Evidences in the treatment of idiopathic normal pressure hydrocephalus

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Evidences in the treatment of idiopathic normal pressure hydrocephalus.

INTRODUCTION idiopathic normal pressure hydrocephalus (INPH) is characterized by gait apraxia, cognitive dysfunction and urinary incontinence. There are two main treatment options: ventriculoperitoneal shunt (VPS) and endoscopic third ventriculostomy (ETV). However, there are doubts about which modality is superior and what type of valve should be applied. We are summarizing the current evidenc...

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Idiopathic Normal Pressure Hydrocephalus

Idiopathic normal pressure hydrocephalus (iNPH) is a potentially reversible neurodegenerative disease commonly characterized by a triad of dementia, gait, and urinary disturbance. Advancements in diagnosis and treatment have aided in properly identifying and improving symptoms in patients. However, a large proportion of iNPH patients remain either undiagnosed or misdiagnosed. Using PubMed searc...

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Treatment of Idiopathic Normal Pressure Hydrocephalus by Persian Medicine: A Case Report

Idiopathic normal pressure hydrocephalus (iNPH) is a chronic disease in adults. The standard treatment in this type of hydrocephalus is shunting which is accompanied by some complications and there is also uncertainty about response to treatment. Therefore, surgery is performed in only 10-20% of the cases with iNPH. Currently, oral acetazolamide and repetitive lumbar puncture for drainage of th...

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Idiopathic normal pressure hydrocephalus in neurological practice

Background: We have previously seen that idiopathic normal pressure hydrocephalus (iNPH) patients havingelevated intracranial pressure (ICP) pulse amplitude consistently respond to shunt surgery. In this study weexplored how the cerebrospinal fluid pressure (CSFP) pulse amplitude determined during lumbar infusion testing,correlates with ICP pulse amplitude determined during over-nig...

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Glymphatic MRI in idiopathic normal pressure hydrocephalus

The glymphatic system has in previous studies been shown as fundamental to clearance of waste metabolites from the brain interstitial space, and is proposed to be instrumental in normal ageing and brain pathology such as Alzheimer's disease and brain trauma. Assessment of glymphatic function using magnetic resonance imaging with intrathecal contrast agent as a cerebrospinal fluid tracer has so ...

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ژورنال

عنوان ژورنال: Revista da Associação Médica Brasileira

سال: 2015

ISSN: 0104-4230

DOI: 10.1590/1806-9282.61.03.258