Aragonès Josep Maria, Altimiras Jacint, Alonso Francisco, Roura Pere, Alfonso Sebastián, Bajo Lorena
Unidad de Neurología, Hospital Universitari de Vic, Vic (Barcelona), España.
Unidad de Epidemiología Clínica, Hospital Universitari de Vic, Vic (Barcelona), España.
Rev Esp Geriatr Gerontol. 2018 Mar-Apr;53(2):85-88. doi: 10.1016/j.regg.2017.06.007. Epub 2017 Jul 19.
Idiopathic normal pressure hydrocephalus is usually observed in adults over 60 years of age. The highest incidence of cases is between 70 and 80 years-old, and it could be under-diagnosed in over 80 year-olds.
A description is presented on the overall incidence and age group incidence, the delay in the diagnosis, and main outcomes.
A descriptive study was performed on patients with idiopathic normal pressure hydrocephalus, in the population of Osona County during the years 2010-2015.
The annual incidence rate was 4.43 per 100,000 inhabitants. The incidence increased with age; from 8.09 per 100,000 in the 60 to 69 years age group, to 23.61 per 100,000 in the 70-79 years age group of, and to 37.02 per 100,000 in the 80-89 years age. The delay in the diagnosis was 15.01 ± 10.35 months. All the patients improved after surgery, but only 73.3% of the patients maintained the improvement after one year.
Idiopathic normal pressure hydrocephalus is an age related disease and probably underdiagnosed in the elderly. An early diagnosis and a clinical suspicion are essential in patients over 80 years old.
特发性正常压力脑积水通常在60岁以上的成年人中观察到。病例的最高发病率在70至80岁之间，在80岁以上的人群中可能诊断不足。
描述总体发病率和年龄组发病率、诊断延迟情况以及主要结局。
对2010 - 2015年奥索纳县人群中特发性正常压力脑积水患者进行描述性研究。
年发病率为每10万居民4.43例。发病率随年龄增长而增加；从60至69岁年龄组的每10万居民8.09例，增加到70 - 79岁年龄组的每10万居民23.61例，再到80 - 89岁年龄组的每10万居民37.02例。诊断延迟为15.01 ± 10.35个月。所有患者术后均有改善，但仅73.3%的患者在一年后仍保持改善。
特发性正常压力脑积水是一种与年龄相关的疾病，在老年人中可能诊断不足。对于80岁以上的患者，早期诊断和临床怀疑至关重要。
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