Fisher C M
Clin Neurosurg. 1977;24:270-84. doi: 10.1093/neurosurgery/24.cn_suppl_1.270.
From a study of 16 successfully shunted cases of symptomatic normal pressure hydrocephalus, the typical symptomatology has been characterized. It was found that gait disturbance preceded impaired mentation in 12 of the 16 cases, it began at the same time in three cases and in only one case did impairment of mentation precede it. Of 11 cases of shunt failure, dementia came first in nine and the disturbance of locomotion was relatively less severe or was absent. The various ways in which hydrocephalus may present have been outlined.
通过对16例有症状的正常压力脑积水成功进行分流手术的病例研究，已明确了典型的症状表现。研究发现，16例中有12例步态障碍先于精神状态受损出现，3例两者同时出现，仅1例精神状态受损先于步态障碍出现。在11例分流失败的病例中，9例痴呆先出现，运动障碍相对较轻或未出现。文中概述了脑积水可能出现的各种表现形式。
