Cognitive changes after cerebrospinal fluid shunting in young adults with spina bifida and assumed arrested hydrocephalus
| Autor: | Maria A. Poca, Juan Sahuquillo, M Mataró, J Iborra, M.D. de la Calzada, Carme Junqué, Ampar Cuxart |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Pediatrics Adolescent Intracranial Pressure Neuropsychological Tests Central nervous system disease Cognition Visual memory medicine Humans Neuropsychological assessment Spinal Dysraphism Intracranial pressure medicine.diagnostic_test Spina bifida food and beverages Brain medicine.disease Magnetic Resonance Imaging Cerebrospinal Fluid Shunts nervous system diseases Hydrocephalus Surgery Psychiatry and Mental health Treatment Outcome Papers Intracranial pressure monitoring Female Neurology (clinical) Tomography X-Ray Computed Psychology Ventriculomegaly |
| Zdroj: | JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu instname ResearcherID r-FSJD: Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu Fundació Sant Joan de Déu |
| ISSN: | 0022-3050 |
| DOI: | 10.1136/jnnp.68.5.615 |
| Popis: | Objectives—To establish whether surgery can improve the neuropsychological functioning of young adult patients with spina bifida and apparent clinically arrested hydrocephalus showing abnormal intracranial pressure. Methods—Twenty three young adults with spina bifida and assumed arrested hydrocephalus (diagnosed as active or compensated by continuous intracranial pressure monitoring) underwent surgery. All patients received neuropsychological examination before surgery and 6 months later. Neuropsychological assessment included tests of verbal and visual memory, visuospatial functions, speed of mental processing, and frontal lobe functions. Results—Shunt placement in this subgroup of patients improves neuropsychological functioning, especially in verbal and visual memory and attention and cognitive flexibility. Conclusions—Young adults with spina bifida and suspected non-functioning shunt or non-shunted ventriculomegaly should be carefully monitored to identify those who could benefit from shunting. (J Neurol Neurosurg Psychiatry 2000;68:615‐621) |
| Databáze: | OpenAIRE |
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