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.

Author: Zukinos Tojagal
Country: Lebanon
Language: English (Spanish)
Genre: Video
Published (Last): 5 January 2017
Pages: 317
PDF File Size: 15.25 Mb
ePub File Size: 1.56 Mb
ISBN: 314-4-44428-898-2
Downloads: 95519
Price: Free* [*Free Regsitration Required]
Uploader: Shaktizragore

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, given that the same stimuli were used in the two presentations. Clinical Assessment The disease affects three main areas—gait, sphincter control, and cognitive functioning—which were evaluated according to the NPH scale Table 3.

Gait improved in all of the patients who had presented with gait abnormalities at the hidrocefaia assessment, sphincter dysfunction improved in nine of 10 patients who had presented with sphincter incontinence at the presurgical assessment, and cognitive impairment improved in four patients. The disease affects three main areas—gait, sphincter control, and cognitive functioning—which were evaluated according to the NPH scale Table 3.

Therapeutic Evaluation Outcome was independently assessed by the neurosurgeon and neuropsychologist 6 months after the shunt procedure by using the NPH scale. Algorithm demonstrating patient selection in this study.

Attention to new genetic and biochemical factors as well as to hidrocsfalia neuroimaging procedures may shed new hidrocefzlia on normotebsiva old but still littleknown entity.

Hidrocegalia head and body were washed twice once in the ward and again after induction of anesthesia. 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.

A percentage of change between baseline and postoperative conditions was also calculated as follows: At the baseline assessment, six patients were completely dependent on others for daily life activities Grade 4 on the SLSfive patients required some supervision SLS Grade 2and one patient was independent for daily life functioning SLS Grade 1.

Results Clinical Symptoms of NPH 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.

This factor would explain the poor improvement in cognition in comparison to gait and sphincter changes. Evacuation of the subdural collection was performed without sequelae.


Hidrocefalia normotensiva

There was no treatment-related death. Patients’ functional behavior and changes in daily life activities were evaluated using several rating scales: Twelve patients met these criteria.

Media in category “Normal pressure hydrocephalus” The following 6 files are in this category, out of 6 total.

Moreover, the surgical management protocol included other maneuvers before, during, and after shunt placement that could also have influenced the low complication rate and, consequently, the percentage of improvement after shunt insertion. 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.

Consequently, their role in the diagnosis of NPH and prediction of its outcome should be reconsidered.

In this subgroup of patients, ambulation was started on the 3rd day after shunt insertion. According to the NPH scale, 11 patients showed clinical improvement defined as an increase of 1 or more points on the NPH scale. Eleven of the 12 implanted valves were also combined with an antigravity device, which probably reduced the number of subdural collections in these patients. Excluding these patients from surgery means that progressive deterioration is inevitable and will likely have an adverse effect on the quality of life of many patients and their families.

Sixty-four consecutive patients with suspected NPH, comprehensively described in Poca, et al. Normtoensiva, symptom duration, degree of preoperative dementia, and ventricular dilation were not definitively related to neuropsychological gidrocefalia functional changes after surgery hidroceflia these factors were evaluated by an independent neuropsychologist; however, clinical or radiological hidgocefalia classically associated with a poor prognosis are increasingly found in patients with suspected NPH or in those who have a mixed-type dementia NPH associated with other neurodegenerative disorders such as Alzheimer disease or vascular dementia.

All of our patients presented cortical atrophy, which was one of the selection criteria. 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. 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.

We found that the factors clearly related normoetnsiva better neuropsychological and functional recovery after shunt procedures included the presence of a complete clinical triad, hidfocefalia or normal cortical sulci size, and periventricular lucencies.

There was a problem providing the content you requested

We selected a subgroup of patients who demonstrated four of the most commonly accepted predictors of poor outcome following shunt surgery. Statistical significance was noted at a probability level less than or equal to 0. Several authors have investigated the predictive values of distinct symptoms and ancillary methods for improving prognoses. In addition, we considered patients older than 64 years only because age is considered one of the most significant variables in neurological recovery and can preclude aggressive treatment.


Authors of recent reports in the literature stress the fact that NPH can be highly heterogeneous.

Hidrocefalia Normotensiva by maria sierra on Prezi

Before treatment, 10 patients had the complete clinical triad, one patient had cognitive dysfunction only, and another patient had gait and cognitive disturbances normotenskva no sphincter incontinence. Early or late postsurgical complications were found in two of the 12 patients in the poor prognosis group.

Normal pressure hydrocephalus versus atrophy.

Retrieved from ” https: Six months after shunt placement, only one patient remained totally dependent SLS Grade 4seven patients required supervision SLS Grades 2 and 3and four patients were independent for daily life activities SLS Grades 0 and 1; Table 4. In five patients, this valve was combined with an infraclavicular gravity-compensating accessory NMT Neurosciences Implants S. Per idrocefalo normoteso s’intende un tipo di idrocefalo comunicante, in cui l’aumento della pressione intracranicadovuto all’accumularsi del liquido cefalorachidianodiventa stabile, e la formazione di liquor si equilibra con l’assorbimento; la pressione intracranica gradualmente diminuisce ma mantiene ancora una livello lievemente elevato.

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. Comunque il soggetto mostra la triade classica: By using this site, you agree to the Terms of Use and Privacy Policy. In this study we selected a subgroup of patients with some of the traditionally accepted predictors of poor outcome. The maximum score 15 points indicates normal functioning in the three domains.

Neuropsychological tests and quality-of-life scales were administered to the patients while they were in the hospital for presurgical studies, and again 6 months later. Several other authors support the view that continuous ICP monitoring is the most useful diagnostic test in evaluating NPH.

Subcategories This category has the following 2 subcategories, out of 2 total.