Endoscopic Third Ventriculostomy vs. Ventriculoperitoneal Shunt in Idiopathic Normal Pressure Hydrocephalus (ENDOVEST)
Recruiting now · Not applicable
Conditions studied: Idiopathic Normal Pressure Hydrocephalus (INPH)
In brief
The aim of this single-center, two-arm, open-labeled, randomized controlled clinical study is to compare two surgical interventions, endoscopic third ventriculostomy and ventriculoperitoneal shunt, in treating idiopathic normal pressure hydrocephalus in terms of clinical improvement.
Key facts
- Study ID
- NCT06488248
- Run by
- University Hospital, Basel, Switzerland
- People needed
- 150
- Starts
- 2025-01-17
- Expected to finish
- 2028-07-01
- Last updated by the study team
- 2025-02-03
Who can join
Age: 40 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- >40 years of age
- Symptom duration ≥3 months, <24 months
- No antecedent head trauma, ICH, meningitis, or other cause of secondary hydrocephalus
- MUST show gait/balance disturbance, PLUS cognition impairment AND/OR urinary dysfunction.
- Ventricular enlargement (Evans Index > 0.3) not attributable to cerebral atrophy or congenital enlargement
- No macroscopic obstruction to cerebrospinal fluid (CSF) flow Spinal Tap-Test
- Opening pressure (on lateral decubitus): <24cmH2O
- Clinical improvement in at least one of the main symptoms after 40-50ml withdrawal of CSF
You may not qualify if…
- ≤40 years of age
- No informed consent
- Other neurologic, psychiatric or general medical condition which is sufficient to explain the presenting symptoms.
- Previous cranial neurosurgical interventions
- Other associated dementia syndromes
- Incapacity to walk
- Pregnancy and breastfeeding women
Where it is running
- Department of Neurosurgery, University Hospital of Basel — Basel, Switzerland (enrolling)
Full record on ClinicalTrials.gov
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