Assessment of neurological symptoms in adult hydrocephalus occlusus. A pilot study.
J Clin Neurosci
; 90: 89-93, 2021 Aug.
Article
en En
| MEDLINE
| ID: mdl-34275587
ABSTRACT
BACKGROUND:
Comprehensively describe and compare (pre/postoperatively) the clinical symptomatology in adult non-communicated hydrocephalus. Associated hydrocephalus signs were analyzed with the idiopathic Normal Pressure Hydrocephalus Scale (iNPH Scale). A standardized clinical scale for non-communicated hydrocephalus is currently not in use.METHODS:
Ten patients with hydrocephalus occlusus (HO) were analyzed. Hydrocephalus signs were examined with the iNPH Scale in gait, neuropsychology, continence, and balance before and three months after treatment with shunt operation or third endoscopic ventriculostomy.RESULTS:
Patients significantly improved in iNPH total score (25.8%) and gait score (35.4%) three months after neurosurgical intervention. Domain scores in neuropsychology, continence, and balance reached statistical trends (pâ¯≤â¯0.066). Most clinical symptoms and signs at baseline improved after surgery (dizziness, lapse of concentration, gait instability, and headache).CONCLUSION:
Patients with non-communicated HO also showed classical hydrocephalus symptoms as communicated in iNPH patients. The iNPH Scale allows a structured neurological assessment over the disease's progress and surgical intervention. Further studies with a larger patient samples are necessary to support our results.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Ventriculostomía
/
Trastornos Neurológicos de la Marcha
/
Equilibrio Postural
/
Marcha
/
Hidrocéfalo Normotenso
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Clin Neurosci
Asunto de la revista:
NEUROLOGIA
Año:
2021
Tipo del documento:
Article