分流手术后脑积水性痴呆的恢复情况。
Recovery in hydrocephalic dementia after shunt operation.
作者信息
Gustafson L, Hagberg B
出版信息
J Neurol Neurosurg Psychiatry. 1978 Oct;41(10):940-7. doi: 10.1136/jnnp.41.10.940.
Abstract
Twenty-three patients with hydrocephalic dementia were studied before and after shunt operation, and improvement was found in 12. Before operation, the improved cases showed more symptoms of confabulation, gait disturbance, urinary incontinence, lack of insight, and constructional apraxia. The improvement was also most marked in these symptoms. The significance of general versus specific symptoms, duration, and aetiology is discussed from a differential diagnostic standpoint, and we conclude that the adequate and early diagnosis of hydrocephalic dementia is essential for good outcome after shunt operation, and that psychiatric and psychometric evaluation enable such a diagnosis to be made.
摘要
对23例脑积水性痴呆患者在分流手术前后进行了研究，发现12例有改善。术前，改善的病例表现出更多的虚构、步态障碍、尿失禁、自知力缺乏和结构性失用症状。这些症状的改善也最为明显。从鉴别诊断的角度讨论了一般症状与特殊症状、病程和病因的意义，我们得出结论，脑积水性痴呆的充分早期诊断对于分流手术后的良好预后至关重要，并且精神科和心理测量评估能够做出这样的诊断。
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