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  • Title: Adult idiopathic communicating hydrocephalus with and without shunting.
    Author: Hughes CP, Siegel BA, Coxe WS, Gado MH, Grubb RL, Coleman RE, Berg L.
    Journal: J Neurol Neurosurg Psychiatry; 1978 Nov; 41(11):961-71. PubMed ID: 309503.
    Abstract:
    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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