Can stereotactic radiosurgery treat idiopathic normal pressure hydrocephalus? literature-based evidence

The Treatment of Subdural Collections in Patients With Shunted Normal Pressure Hydrocephalus: A Single-Center Experience.

BACKGROUND AND OBJECTIVES Normal pressure hydrocephalus (NPH) affects approximately 0.2% to 2.9% of adults older than 65 years and is characterized by progressive gait impairment, cognitive decline, and urinary incontinence. Cerebrospinal fluid shunting is the mainstay of treatment but carries a risk of overdrainage, l...

Understanding the role of neuroendoscopy for treatment of hydrocephalus in adults with intracranial mass lesions: a case series.

OBJECTIVE Hydrocephalus can result from mass lesions for several reasons. Due to limited numbers of adult patients with mass lesions in studies that examine outcomes of endoscopic third ventriculostomy, success in this population is unclear. Additionally, the role of other ventriculoscopic procedures in the management...

[Idiopathic normal pressure hydrocephalus: diagnosis or dilemma?]

Governing Uncertainty: An Ethical Framework for Idiopathic Normal Pressure Hydrocephalus.

AbstractIdiopathic normal pressure hydrocephalus presents distinctive ethical challenges, since its treatment requires lifelong device-based therapy in the setting of diagnostic and prognostic uncertainty. Although randomized controlled trials and pooled analyses demonstrate that cerebrospinal fluid shunting can substa...

The contemporary role of stereotactic radiosurgery for surgically inoperable cerebral arteriovenous malformations.

Surgically inoperable cerebral arteriovenous malformations (AVMs), including deep-seated, large, and eloquently located lesions, remain difficult to manage because the cumulative risk of hemorrhage must be balanced against the morbidity of curative microsurgery. Contemporary stereotactic radiosurgery (SRS) has expanded...

Intervention or Conservative Management for Symptomatic Cerebral Cavernous Malformations

Background and Objectives There is ongoing clinical equipoise regarding the optimal treatment strategy for symptomatic cerebral cavernous malformations (CCMs). The aim of this study was to estimate the causal effect between CCM intervention (microsurgical resection or stereotactic radiosurgery) and clinical outcomes du...