相关实验视频

Updated: Jul 7, 2026

A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients

A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients

Published on: October 17, 2017

正常压力脑水症的神经心理概况:认知轨迹和基于证据的评估工具的系统审查,用于手术管理

Gianluca Scalia¹, Rosalba Pitoia², Lisa Passarello²

¹Neurosurgery Unit, Department of Head and Neck Surgery, Garibaldi Hospital, Catania, Italy;.

World neurosurgery

|February 16, 2026

概括

在正常压力脑症 (NPH) 患者的认知功能在转移手术后得到改善,特别是在第一年内. 迷你心理状态检查 (MMSE),Trail Making测试A和B,以及数字跨度是这种恢复的关键指标.

科学领域:

神经科学是一个神经科学.
神经学神经学
临床神经心理学临床神经心理学

背景情况:

认知障碍是正常压力脑症 (NPH) 的一个重要的,未经研究的方面.
目前关于NPH的神经心理结果的报告不一致,缺乏标准化的评估电池.
本综述侧重于NPH患者中脑脊液 (CSF) 转移后的认知变化.

研究的目的:

系统地审查成年人的认知轨迹与NPH后的shunt.
识别敏感的神经心理测试,用于监测腹腔腹 (VPS) 和腰椎腹 (LPS) 冲刺后的结果.

主要方法:

系统地搜索PubMed/MEDLINE和Web of Science的文献,查找带有神经心理评估的NPH研究.
包括十项报告成人NPH患者标准化评估的研究.
统一各种统计数据 (例如,中位数/IQR到平均数/SD) 以跨随访间隔进行聚合分析.

主要成果:

迷你心理状态检查 (MMSE) 是最常见的基线评估.
在全球认知 (MMSE),心理运动速度 (TMT-A) 和执行功能 (TMT-B,FAB) 中观察到手术后的改善,时间表各不相同.
MMSE,TMT-A,TMT-B和Digit Span证明了在转移后对认知变化最强烈的敏感性.

结论:

在NPH转移后的认知恢复遵循前皮下皮层模式,在第一年达到顶峰.
建议使用MMSE,TMT-A,TMT-B和Digit Span作为标准化NPH认知电池的核心组件.
标准化协议和方法一致性对于提高诊断准确性和患者管理至关重要.

关键词:

认知障碍认知障碍是一种认知障碍.执行职能执行职能执行职能神经心理学评估神经心理学评估正常压力水脑.步道制作测试步道制作测试室腔 - 腹腔周围关节突变.

更多相关视频

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions

Published on: April 23, 2021

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

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

Published on: October 14, 2022

相关概念视频

Increased Intracranial Pressure l: Introduction

Increased Intracranial Pressure l: Introduction

Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...

Increased Intracranial Pressure ll: Pathophysiology

Increased Intracranial Pressure ll: Pathophysiology

Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...