YDROCEPHALUS is a disorder with ventriculomegaly
caused by impairment of CSF circulation. Cerebrospinal
fluid shunting is the most common treatment
for hydrocephalus, and the VP shunt is the most
common type of shunt configuration. Shunting CSF leads
to improvement in patients with NPH; however, clinical
improvement due to shunting has been varied.1,3,4,13,14 Failure
to improve after CSF shunting has been attributed to
complications such as obstruction, infection, and shunt
malfunction.15 Another potential reason for failure to improve
after shunting is a mismatch between the function of
the shunt system and the patient's needs. Implantation of
an unsuitable shunt can lead to overdrainage, underdrainage,
or variable drainage of the CSF.

http://thejns.org/doi/pdf/10.3171/foc.2007.22.4.12


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