在患有异常性正常压力水脑症的患者中,在转移手术后,角和埃文斯指数的变化
Rodolfo Casimiro Reis1, Renata Harumi Gobbato Yamashita1, Davi Jorge Fontoura Solla1
1Department of Neurosurgery, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil.
World neurosurgery
|August 4, 2024
概括
在异常性正常压力脑症 (iNPH) 患者中,随着神经改善而增加角,但埃文斯指数没有变化. 这表明角可能是一个有用的放射学标志物,用于iNPH的分流反应.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 异常性正常压力脑症 (iNPH) 呈现出走路障碍,认知障碍和尿失禁.
- 在iNPH患者中,缺少用于分流器故障的客观放射学标记,iNPH患者对手术没有反应.
研究的目的:
- 为了评估埃文斯指数和角的变化,在长期跟踪iNPH患者在分流手术后.
主要方法:
- 从19名iNPH患者中收集了临床和放射学数据 (埃文斯指数,角),这些患者进行了转移手术前和后的手术 (3, 6, 12个月).
- 在整个随访期间,成像被一个神经放射科医生审查.
主要成果:
- 随着时间的推移,患者的NPH日本尺度得分有所改善 (P < 0.001).
- 埃文斯指数在随访期间没有显著变化 (P = 0.24).
- 角从手术前值 (72±15) 显著增加到术后6个月 (91±18,P=0.003).
结论:
- 在iNPH患者中,可编程门分流,增加的角与神经改善相关.
- 在随访期间,埃文斯指数没有显示出重大变化.
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