منابع مشابه
The clinical effect of lumbar puncture in normal pressure hydrocephalus.
Owing to all the difficulties involved in selecting patients with normal pressure hydrocephalus for shunt-operation, a cerebrospinal fluid-tap-test (CSF-TT) is introduced. Psychometric and motor capacities of the patients are measured before and after lumbar puncture and removal of 40-50 ml CSF. Patients fulfilling criteria for normal pressure hydrocephalus were compared to patients with dement...
متن کاملDecompensated chronic congenital hydrocephalus.
A 66 year-old woman with congenital macro cephaly and developmental delay presented with aphasia and right-sided weakness. Head CT revealed severe hydrocephalus of the lateral and third ventricles with a normal fourth ventricle due to a chronic congenital process (Fig. 1A). MRI confirmed subacute embolic infarcts of the left middle cerebral artery territory (Fig. 1B) and a heparin drip was init...
متن کاملTreatment of Chronic Hydrocephalus
cannot understand how this statement could creep into this excellent text-book. Tubercular deposits, it is easy to imagine, would interfere with the passage of blood along the veins of Galen or obstruct the foramina in the pia matral expansion covering the lower part of the fourth ventricle, producing a disturbance of pressure equilibrium within and without the brain. The increase of fluid in t...
متن کاملOutcome of shunt operation on urinary incontinence in normal pressure hydrocephalus predicted by lumbar puncture.
Bladder function in four patients with normal pressure hydrocephalus, one with dementia of Alzheimer type and five patients with multi-infarct dementia was studied by history and urodynamic tests (cystometry and Bor's ice water test). The bladder hyperactivity could be temporarily improved by a lumbar puncture and removal of 50 ml CSF and later abolished by a shunt operation in patients with no...
متن کاملLumbar Puncture Alleviates Chorea in a Patient with Huntington’s Disease and Normal Pressure Hydrocephalus
A 44-year-old African-American male was admitted to our hospital after a suicide attempt. He had depression, poor cognitive function, choreiform movements, difficulty pronouncing words, and difficulty walking. His symptoms had worsened markedly over several months. Chorea lead to genetic testing that confirmed a diagnosis of Huntington Disease (HD). A CT scan of the head showed wider ventricles...
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ژورنال
عنوان ژورنال: The Boston Medical and Surgical Journal
سال: 1833
ISSN: 0096-6762,1533-4406
DOI: 10.1056/nejm183301230072401