Bergsneider M, Black PM, Klinge P, Marmarou A, Relkin N Surgical management of idiopathic normal-pressure hydrocephalus. Neurosurgery. 2005 Sep;57(3 Suppl):S29-39; discussion ii-v. doi: 10.1227/01.neu.0000168186.45363.4d.
Chen CPC, Huang YC, Chang CN, Chen JL, Hsu CC, Lin WY Changes of cerebrospinal fluid protein concentrations and gait patterns in geriatric normal pressure hydrocephalus patients after ventriculoperitoneal shunting surgery. Exp Gerontol. 2018 Jun;106:109-115. doi: 10.1016/j.exger.2018.01.027. Epub 2018 Feb 2.
Czosnyka Z, Pickard JD, Czosnyka M Hydrodynamic properties of the Certas hydrocephalus shunt. J Neurosurg Pediatr. 2013 Feb;11(2):198-204. doi: 10.3171/2012.10.PEDS12239. Epub 2012 Dec 7.
Hellstrom P, Klinge P, Tans J, Wikkelso C A new scale for assessment of severity and outcome in iNPH. Acta Neurol Scand. 2012 Oct;126(4):229-37. doi: 10.1111/j.1600-0404.2012.01677.x. Epub 2012 May 16.
Li X, Miyajima M, Mineki R, Taka H, Murayama K, Arai H Analysis of potential diagnostic biomarkers in cerebrospinal fluid of idiopathic normal pressure hydrocephalus by proteomics. Acta Neurochir (Wien). 2006 Aug;148(8):859-64; discussion 864. doi: 10.1007/s00701-006-0787-4. Epub 2006 Jun 6.
Marmarou A, Bergsneider M, Klinge P, Relkin N, Black PM The value of supplemental prognostic tests for the preoperative assessment of idiopathic normal-pressure hydrocephalus. Neurosurgery. 2005 Sep;57(3 Suppl):S17-28; discussion ii-v. doi: 10.1227/01.neu.0000168184.01002.60.
Marmarou A, Bergsneider M, Relkin N, Klinge P, Black PM Development of guidelines for idiopathic normal-pressure hydrocephalus: introduction. Neurosurgery. 2005 Sep;57(3 Suppl):S1-3; discussion ii-v. doi: 10.1227/01.neu.0000168188.25559.0e.
McConnell KA, Zou KH, Chabrerie AV, Bailey NO, Black PM Decreases in ventricular volume correlate with decreases in ventricular pressure in idiopathic normal pressure hydrocephalus patients who experienced clinical improvement after implantation with adjustable valve shunts. Neurosurgery. 2004 Sep;55(3):582-92; discussion 592-3. doi: 10.1227/01.neu.0000134385.23401.01.
Olausson P, Ghafouri B, Backryd E, Gerdle B Clear differences in cerebrospinal fluid proteome between women with chronic widespread pain and healthy women - a multivariate explorative cross-sectional study. J Pain Res. 2017 Mar 13;10:575-590. doi: 10.2147/JPR.S125667. eCollection 2017.
Toma AK, Holl E, Kitchen ND, Watkins LD Evans' index revisited: the need for an alternative in normal pressure hydrocephalus. Neurosurgery. 2011 Apr;68(4):939-44. doi: 10.1227/NEU.0b013e318208f5e0.
Toma AK, Papadopoulos MC, Stapleton S, Kitchen ND, Watkins LD Systematic review of the outcome of shunt surgery in idiopathic normal-pressure hydrocephalus. Acta Neurochir (Wien). 2013 Oct;155(10):1977-80. doi: 10.1007/s00701-013-1835-5. Epub 2013 Aug 23.
Virhammar J, Laurell K, Cesarini KG, Larsson EM Increase in callosal angle and decrease in ventricular volume after shunt surgery in patients with idiopathic normal pressure hydrocephalus. J Neurosurg. 2018 Feb 2;130(1):130-135. doi: 10.3171/2017.8.JNS17547.
Virhammar J, Warntjes M, Laurell K, Larsson EM Quantitative MRI for Rapid and User-Independent Monitoring of Intracranial CSF Volume in Hydrocephalus. AJNR Am J Neuroradiol. 2016 May;37(5):797-801. doi: 10.3174/ajnr.A4627. Epub 2015 Dec 24.
West J, Warntjes JB, Lundberg P Novel whole brain segmentation and volume estimation using quantitative MRI. Eur Radiol. 2012 May;22(5):998-1007. doi: 10.1007/s00330-011-2336-7. Epub 2011 Nov 24.
Yushkevich PA, Yang Gao, Gerig G ITK-SNAP: An interactive tool for semi-automatic segmentation of multi-modality biomedical images. Annu Int Conf IEEE Eng Med Biol Soc. 2016 Aug;2016:3342-3345. doi: 10.1109/EMBC.2016.7591443.
Zsigmond P, Ljunggren SA, Ghafouri B Proteomic Analysis of the Cerebrospinal Fluid in Patients With Essential Tremor Before and After Deep Brain Stimulation Surgery: A Pilot Study. Neuromodulation. 2020 Jun;23(4):502-508. doi: 10.1111/ner.13075. Epub 2019 Nov 22.
Volumetrics and Proteomics in Shunted Normal Pressure Hydrocephalus
Interventional studies are often prospective and are specifically tailored to evaluate direct impacts of treatment or preventive measures on disease.
Observational studies are often retrospective and are used to assess potential causation in exposure-outcome relationships and therefore influence preventive methods.
Expanded access is a means by which manufacturers make investigational new drugs available, under certain circumstances, to treat a patient(s) with a serious disease or condition who cannot participate in a controlled clinical trial.
Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.
Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.