Syed Hammad Naqvi, Muhammad Motsim Shah, Yasir Shahzad, Soban Sarwar, Fraz Mehmood, Nadeem Akhtar.
The Comparison of Outcome of Ventriculoperitoneal Shunts vs. Endoscopic Third Ventriculostomy in patients with Idiopathic Normal Pressure Hydrocephalus.
Pak J Neuro Surg Jan ;27(2):169-77.

Objective: To compare functional outcomes in terms of INPGHS score and overall improvement in patients of iNPH treated with ETV vs. VP shunting. Materials & Methods: A Randomized control trial was conducted for 6 months at the Department of Neurosurgery, Rawalpindi Medical University and Allied Hospitals, Rawalpindi. 62 patients (31 in each group) were enrolled & allocated into two groups. In group A patients ETV was done and in group B VP shunting. Post-operatively, Patients were followed up for 1 month. Results: The mean age of the patients in the ETV & VP shunting groups was 63.19 +- 6.95 & 63 +- 6.82 years respectively. Males were 64.5% (n = 20) in both groups. Improvement was noted in 9 (29%) patients in the ETV group & 15 (48.4%) patients in the latter group (p-value = 0.118). Conclusion: Ventriculoperitoneal shunts are superior to endoscopic third ventriculostomy in terms of functional neurological outcomes and improvement in symptoms.

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