of Physician Assistants (AAPA). Published for more than 25 years, its mission is to support the ongoing education and advancement of physician assistants (PAs) by publishing current information and research on clinical, health policy, and professional issues.
Published monthly, JAAPA''s award-winning editorial includes:
-Clinical review articles (with AAPA-approved Category I CME in each issue)-
Case reports-
Clinical departments-
Original health services research-
Articles on issues of professional interest to PAs
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