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Shunt surgery and lecanemab therapy in patients with idiopathic normal pressure hydrocephalus and alzheimer's disease: a report of two cases - PubMed

4 hours ago
  • #Alzheimer's disease
  • #Lecanemab
  • #iNPH
  • Shunt surgery (VP or LP) is common for idiopathic normal pressure hydrocephalus (iNPH) in elderly patients.
  • iNPH often coexists with Alzheimer's disease (AD), for which lecanemab (anti-amyloid-β antibody) is a new treatment.
  • Lecanemab may cause hemorrhagic complications, raising concerns about the timing of shunt surgery.
  • Two cases of iNPH and AD treated with shunt surgery and lecanemab showed no hemorrhagic complications.
  • Safety conclusions remain cautious due to limited case data.
  • Ethical approvals and patient consents were obtained for the study.