摘要
目的探讨正常颅压脑积水与脑萎缩的鉴别及分流疗效随访。方法回顾分析本院从2005年1月至2009年中20例正常压力脑积水患者,分析其临床表现、影像学特征(CT与MRI)及脑脊液检查,排除脑萎缩所致脑室扩大病例(10例)。患者行常规脑室腹腔分流术。结果 20例患者仅行一次脑室腹腔分流术症状改善明显:完全缓解15例,3例部分缓解,2例症状改善不明显。并发症:硬膜下积液1例,脑皮层内血肿1例,术后癫痫发生1例。结论规范正常颅压脑积水的诊断步骤及脑室腹腔分流术适应证。
Objective To investigate the normal pressure hydrocephalus and cerebral atrophy identify and triage efficacy follow-up.Methods Retrospective analysis of our hospital from January 2005 to 2009 in 20 cases of normal pressure hydrocephalus patients,analysis of their clinical manifestations,imaging features（CT and MRI） and cerebrospinal fluid examination to exclude ventriculomegaly due to cerebral atrophy cases（10cases）.Patients with normal ventriculo-peritoneal shunt.Results In 20 patients only one line of ventriculo-peritoneal shunt to improve the symptoms clear：complete remission in 15 cases,3 cases of partial remission,2 patients with symptomatic improvement was not obvious.Complications：one cases of subdural effusion,cerebral cortex hematoma in 1 case,postoperative seizures occurred in 1 case.Conclusion Regulate normal pressure hydrocephalus diagnosis of steps and ventriculoperitoneal shunt indication.
出处
《中外医疗》
2010年第18期9-9,11,共2页
China & Foreign Medical Treatment
关键词
正常颅压脑积水
脑萎缩
脑室腹腔分流术
Normal pressure hydrocephalus
Ventriculo-peritoneal shunt
Cerebral atrophy
