Reichenthal E, Shalit M N
Surg Neurol. 1978 Sep;10(3):153-6.
The records of 59 patients above the age of 65 operated on for diverse neurosurgical problems between January 1975 and September 1976 were reviewed. It was found that in only about half of the cases was the referral diagnosis correct. Most of the referred patients diagnosed as cerebrovascular accident or senile dementia were found to be suffering from intracranial space-occupying lesions or normal pressure hydrocephalus. Post-operatively there was a significant improvement in 48% of this group of geriatric patients, with no change in 23% and a poor result in 29%. when the data on patients with benign lesions were considered separately, it was found that in this group there was a significant improvement in 60%, with no change in 23% and a poor result in only 17%.
回顾了1975年1月至1976年9月间因各种神经外科问题接受手术的59例65岁以上患者的记录。结果发现，只有大约一半的病例转诊诊断正确。大多数被转诊诊断为脑血管意外或老年痴呆症的患者被发现患有颅内占位性病变或正常压力脑积水。术后，这组老年患者中有48%有显著改善，23%无变化，29%效果不佳。当分别考虑良性病变患者的数据时，发现该组中有60%有显著改善，23%无变化，只有17%效果不佳。
