Clinical Study of Post-traumatic Normal Pressure Hydrocephalus.
- Author:
Myung Ho CHA
1
;
Chin Hyung KIM
;
Sung Nam HWANG
;
Byung Joon KIM
Author Information
1. Eul ji General Hospital, Neurosurgery Service, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Normal pressure hydrocephalus;
RIHSA-cisternography;
Cerebrospinal fluid pressure;
Ventriculoperitoneal shunt
- MeSH:
Brain;
Cerebrospinal Fluid Pressure;
Craniocerebral Trauma;
Diagnosis;
Gait;
Humans;
Hydrocephalus;
Hydrocephalus, Normal Pressure*;
Iodine;
Serum Albumin;
Ventriculoperitoneal Shunt
- From:Journal of Korean Neurosurgical Society
1982;11(4):433-442
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The discovery of C-T scan have facilitated the detection of post-traumatic hydrocephalus cases. Of those, 6 cases of hydrocephalus of non-parenchymatous in origin, in other words, normal pressure hydrocephalus were presented. They were diagnosed by repeated brain C-T and cisternography with Iodine 131-labeled human serum albumin. The symptomatology, diagnosis procedure and surgical results were discussed. Followings are the results. 1) The RIHSA cisternogram taken after 6 hrs, 12 hrs, 24 hrs and 48 hrs from lumbar injection showed abnormal features in all cases. 2) Surgical results were thought that there is much correlation with the age and improvement of mental impairments were seen, more or less, in all cases and improvement of gait disturbance and incontinence were seen in 5 cases and 4 cases respectively. 3) In those who sustained severe head injury with delayed recovery, the authors think, repeated check of brain C-T and cisternography is necessitated to perform the V-P shunt or V-A shunt to relieve the symptomatology of normal pressure hydrocephalus.
