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Adult idiopathic communicating hydrocephalus with and without shunting.
  1. C P Hughes,
  2. B A Siegel,
  3. W S Coxe,
  4. M H Gado,
  5. R L Grubb,
  6. R E Coleman,
  7. L Berg


    The outcome in 37 adult patients with idiopathic communicating hydrocephalus treated by ventriculoatrial shunting is presented. Only 33% showed definite improvement, and no diagnostic procedures accurately predicted the outcome of surgery. These were compared with a "control" group of 12 patients who were not shunted; 50% of these were stable for up to 36 months. These findings, and the high frequency of serious complications (35%), suggest caution in recommending a shunt procedure.

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