通过腰椎穿刺预测正常压力脑积水患者分流手术对尿失禁的治疗效果。
Outcome of shunt operation on urinary incontinence in normal pressure hydrocephalus predicted by lumbar puncture.
作者信息
Ahlberg J, Norlén L, Blomstrand C, Wikkelsö C
机构信息
Department of Neurology, University of Göteborg, Sweden.
出版信息
J Neurol Neurosurg Psychiatry. 1988 Jan;51(1):105-8. doi: 10.1136/jnnp.51.1.105.
Abstract
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 normal pressure hydrocephalus while no changes occurred in the other patients. Urodynamic testing in connection with a lumbar puncture may be a reliable way to predict the outcome of a shunt operation in cases of normal pressure hydrocephalus.
摘要
通过病史及尿动力学检查（膀胱测压和波氏冰水试验）对4例正常压力脑积水患者、1例阿尔茨海默病型痴呆患者和5例多发梗死性痴呆患者的膀胱功能进行了研究。正常压力脑积水患者的膀胱活动亢进可通过腰椎穿刺放出50ml脑脊液而暂时改善，随后通过分流手术消除，而其他患者则无变化。在腰椎穿刺的同时进行尿动力学检查可能是预测正常压力脑积水患者分流手术结果的可靠方法。
相似文献
1
Outcome of shunt operation on urinary incontinence in normal pressure hydrocephalus predicted by lumbar puncture.通过腰椎穿刺预测正常压力脑积水患者分流手术对尿失禁的治疗效果。
J Neurol Neurosurg Psychiatry. 1988 Jan;51(1):105-8. doi: 10.1136/jnnp.51.1.105.
2
CSF shunts for dementia, incontinence, and gait disturbance.用于治疗痴呆、尿失禁和步态障碍的脑脊液分流术。
Clin Neurosurg. 1985;32:632-51.
3
Comparison between the lumbar infusion and CSF tap tests to predict outcome after shunt surgery in suspected normal pressure hydrocephalus.腰椎灌注试验与脑脊液穿刺试验在预测疑似正常压力脑积水分流术后结果方面的比较。
J Neurol Neurosurg Psychiatry. 2002 Dec;73(6):721-6. doi: 10.1136/jnnp.73.6.721.
4
[Lumboperitoneal shunt and normal pressure hydrocephalus in elderly subjects].[老年患者的腰大池-腹腔分流术与正常压力脑积水]
Rev Neurol (Paris). 1989;145(11):776-80.
5
Normal pressure hydrocephalus. Predictive value of the cerebrospinal fluid tap-test.正常压力脑积水。脑脊液穿刺试验的预测价值。
Acta Neurol Scand. 1986 Jun;73(6):566-73. doi: 10.1111/j.1600-0404.1986.tb04601.x.
6
The clinical effect of lumbar puncture in normal pressure hydrocephalus.腰椎穿刺在正常压力脑积水患者中的临床疗效。
J Neurol Neurosurg Psychiatry. 1982 Jan;45(1):64-9. doi: 10.1136/jnnp.45.1.64.
7
Assessment of the urodynamic diagnosis in patients with urinary incontinence associated with normal pressure hydrocephalus.正常压力脑积水相关尿失禁患者尿动力学诊断的评估
Neurourol Urodyn. 2015 Jun;34(5):465-8. doi: 10.1002/nau.22600. Epub 2014 Apr 12.
8
Concurrent Alzheimer's pathology in patients with clinical normal pressure hydrocephalus: correlation of high-volume lumbar puncture results, cortical brain biopsies, and outcomes.临床正常压力脑积水患者的并发阿尔茨海默病病理学：大量腰椎穿刺结果、皮质脑活检及预后的相关性
J Neurosurg. 2016 Feb;124(2):382-8. doi: 10.3171/2015.2.JNS142318. Epub 2015 Sep 4.
9
Results and complications in 55 shunted patients with normal pressure hydrocephalus.55例正常压力脑积水分流患者的结果与并发症
Surg Neurol. 1975 May;3(5):271-5.
10
Management of idiopathic normal-pressure hydrocephalus: a multiinstitutional study conducted in Japan.特发性正常压力脑积水的管理：在日本进行的一项多机构研究。
J Neurosurg. 2001 Dec;95(6):970-3. doi: 10.3171/jns.2001.95.6.0970.
引用本文的文献
1
Biomechanical instability of the brain-CSF interface in hydrocephalus.脑积水时脑-脑脊液界面的生物力学不稳定。
Brain. 2024 Oct 3;147(10):3274-3285. doi: 10.1093/brain/awae155.
2
Normal pressure hydrocephalus: Diagnostic and predictive evaluationon.正常压力脑积水：诊断与预测评估
Dement Neuropsychol. 2009 Jan-Mar;3(1):8-15. doi: 10.1590/S1980-57642009DN30100003.
3
Lumbar Puncture Test in Normal Pressure Hydrocephalus: Does the Volume of CSF Removed Affect the Response to Tap?正常压力脑积水的腰椎穿刺试验：抽取的脑脊液量是否会影响对腰穿的反应？
AJNR Am J Neuroradiol. 2017 Jul;38(7):1456-1460. doi: 10.3174/ajnr.A5187. Epub 2017 May 4.
4
Influence of comorbidities in idiopathic normal pressure hydrocephalus - research and clinical care. A report of the ISHCSF task force on comorbidities in INPH.特发性正常压力脑积水合并症的影响 - 研究与临床护理。ISHCSF 特发性正常压力脑积水合并症工作组报告。
Fluids Barriers CNS. 2013 Jun 10;10(1):22. doi: 10.1186/2045-8118-10-22.
5
Evaluation of autonomic malfunction in idiopathic normal pressure hydrocephalus.特发性正常压力脑积水自主神经功能障碍的评估
Clin Auton Res. 2008 Aug;18(4):213-20. doi: 10.1007/s10286-008-0482-z. Epub 2008 Jul 23.
6
Chronic hydrocephalus in adults.成人慢性脑积水
Brain Pathol. 2004 Jul;14(3):325-36. doi: 10.1111/j.1750-3639.2004.tb00072.x.
7
Is normal pressure hydrocephalus a valid concept in 2002? A reappraisal in five questions and proposal for a new designation of the syndrome as "chronic hydrocephalus".2002年，正常压力脑积水是一个有效的概念吗？通过五个问题进行重新评估，并提议将该综合征重新命名为“慢性脑积水”。
J Neurol Neurosurg Psychiatry. 2002 Jul;73(1):9-12. doi: 10.1136/jnnp.73.1.9.
8
The value of temporary external lumbar CSF drainage in predicting the outcome of shunting on normal pressure hydrocephalus.临时体外腰椎脑脊液引流在预测正常压力脑积水分流结果中的价值。
J Neurol Neurosurg Psychiatry. 2002 Apr;72(4):503-6. doi: 10.1136/jnnp.72.4.503.
9
Chronic ("normal pressure") hydrocephalus in childhood and adolescence. A review of 16 cases and reappraisal of the syndrome.
Childs Nerv Syst. 1995 Dec;11(12):687-91. doi: 10.1007/BF00262232.
10
Investigation of the neurogenic bladder.神经源性膀胱的研究。
J Neurol Neurosurg Psychiatry. 1996 Jan;60(1):6-13. doi: 10.1136/jnnp.60.1.6.
本文引用的文献
1
The clinical effect of lumbar puncture in normal pressure hydrocephalus.腰椎穿刺在正常压力脑积水患者中的临床疗效。
J Neurol Neurosurg Psychiatry. 1982 Jan;45(1):64-9. doi: 10.1136/jnnp.45.1.64.
2
Hydrocephalus as a cause of disturbances of gait in the elderly.脑积水作为老年人步态障碍的一个原因。
Neurology. 1982 Dec;32(12):1358-63. doi: 10.1212/wnl.32.12.1358.
3
The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure. Observations on cerebrospinal fluid hydrodynamics.症状性正常脑脊液压力脑积水的特殊临床问题。脑脊液流体动力学观察。
J Neurol Sci. 1965 Jul-Aug;2(4):307-27. doi: 10.1016/0022-510x(65)90016-x.
4
The clinical picture in occult hydrocephalus.隐匿性脑积水的临床表现。
Clin Neurosurg. 1977;24:270-84. doi: 10.1093/neurosurgery/24.cn_suppl_1.270.
Zotero 插件