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Is Cisternography Still Useful in Selecting Patients for a Shunt?

Jan Vanneste, MD; Paul Augustijn, MD; Gareth A. G. Davies, FRCR; Clemens Dirven, MD; Wee Fu Tan, MD

Arch Neurol. 1992;49(4):366-370.

Abstract
• The clinical usefulness of cisternography in selecting patients with presumed normal-pressure hydrocephalus for shunting was investigated in 76 patients. The predictive value of a scale based on combined clinical and computed tomographic criteria was first established, followed by an assessment of the predictive value of cisternography. Predictions based on cisternograms were identical to those of the clinical/computed tomographic scale in 43%, better in 24%, and worse in 33%. Our findings suggest that cisternography does not improve the diagnostic accuracy of combined clinical and computed tomographic criteria in patients with presumed normal-pressure hydrocephalus.

Author Affiliations
From the Departments of Neurology (Drs Vanneste and Augustijn) and Neuroradiology (Dr Davies), St Lucasziekenhuis, Amsterdam, the Netherlands; Department of Neurosurgery, Academic Hospital, Free University of Amsterdam (Dr Dirven); and Department of Neurosurgery, Academic Medical Centre, University of Amsterdam (Dr Tan).

Footnotes
Accepted for publication August 21, 1991.

Reprint requests to Department of Neurology, St Lucasziekenhuis, J Tooropstr 164, 1061 AE Amsterdam, the Netherlands (Dr Vanneste).

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