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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
[Gait disturbances and normal pressure hydrocephalus]
O Bekaert1, B Grandjacques, J Hodel
1Service de neurochirurgie, groupe hospitalier Albert-Chenevier-Henri-Mondor, Assistance publique-Hôpitaux de Paris, boulevard du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
Revue Neurologique
|January 19, 2010
Summary
Normal pressure hydrocephalus (NPH) can cause gait disturbance, cognitive impairment, and sphincter issues. Surgical intervention, particularly for gait problems, offers potential improvement and is predicted by cerebrospinal fluid removal.
Area of Science:
- Neurology
- Neurosurgery
- Geriatrics
Context:
- Normal pressure hydrocephalus (NPH) presents with a triad of gait disturbance, cognitive impairment, and urinary incontinence.
- Gait disturbance in NPH is a significant symptom that can be potentially reversed with surgical treatment.
Purpose:
- To review the characteristics of gait disorders associated with NPH.
- To outline the optimal assessment methods for NPH-related gait disturbances.
- To discuss diagnostic and prognostic indicators for surgical treatment.
Summary:
- NPH diagnosis requires consideration of gait disturbance, cognitive decline, and sphincter dysfunction.
- While NPH pathogenesis is not fully understood, imaging advances aid comprehension.
- Cerebrospinal fluid (CSF) removal via lumbar puncture or drainage is diagnostic and predicts surgical success.
- Validated clinical severity scores for gait, cognition, and sphincter function are crucial for treatment response assessment.
Impact:
- Highlights the curable nature of NPH gait symptoms through timely surgical intervention.
- Emphasizes the importance of accurate diagnostic and prognostic tools for NPH management.
- Advances understanding of NPH, guiding clinical practice and patient selection for surgery.
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