作者
Giovanni Grasso, Gaia Teresi, Manfredi Noto, Fabio Torregrossa
发表日期
2023/11/7
来源
World Neurosurgery
出版商
Elsevier
简介
Idiopathic normal pressure hydrocephalus (iNPH) is a neurological disorder characterized by the triad of gait disturbance, cognitive impairment, and urinary incontinence. The condition is diagnosed mainly in older adults and is associated with ventricular enlargement without an increase in cerebrospinal fluid (CSF) pressure. The clinical assessment involves a detailed medical history, physical examination, and cognitive testing. Neuroimaging is an essential part of the diagnostic workup for iNPH. However, to determine the suitability of patients for shunt surgery, a range of invasive preoperative investigations are employed. This narrative review aims to provide a comprehensive analysis of the current literature on invasive preoperative investigations in iNPH, focusing primarily on the lumbar infusion test, CSF drainage tests, and continuous intracranial pressure monitoring. The strengths and limitations of each …
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G Grasso, G Teresi, M Noto, F Torregrossa - World Neurosurgery, 2023