Hamilton Mark G
Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Semin Pediatr Neurol. 2009 Mar;16(1):34-41. doi: 10.1016/j.spen.2009.02.001.
The following patients with multiple complex diagnoses define the adult hydrocephalus population: (1) transition patients (previously treated for hydrocephalus as children), (2) adults with previously untreated congenital hydrocephalus, (3) adults with acquired hydrocephalus with an identifiable etiology, and (4) patients with suspected or proven idiopathic normal pressure hydrocephalus. Restricting the outpatient care or hydrocephalus clinic definition to a single hydrocephalus patient subpopulation limits our understanding of these patients and effectively abandons the remaining adult patients with hydrocephalus to a less focused and potentially less effective healthcare arrangement. A comprehensive adult hydrocephalus clinic model is described and recommended to advance our understanding of this diverse patient population, which will ultimately lead to the development and provision of a better standard of patient care.
（1）过渡患者（儿童时期曾接受过脑积水治疗），（2）患有先前未经治疗的先天性脑积水的成年人，（3）患有可明确病因的后天性脑积水的成年人，以及（4）疑似或确诊为特发性正常压力脑积水的患者。将门诊护理或脑积水诊所的定义局限于单一的脑积水患者亚群，会限制我们对这些患者的了解，并实际上使其余成年脑积水患者陷入一种关注较少且可能效果较差的医疗安排。本文描述并推荐了一种全面的成人脑积水诊所模式，以增进我们对这一多样化患者群体的了解，这最终将促成更好的患者护理标准的制定和提供。
