Efficacy of lumbo-peritoneal (LP) shunt in a patient with idiopathic normal pressure hydrocephalus on maintenance hemodialysis

  • Kajiyama Tadahiro
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • Kobayashi Noriyoshi
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • Ohsawa Isao
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • Horikoshi Satoshi
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • Tomizawa Yuji
    Department of Neurology, Juntendo University School of Medicine
  • Yokoyama Kazumasa
    Department of Neurology, Juntendo University School of Medicine
  • Hattori Nobutaka
    Department of Neurology, Juntendo University School of Medicine
  • Ohara Yukoh
    Division of Neurosurgery, Juntendo University School of Medicine
  • Nakanishi Hajime
    Division of Neurosurgery, Juntendo University School of Medicine
  • Miyajima Masakazu
    Division of Neurosurgery, Juntendo University School of Medicine
  • Arai Hajime
    Division of Neurosurgery, Juntendo University School of Medicine
  • Tomino Yasuhiko
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine

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Other Title
  • 血液透析患者に合併した正常圧水頭症に対し腰椎腹腔短絡術(LPシャント)が奏功した1症例
  • 症例報告 血液透析患者に合併した正常圧水頭症に対し腰椎腹腔短絡術(LPシャント)が奏功した1症例
  • ショウレイ ホウコク ケツエキ トウセキ カンジャ ニ ガッペイシタ セイジョウアツ スイトウショウ ニ タイシ ヨウツイ フククウ タンラクジュツ LP シャント ガ ソウコウシタ 1 ショウレイ

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Description

A 66-year-old woman on maintenance hemodialysis (HD) was diagnosed as having idiopathic normal pressure hydrocephalus (iNPH). During the recent 6 months, motivation and walking disturbance appeared and then worsened. Evaluation of mental state scales also showed a decrease. Lumbo-peritoneal (LP) shunt ameliorated her symptoms and improved brain CT findings. It appears that minimally invasive LP shunt is effective for maintenance HD patients with idiopathic normal pressure hydrocephalus.

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