New study tests gentler brain surgery for older patients

NCT ID NCT07447479

First seen Jun 27, 2026 ยท Last updated Jun 27, 2026

Summary

This study compares two surgical approaches for treating idiopathic normal pressure hydrocephalus (iNPH) in people aged 60 and older. One group will receive standard ventriculoperitoneal shunt surgery under general anesthesia, while the other will receive a lumbar-peritoneal shunt under local anesthesia with sedation. The goal is to see if the less invasive local-anesthesia option is just as effective at improving walking ability three months after surgery.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
shunt surgery (ventriculoperitoneal or lumbar-peritoneal)
What this could lead to
If the local-anesthesia approach works as well as general anesthesia, it could offer a safer, less invasive surgical option for older patients with normal pressure hydrocephalus.
What could go wrong
This is a Phase 4 trial that hasn't started recruiting yet. The local-anesthesia procedure may not improve walking as much as the standard surgery, and there are always risks with any brain surgery, such as infection or bleeding.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Nadogaya Hospital

    Kashiwa, Chiba, 277-0084, Japan

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Other studies related to the condition(s) this trial covers.