一个跨学科的协议,用于 Ventriculoperitoneal Shunt 患者选择在正常压力水脑中
Kyle McGrath1, Dimitri Laurent2, Oriana Otero2
1College of Medicine, University of Florida, Gainesville, Florida, USA.
World neurosurgery
|April 28, 2024
概括
使用步行,平衡和认知测试的新协议有助于识别正常压力脑水性病患者,这些患者可以从心室关节 (VPS) 放置中受益. 然而,手术后一年症状复发是常见的.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 物理医学和康复 康复
背景情况:
- 正常压力脑症 (NPH) 治疗缺乏用于心室关节 (VPS) 排位的标准化指示.
- 目前的NPH管理通常依赖于主观评估,导致治疗结果变化.
研究的目的:
- 建立一个可靠的协议来识别NPH患者谁将从VPS受益.
- 评估VPS候选人的标准化评估协议的有效性和安全性.
主要方法:
- 制定了一项协议,涉及物理和职业治疗师进行行走,平衡和认知的验证测试.
- 评估患者之前和之后的腰部排水放置使用测试,如定时"上去"和迷你精神状态检查.
- 进行了根据该协议治疗的患者的回顾性审查,分析了VPS候选症和症状改善.
主要成果:
- 64%的患者接受了VPS,其中89.6%报告了最初症状的改善.
- 与对照组相比,在接受VPS的患者中观察到Tinetti分数的显著改善.
- 18%的患者经历了皮下液体收集,6%的患者在手术后出现了其他并发症.
结论:
- 标准化的脑脊液转移前后评估有效地识别了可能从VPS中受益的NPH患者.
- 该方案表明并发症率较低,但症状复发会在一年内影响大约一半的患者.
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