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A prospective, randomised, controlled trial to evaluate the efficacy and safety of endoscopic choroid plexus coagulation with third ventriculostomy in the treatment of idiopathic Normal Pressure Hydrocephalus
ISRCTN ISRCTN29863839
ClinicalTrials.gov identifier
Public title A prospective, randomised, controlled trial to evaluate the efficacy and safety of endoscopic choroid plexus coagulation with third ventriculostomy in the treatment of idiopathic Normal Pressure Hydrocephalus
Scientific title
Acronym N/A
Serial number at source N/A
Study hypothesis Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Normal Pressure Hydrocephalus (NPH)
Participants - inclusion criteria 1. A clinical diagnosis of Normal Pressure Hydrocephalus (NPH) by the following criteria:
a. Evidence of significant gait disturbance in the absence of other causative factors
b. Evidence of some cognitive impairment on formal neuropsychological testing (Mattis dementia rating scale and Folstein mini-mental state examination) and/or urinary incontinence or evidence of neurogenic urinary disturbance (frequency or urgency)
c. Lumbar Opening Pressure less than 20 mmHg on supine lumbar puncture
2. Symptom duration of more than six months
3. Evidence of disease progression since onset of symptoms
4. Radiological evidence of hydrocephalus, Evans ratio more than 0.3 on Computed Tomography (CT) scan of head
5. Patients must be fit enough to undergo operative surgical treatment, as defined by an American Society of Anesthesiologists (ASA) score of one, two or three
6. Written informed consent to participation in the study obtained from the patient, or next of kin if the patient is unable (due to cognitive impairment) to give informed consent
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 01/10/2002
Anticipated end date 01/10/2003
Status of trial Completed
Patient information material
Target number of participants Not provided at time of registration
Interventions Treatment group: Endoscopic third ventriculostomy and choroid plexus coagulation.
Control group: Programmable (Codman Medos valve) ventriculoperitoneal shunt.
Primary outcome measure(s) Not provided at time of registration
Secondary outcome measure(s) Not provided at time of registration
Sources of funding The Frenchay Hydrocephalus Research Fund (UK)
Trial website
Publications
Contact name Dr  Ian K  Pople
  Address Department of Neurosurgery
Frenchay Hospital
Frenchay Park Road
  City/town Bristol
  Zip/Postcode BS16 1LE
  Country United Kingdom
  Tel +44 (0)117 975 3960
  Fax +44 (0)117 970 1161
  Email ikpople@hotmail.com
Sponsor The Frenchay Hydrocephalus Research Fund (UK)
  Address Frenchay Hospital
Frenchay Park Road
  City/town Bristol
  Zip/Postcode BS16 1LE
  Country United Kingdom
  Tel +44 (0)117 970 1212
  Email
  Sponsor website: http://www.nbt.nhs.uk/
Date applied 17/10/2002
Last edited 28/01/2010
Date ISRCTN assigned 17/10/2002
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