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.
>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.
≤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