通过多模式诊断方法治疗脑水症的男性患者:一个病例报告
Xiuyun Liu1,2, Jingjing Mu1, Meijun Pang1
1State Key Laboratory of Advanced Medical Materials and Devices, Medical School, Tianjin University, Tianjin 300072, China.
Cyborg and bionic systems (Washington, D.C.)
|August 14, 2024
概括
异常性正常压力脑症 (iNPH) 的诊断可能具有挑战性. 多模式方法,包括成像和压力监测,在老年男性患者中准确诊断iNPH,导致成功治疗.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
背景情况:
- 异常性正常压力脑 (iNPH) 往往呈现出模仿大脑缩的症状,导致误诊.
- 关键的iNPH症状包括步态障碍,认知能力下降和尿失禁.
研究的目的:
- 介绍一种用综合多模式方法诊断的异常性正常压力水头 (iNPH) 病例.
- 突出iNPH综合诊断方法的诊断疗效和临床实用性.
主要方法:
- 使用脑成像 (例如MRI/CT) 来评估心室大小.
- 进行了脑脊液 (CSF) 龙头测试和持续的内压力监测.
- 进行了输液研究,以评估CSF动态和压力-体积关系.
主要成果:
- 一名68岁的男性患者怀疑患有水头或阿尔茨海默病,被诊断出患有iNPH.
- 多模式诊断策略证实了iNPH的诊断.
- 患者在心室外皮管突变手术后显著康复.
结论:
- 多模式诊断方法是有效的准确诊断iNPH.
- 这种综合诊断策略可以减少诊断延迟和医疗保健成本.
- 这些发现支持iNPH多模式诊断的更广泛采用.
相关概念视频
Disorder of Water Balance
Water balance disorders are medical conditions that occur when there is a deviation from the body's water volume or osmolarity, disrupting normal homeostasis and leading todehydration, hypotonic hydration, hyperhydration, edema, or water intoxication.
Dehydration
Dehydration occurs when the body loses fluids (particularly water).
Causes:
The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
Signs and Symptoms:
Symptoms primarily include intense...
Dehydration
Dehydration occurs when the body loses fluids (particularly water).
Causes:
The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
Signs and Symptoms:
Symptoms primarily include intense...
Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
Cerebral Edema l: Introduction
Cerebral edema is a pathological increase in brain water content that disrupts intracranial pressure regulation and impairs neurological function. Because the cranial vault is rigid, even modest increases in tissue volume can compromise cerebral perfusion, distort neural structures, and initiate secondary injury. Cerebral edema develops through four principal mechanisms: vasogenic, cytotoxic, interstitial, and ionic.Vasogenic EdemaVasogenic edema arises from disruption of the blood–brain...


