{"id":3651,"date":"2025-09-20T23:21:29","date_gmt":"2025-09-20T21:21:29","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=3651"},"modified":"2025-09-20T23:21:29","modified_gmt":"2025-09-20T21:21:29","slug":"hidrocefalia-cronica-del-adulto-resultados-de-un-ensayo-clinico","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2025\/09\/20\/hidrocefalia-cronica-del-adulto-resultados-de-un-ensayo-clinico\/","title":{"rendered":"Hidrocefalia cr\u00f3nica del adulto:\u00a0resultados de un ensayo cl\u00ednico"},"content":{"rendered":"<p class=\"has-text-align-center\">El <a href=\"https:\/\/www.nejm.org\/\">New England Journal of Medicine <\/a>ha publicado esta semana los resultados de un ensayo cl\u00ednico aleatorizado controlado con placebo y dirigido a evaluar los resultados del tratamiento quir\u00fargico de la hidrocefalia mediante derivaci\u00f3n ventrculoperitoneal.<\/p>\n\n\n\n<p class=\"has-text-align-center\">El trabajo cont\u00f3 con un total de 99 participantes a los que se les coloc\u00f3 una deriviaci\u00f3n ventriculoperitoneal para tratar la hidrocefalia. Con un dise\u00f1o doble ciego, a la mitad de los participantes, situados en el grupo placebo, se les program\u00f3 una presi\u00f3n de apertura de 400 mmHg compatible con un cierre virtual de la derivaci\u00f3n mientras que a la mitad restante se les program\u00f3 una presi\u00f3n de apertura adecuada para favorecer el funcionamiento de la derivaci\u00f3n. En los resultados se midieron los cambios en la marcha, continencia y a nivel cognitivo mediante diferentes escalas.<\/p>\n\n\n\n<p class=\"has-text-align-center\">Los autores apreciaron un beneficio significativo en la marcha dentro del grupo de tratamineto. No se evidenci\u00f3 un beneficio derivado de la intervenci\u00f3n en la esfera cognitiva ni en la funci\u00f3n esfinteriana.<\/p>\n\n\n\n<p>Fuente: <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2503109?query=featured_neurology-neurosurgery\">Luciano MG, Williams MA, Hamilton MG, Katzen HL, Dasher NA, Moghekar A, Hua J, Malm J, Eklund A, Alpert Abel N, Raslan AM, Elder BD, Savage JJ, Barrow DL, Shahlaie K, Jensen H, Zwimpfer TJ, Wollett J, Hanley DF, Holubkov R; PENS Trial Investigators and the Adult Hydrocephalus Clinical Research Network. A Randomized Trial of Shunting for Idiopathic Normal-Pressure Hydrocephalus. N Engl J Med. 2025 Sep 16.\u00a0<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>El New England Journal of Medicine ha publicado esta semana los resultados de un ensayo cl\u00ednico aleatorizado controlado con placebo y dirigido a evaluar los resultados del tratamiento quir\u00fargico de la hidrocefalia mediante derivaci\u00f3n ventrculoperitoneal. El trabajo cont\u00f3 con un total de 99 participantes a los que se les coloc\u00f3 una deriviaci\u00f3n ventriculoperitoneal para tratar&#8230;<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1771],"tags":[],"class_list":["post-3651","post","type-post","status-publish","format-standard","hentry","category-sin-categoria"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-WT","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3651","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=3651"}],"version-history":[{"count":3,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3651\/revisions"}],"predecessor-version":[{"id":3654,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3651\/revisions\/3654"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=3651"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=3651"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=3651"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}