Can the Treatment of Normal-Pressure Hydrocephalus Induce Normal-Tension Glaucoma? A Narrative Review of a Current Knowledge

dc.contributor.authorHamarat, Yasin
dc.contributor.authorBartusis, Laimonas
dc.contributor.authorDeimantavicius, Mantas
dc.contributor.authorLucinskas, Paulius
dc.contributor.authorSiaudvytyte, Lina
dc.contributor.authorZakelis, Rolandas
dc.contributor.authorHarris, Alon
dc.contributor.authorMathew, Sunu
dc.contributor.authorSiesky, Brent
dc.contributor.authorJanulevicienė, Ingrida
dc.contributor.authorRagauskas, Arminas
dc.contributor.departmentRadiology and Imaging Sciences, School of Medicineen_US
dc.date.accessioned2022-06-14T15:32:43Z
dc.date.available2022-06-14T15:32:43Z
dc.date.issued2021-03
dc.description.abstractVentriculoperitoneal shunt placement is the most commonly used treatment of normal-pressure hydrocephalus (NPH). It has been hypothesized that normal-tension glaucoma (NTG) is caused by the treatment of NPH by using the shunt to reduce intracranial pressure (ICP). The aim of this study is to review the literature published regarding this hypothesis and to emphasize the need for neuro-ophthalmic follow-up for the concerned patients. The source literature was selected from the results of an online PubMed search, using the keywords "hydrocephalus glaucoma" and "normal-tension glaucoma shunt". One prospective study on adults, one prospective study on children, two retrospective studies on adults and children, two case reports, three review papers including medical hypotheses, and one prospective study on monkeys were identified. Hypothesis about the association between the treatment of NPH using the shunt to reduce ICP and the development of NTG were supported in all reviewed papers. This suggests that a safe lower limit of ICP for neurological patients, especially shunt-treated NPH patients, should be kept. Thus, we proposed to modify the paradigm of safe upper ICP threshold recommended in neurosurgery and neurology into the paradigm of safe ICP corridor applicable in neurology and ophthalmology, especially for shunt-treated hydrocephalic and glaucoma patients.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationHamarat Y, Bartusis L, Deimantavicius M, et al. Can the Treatment of Normal-Pressure Hydrocephalus Induce Normal-Tension Glaucoma? A Narrative Review of a Current Knowledge. Medicina (Kaunas). 2021;57(3):234. Published 2021 Mar 3. doi:10.3390/medicina57030234en_US
dc.identifier.urihttps://hdl.handle.net/1805/29341
dc.language.isoen_USen_US
dc.publisherMDPIen_US
dc.relation.isversionof10.3390/medicina57030234en_US
dc.relation.journalMedicinaen_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.sourcePMCen_US
dc.subjectIntracranial pressureen_US
dc.subjectLamina cribrosaen_US
dc.subjectNormal-pressure hydrocephalusen_US
dc.subjectNormal-tension glaucomaen_US
dc.subjectVentriculoperitoneal shunten_US
dc.titleCan the Treatment of Normal-Pressure Hydrocephalus Induce Normal-Tension Glaucoma? A Narrative Review of a Current Knowledgeen_US
dc.typeArticleen_US
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