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特发性正常压力脑积水和进行性核上性麻痹:两种单一实体还是神经退行性重叠综合征?病例报告。

Idiopathic Normal Pressure Hydrocephalus and Progressive Supranuclear Palsy: Two Single Entities or Neurodegenerative Overlap Syndrome? A Case Report.

机构信息

2nd Department of Neurology, Faculty of Medicine, Comenius University in Bratislava, University Hospital Bratislava, 813 72 Bratislava, Slovakia.

Department of Magnetic Resonance Imaging, Dr. Magnet Ltd., 833 05 Bratislava, Slovakia.

出版信息

Medicina (Kaunas). 2023 Apr 6;59(4):720. doi: 10.3390/medicina59040720.

Abstract

The differential diagnosis of idiopathic normal pressure hydrocephalus (iNPH) and progressive supranuclear palsy (PSP) is difficult. The importance of proper diagnosis is particularly important for iNPH, which can be effectively treated with a ventriculoperitoneal (VP) shunt. In our case report, we present a unique case of a patient with overlapping symptoms and radiological findings of iNPH and PSP. Our patient underwent the VP shunt after a differential diagnostic evaluation which resulted in significant improvement in their clinical condition and quality of life, albeit for a short time.

摘要

特发性正常压力脑积水(iNPH)和进行性核上性麻痹(PSP)的鉴别诊断较为困难。正确诊断对于 iNPH 尤为重要,因为 iNPH 可以通过脑室-腹腔(VP)分流术有效治疗。在本病例报告中,我们介绍了一例具有 iNPH 和 PSP 重叠症状和影像学表现的独特病例。我们的患者在经过鉴别诊断评估后接受了 VP 分流术,尽管时间短暂,但他们的临床状况和生活质量均得到了显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0138/10141108/9500eddb2b04/medicina-59-00720-g001.jpg

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