Dergi Ara >>
Yıl:2003; Cilt: 3; Sayı: 4>> Özet
Demans Dergisi; 2003;3(4):117-120
Normal Basınçlı Hidrosefali Ön Tanılı 26 Hastanın Analizi
O Görgülü, A Yurt, FD Özer, Y Turan
SSK İzmir Eğitim Hastanesi Nöroşirürji Kliniği, İzmir
Bu çalışmada normal basınçlı hidrosefalili (NBH) hastalarda, konservatif tedavi ile ameliyat
edilen olguların retrospektif sonuçları
karşılaştırılarak literatür eşliğinde sunulmuştur. Çalışma sonuçlarına göre NBH'de klinik ve radyolojik bulguların
uyumlu olduğu olgularda özellikle sine-MRG'nin
önemli bir tetkik olduğu söylenebilir. Literatür bulguları
ışığında, cerrahi girişim uygulanan olgularda
klinik durumunun düzelmesi, tedavide cerrahi
seçeneğin öncelikli yerine işaret edebilir
NBH'de klinik triad ve seri boşaltıcı LP'lerde klinikteki
düzelme halen tanı için en önemli kriter olup
yürüme bozukluğu ilk düzelen semptomdur.
Yürüme bozukluğu ameliyat edilen olgularda belirgin
olarak düzelen objektif bir semptomdur. BBT
ve MRG'de ventriküler dilatasyonu olan ve
boşaltıcı LP'lerden fayda görmeyen olguların,
demans, hidrosefali ex vacuo, arrest hidrosefali
yönünden değerlendirilmesi uygundur.

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