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正常压力脑积水(NPH)的分流术。

Shunting for normal pressure hydrocephalus (NPH).

作者信息

Esmonde T, Cooke S

机构信息

Dept of Neurology, Royal Victoria Hospital, Dept of Neurology, Royal Victoria Hospital, Belfast, UK, BT12 6BA.

出版信息

Cochrane Database Syst Rev. 2002;2002(3):CD003157. doi: 10.1002/14651858.CD003157.

Abstract

BACKGROUND

Since the condition was first described in 1965, the syndrome of normal pressure hydrocephalus (NPH) has conventionally been managed by placement of a cerebrospinal fluid (CSF) shunt.

OBJECTIVES

To determine the effectiveness of shunting procedures in promoting stability or improvement in the neurological symptoms and signs of NPH.

SEARCH STRATEGY

The trials were identified from a search of the Specialized Register of the Cochrane Dementia and Cognitive Improvement Group on 26 June 2001 using the terms 'shunt*' and 'normal pressure hydrocephalus'.

SELECTION CRITERIA

Studies included for analysis were those involving the placement of a CSF shunt for the treatment of NPH as part of a randomized controlled trial.

DATA COLLECTION AND ANALYSIS

No data matching the selection criteria were found.

MAIN RESULTS

No randomized controlled trials of shunt placement versus no shunt were found.

REVIEWER'S CONCLUSIONS: There is no evidence to indicate whether placement of a shunt is effective in the management of NPH.

摘要

背景

自1965年首次描述该病症以来,常压性脑积水(NPH)综合征传统上通过放置脑脊液(CSF)分流管进行治疗。

目的

确定分流手术在促进NPH神经症状和体征稳定或改善方面的有效性。

检索策略

2001年6月26日,通过检索Cochrane痴呆与认知改善小组专业注册库,使用检索词“分流*”和“常压性脑积水”确定相关试验。

入选标准

纳入分析的研究是那些作为随机对照试验一部分,涉及放置CSF分流管治疗NPH的研究。

数据收集与分析

未找到符合入选标准的数据。

主要结果

未找到分流管放置与未放置分流管的随机对照试验。

综述作者结论

没有证据表明放置分流管在NPH治疗中是否有效。

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本文引用的文献

1
Objective assessment of gait in normal-pressure hydrocephalus.
Am J Phys Med Rehabil. 2008 Jan;87(1):39-45. doi: 10.1097/PHM.0b013e31815b6461.
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Characteristics and reversibility of dementia in Normal Pressure Hydrocephalus.
Behav Neurol. 2007;18(3):149-58. doi: 10.1155/2007/456281.
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Cerebral oxygen metabolism in idiopathic-normal pressure hydrocephalus.
Neurol Res. 2007 Dec;29(8):830-4. doi: 10.1179/016164107X181851.
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Hydrostatic and hydrodynamic considerations in shunted normal pressure hydrocephalus.
Acta Neurochir (Wien). 2000;142(3):241-7. doi: 10.1007/s007010050031.

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