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相关概念视频

Dementia01:30

Dementia

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Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
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Anatomy of the Brain: Ventricles01:18

Anatomy of the Brain: Ventricles

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There are hollow fluid-filled cavities known as ventricles deep inside the human brain. There are two lateral ventricles, one in each cerebral hemisphere, and each has three different projections — the anterior, inferior, and posterior horns visible from the lateral side. A thin membrane called the septum pellucidum separates the two lateral ventricles. The slender third ventricle in the diencephalon is connected to each lateral ventricle via a channel called the interventricular foramen.
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Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

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Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
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Cerebrospinal Fluid01:21

Cerebrospinal Fluid

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Cerebrospinal fluid (CSF) is a colorless liquid that flows around the brain and the spinal cord, playing a vital role in the protection, support, and overall function of the central nervous system (CNS). CSF production, circulation, and absorption are tightly regulated processes essential for the brain and spinal cord to function properly.
CSF Production
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Cognitive Development During Adulthood01:30

Cognitive Development During Adulthood

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Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
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The hippocampus, a critical brain structure, plays an essential role in memory processing, particularly in the formation and retrieval of memory. This small, seahorse-shaped region is located within the medial temporal lobe, with one hippocampus in each brain hemisphere. Experimental studies involving lesions in the hippocampi of rats have demonstrated significant impairments in tasks such as object recognition and maze navigation, indicating the hippocampus involvement in both recognition and...
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相关实验视频

Updated: Jan 16, 2026

Lesion Explorer: A Video-guided, Standardized Protocol for Accurate and Reliable MRI-derived Volumetrics in Alzheimer's Disease and Normal Elderly
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Lesion Explorer: A Video-guided, Standardized Protocol for Accurate and Reliable MRI-derived Volumetrics in Alzheimer's Disease and Normal Elderly

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[脑水症和痴呆症] 这是一个很大的问题.

Masakazu Miyajima1, Yuriko Kawai, Hideki Bandai

  • 1Department of Neurosurgery, Juntendo Tokyo Koto Geriatric Medical Center.

No shinkei geka. Neurological surgery
|October 6, 2025
PubMed
概括

异常性正常压力脑症 (iNPH) 导致可逆性痴呆症,影响执行功能. 旁路手术可以改善认知能力,但记忆恢复是有限的,这表明潜在的神经退行.

科学领域:

  • 神经学 神经学
  • 神经科学是一个神经科学.
  • 老年病的医生 老年病的医生

背景情况:

  • 异常性正常压力脑症 (iNPH) 或哈基姆病是成年人可逆性痴呆症的重要原因.
  • iNPH特有影响额叶功能,如注意力和执行功能,甚至在早期.
  • 虽然发生记忆缺陷,但保存的识别记忆使iNPH与阿尔茨海默病 (AD) 不同.

研究的目的:

  • 详细介绍iNPH的认知和行为特征.
  • 评估分流手术对iNPH症状的影响.
  • 探索影响iNPH治疗结果的因素.

主要方法:

  • 神经心理学评估侧重于额叶功能 (例如,额叶评估电池,Trail Making Test-B).
  • 评估痴呆症 (BPSD) 的行为和心理症状,并注意到冷漠,抑郁和焦虑的普遍性.
  • 术前和术后认知功能的比较.

主要成果:

  • 旁路手术显著改善了注意力和执行功能,证实了iNPH的可逆性.
  • 记忆功能,特别是延迟回忆,在手术后表现出有限的改善.
  • 早期干预与更好的结果相关;晚期缩降低了外科手术的有效性.

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3D Modeling of the Lateral Ventricles and Histological Characterization of Periventricular Tissue in Humans and Mouse
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3D Modeling of the Lateral Ventricles and Histological Characterization of Periventricular Tissue in Humans and Mouse

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Lesion Explorer: A Video-guided, Standardized Protocol for Accurate and Reliable MRI-derived Volumetrics in Alzheimer's Disease and Normal Elderly

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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

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3D Modeling of the Lateral Ventricles and Histological Characterization of Periventricular Tissue in Humans and Mouse
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3D Modeling of the Lateral Ventricles and Histological Characterization of Periventricular Tissue in Humans and Mouse

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结论:

  • iNPH呈现出明显的额叶和行为缺陷,与AD形成鲜明对比.
  • 手术对注意力和执行功能障碍是有效的,但对记忆力缺陷的治疗效果较低.
  • 综合性认知评估对于管理iNPH,指导治疗和支持患者和家属至关重要.