Aguiar P H, Andrioli M S, Cabrera H N, Cabral N D, Scaff M
Department of Neurology, Hospital das Clinicas University of Sao Paulo, Brazil.
Zentralbl Neurochir. 1994;55(1):60-2.
The authors report on a case of Paget's disease with hydrocephalus in an elderly female with a favourable result after ventriculoperitoneal shunt. The neurological examinations at the time of admission revealed mild dementia, ataxic gait and urinary incontinence. Skull X-ray, CT-scan and MRI showed hydrocephalus and basilar impression. The pathophysiological hypothesis is discussed and the technical difficulties during the shunt surgery are described.
作者报告了一例老年女性患有佩吉特病伴脑积水的病例,该患者在进行脑室腹腔分流术后取得了良好效果。入院时的神经学检查显示有轻度痴呆、共济失调步态和尿失禁。颅骨X线、CT扫描和MRI显示有脑积水和颅底陷入症。文中讨论了病理生理假说,并描述了分流手术中的技术难点。