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Neurology 2000;55:576-578
© 2000 American Academy of Neurology
Brief Communications

Three-year survival and functional outcome of patients with idiopathic adult hydrocephalus syndrome

J. Malm, MD, PhD, B. Kristensen, MD, PhD, B. Stegmayr, MD, PhD, M. Fagerlund, MD, PhD and L.-O. Koskinen, MD, PhD

From the Departments of Clinical Neuroscience (Drs. Malm and Koskinen), Medicine (Dr. Stegmayr), and Radiology (Dr. Fagerlund), University of Umeå, Sweden; and Department of Neurology (Dr. Kristensen), Aalborg Hospital, Denmark.

Address correspondence and reprint requests to Dr. Jan Malm, Department of Clinical Neuroscience, University Hospital, S-901 85 UMEÅ, Sweden; e-mail: Jan.Malm{at}neuro.umu.se

The functional outcome of 42 patients with idiopathic adult hydrocephalus syndrome (IAHS) was followed over a 3-year period after shunting. Survival curves were compared with those of age-matched healthy elderly subjects and patients with first-ever ischemic stroke. Twenty-seven patients with IAHS were improved 3 months after the operation and 11 remained improved at the 3-year follow-up. The case fatality in patients with stroke and those with IAHS was similar (32% versus 28%), but the relative risk of death among IAHS patients compared to a general elderly population was 3.3.




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