Assessment of neurological symptoms in adult hydrocephalus occlusus. A pilot study
| Autor: | Hamid Assar, Thomas Wolfsegger |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Ventriculostomy Pediatrics medicine.medical_specialty medicine.medical_treatment Pilot Projects Shunt operation Neurological assessment Physiology (medical) medicine Humans Postoperative Period Gait Postural Balance Gait Disorders Neurologic Aged Balance (ability) Neurologic Examination business.industry Neuropsychology General Medicine Middle Aged medicine.disease Hydrocephalus Normal Pressure Hydrocephalus Treatment Outcome Neurology (Idiopathic) normal pressure hydrocephalus Female Surgery Neurology (clinical) business |
| Zdroj: | Journal of Clinical Neuroscience. 90:89-93 |
| ISSN: | 0967-5868 |
| DOI: | 10.1016/j.jocn.2021.05.054 |
| Popis: | 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 (p ≤ 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. |
| Databáze: | OpenAIRE |
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