Reappraisal of radionuclide cisternography in the diagnosis of chronic hydrocephalus—A single institution report
| Autor: | Georgios Alexopoulos, Aristidis Prassas, Chrysostomos Alexandris, Kalliopi Tsoleka, Paschalis Tsolpidis, Alkinoos Athanasiou |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
lcsh:Surgery Cisternogram Signs and symptoms lcsh:RC346-429 Normal pressure hydrocephalus medicine Chronic hydrocephalus Single institution lcsh:Neurology. Diseases of the nervous system business.industry Urine incontinence lcsh:RD1-811 medicine.disease Ventriculoperitoneal shunt Hydrocephalus Surgery Shunting medicine.anatomical_structure Neurology (clinical) Radiology Subarachnoid space business |
| Zdroj: | Interdisciplinary Neurosurgery, Vol 2, Iss 3, Pp 142-144 (2015) |
| ISSN: | 2214-7519 |
| DOI: | 10.1016/j.inat.2015.06.001 |
| Popis: | article i nfo Functional classification of hydrocephalus into "obstructive" and "communicating" used to form a scheme re- garding diagnosis and treatment but is nowadays considered outdated. We present our retrospective clinical experience with a series of patients with signs and symptoms of chronic hydrocephalus that were investigated by radionuclide cisternography (RC) and discuss the method's possible contemporary role. During the past five years, RC was used during the investigation of 12 possible hydrocephalus patients (5 male, 7 female, ages 26to77years,mean59.5, std18.19).The patients' symptomsrangedfromheadacheto gait disturbance,demen- tia and urine incontinence. Patients were investigated with CT and MRI scans and had an RC examination using In-111-DTPA. According to the RC results the patients were divided into three groups: 5 patients with chronic hydro- cephalus, 2 patients with borderline hydrocephalus and 5 patients without hydrocephalus, based on the delay of ra- dioisotope drainage from the subarachnoid space. The clinical presentation was the chief reasoning in the decision for shunting of patients diagnosed with chronic hydrocephalus. No conclusive outcomes were produced by our experi- ence, however, RC might be under researched and could potentially complement modern MRI studies of CSF spaces (i.e. CISS or FIESTA). |
| Databáze: | OpenAIRE |
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