La Hidrocefalia normotensiva o Hidrocefalia crónica del adultu ye una entidá pocu conocida causada por un aumentu de líquidu cefalorraquídeo, nos. Hidrocefalia de pressão normal (HPN), hidrocefalia normotensiva, hidrocefalia oculta ou síndrome de Hakim-Adams é uma doença neurológica causada pela. Transcript of Hidrocefalia Normotensiva. Logo DESARROLLO Generalidades Definición Condición Neurológica Caracteriza por una.
|Published (Last):||16 March 2007|
|PDF File Size:||11.71 Mb|
|ePub File Size:||19.15 Mb|
|Price:||Free* [*Free Regsitration Required]|
The diagnostic criteria used in these patients relies on continuous ICP monitoring.
Before treatment, 10 patients had the complete clinical triad, one patient had cognitive dysfunction only, and another patient had gait and cognitive disturbances but no sphincter incontinence. No worsening was observed in any patients Table 5 and Fig. In our group of patients, cognition improved little in comparison to gait and sphincter changes.
In this study we selected a subgroup of patients with some of the traditionally accepted predictors of poor outcome. Therapeutic Evaluation Outcome was independently assessed by the neurosurgeon and neuropsychologist 6 months after the shunt procedure by using the NPH scale.
We registered mean ICP and the presence and percentage of the total notmotensiva time of A waves ICP elevations normoensiva least 20 mm Hg above the resting line, normotesniva abrupt onset and end, and lasting between 5 and 20 minutes and B waves 0.
There was a problem providing the content you requested
Neuropsychological Assessment and Daily Life Activities Evaluation The neuropsychological examination included tests of verbal and visual memory, speed of mental processing, and frontal lobe functioning as well as a brief screening test for dementia. Despite the trend toward improvement in attention and verbal memory, only four of the patients presented clinical cognitive amelioration.
Several other authors support the view that continuous ICP monitoring is the most useful diagnostic test in evaluating NPH. Our results do show that a good outcome can be obtained and that significant surgical complications can be avoided even in this subgroup of patients many of whom would not have been given shunts at other centers. Consequently, their role in the diagnosis of NPH and prediction of its outcome should be reconsidered.
At discharge, the patients were advised to try to maintain this bed position at home until the first follow-up examination, which was routinely performed approximately 3 months later.
The hidrocefalja affects three main areas—gait, sphincter control, and cognitive functioning—which were evaluated according to the NPH scale Table 3. Evacuation of the subdural collection was performed without sequelae. Clinical Assessment The disease affects three main areas—gait, sphincter control, and cognitive functioning—which were evaluated according to the NPH scale Table 3. The comparisons between the poor prognosis group and the good prognosis group for normtensiva of change in each clinical and neuropsychological variable showed no significant differences; however, a tendency emerged toward more improvement in patients with poor prognosis in gait functioning NPH gait: To clean the catheter’s lumen and prevent infection, an intraventricular bolus of vancomycin 20 mg was administered in all patients.
Normtensiva Delta valve with a performance level of 0. Conclusions In this study we selected a subgroup of patients with some of the traditionally accepted predictors of poor outcome. Normotensica neuropsychological examination included tests of verbal and jormotensiva memory, speed of mental processing, and frontal lobe functioning as well as a brief screening test for dementia.
Normal pressure hydrocephalus Deutsch: We believe these results to be noemotensiva to the diagnostic and treatment protocols used in this study. Many investigators have tried to elucidate which factors are associated with a favorable outcome in this patient population; however, an effective means of predicting shunt responsiveness remains elusive.
The decision to implant a shunt was based on continuous ICP monitoring and CSF dynamics studies the R out was determined by Katzman and Hussey’s 14 constant rate infusion test. We found that the factors clearly related to better neuropsychological and functional recovery after shunt procedures included the presence of a complete clinical triad, obliterated or normal cortical sulci size, and periventricular lucencies.
The surgical management protocol, which has recently been reported, 24 included several peri- and postoperative maneuvers to minimize secondary complications. Normal pressure hydrocephalus versus atrophy.
In our experience, continuous ICP monitoring is mandatory when, despite compatible clinical and radiological data, the tap test is negative or the R out is within a normal range. Because of this factor and the potential risks of the treatment, some authors still question whether the benefits of shunt insertion outweigh the risks. Briefly, one dose each of sulfamethoxazole mg and trimethoprim mg were used as prophylactic antibiotic agents during induction of anesthesia, followed by a further three doses every 12 hours.
To our knowledge, no study has been focused on the outcome in patients with NPH who show accepted markers of poor prognosis prior to surgery.
When the surgical procedure was finished, moderate abdominal compression was applied using a girdle and was maintained during the day for 2 to 3 weeks. The following factors have traditionally been associated with unfavorable outcome: Accordingly, each patient received one of the following classifications: Outcome was independently assessed by the neurosurgeon and neuropsychologist 6 months hidrocefaalia the shunt procedure by using the NPH scale.
Patients’ functional behavior and changes in daily life activities were evaluated using several rating scales: Improvements in neuropsychological and normotensia features were analyzed using the percentage of change between baseline and postoperative scores.
Hidrocefalia Normotensiva by Angel Aguado on Prezi
Bar graphs demonstrating hidrocefaila conditions and clinical conditions after surgery according to the NPH scale. Many authors have reported a slight or moderate improvement in patients with NPH following shunt placement; 10, 34 more recently, however, authors have found a high proportion of good results when exhaustive diagnostic and treatment protocols were applied.
Onrmotensiva patients had active hydrocephalus Fig. Early or late postsurgical complications were found in two of the 12 patients in the poor prognosis group. Comunque il soggetto mostra la triade classica: Twelve patients met these criteria. In addition, in some of the tests that indicated a tendency toward improvement, such as the associate memory subtest of the WMS, we cannot avoid or rule out a possible retest effect, mormotensiva that the same stimuli were used in the two presentations.
In other projects Wikimedia Commons Wikipedia. Before shunt implantation, the patient was unable to ambulate, suffered continuous urinary hidgocefalia fecal incontinence, and had severe memory problems with behavior disturbances. Several authors have investigated the predictive values of distinct symptoms and ancillary methods for improving prognoses.
hidrocefslia Although different types of shunt were used in this series, all of them included a valve in the low pressure category. Algorithm demonstrating patient selection in this study. Also administered were the TMT, Parts A and B, 28 to evaluate motor speed, visual scanning, attention, and mental flexibility; a word fluency task consisting of naming as many animals as possible during 1 minute; and the MMSE, 8 which provides a global measure of the severity of cognitive impairment.
This page was last hidroecfalia on 30 Juneat Although this procedure restricted us to only 12 patients, the results were highly demonstrative. Authors of recent reports in the literature stress the fact that NPH can be highly heterogeneous.