Communicating hydrocephalus in adults: prediction of outcome after ventricular shunting procedures
A series of adult patients with idiopathic hydrocephalus in whom shunts were placed are presented. Preoperative diagnostic and prognostic criteria were evaluated. Findings on computed tomographic scans (significant ventricular enlargement, the absence of gyral atrophy, and the absence of sylvian fis...
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| Veröffentlicht in: | Neurosurgery 1990-04, Vol.26 (4), p.655-660 |
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| creator | Benzel, E C Pelletier, A L Levy, P G |
| description | A series of adult patients with idiopathic hydrocephalus in whom shunts were placed are presented. Preoperative diagnostic and prognostic criteria were evaluated. Findings on computed tomographic scans (significant ventricular enlargement, the absence of gyral atrophy, and the absence of sylvian fissure enlargement) and the clinical triad associated with hydrocephalus in adults (dementia, ataxia, and especially incontinence of urine) all contributed individually and in combination to the diagnosis of hydrocephalus that could be corrected by surgery. The use of radionucleotide cisternography did not add any additional information. Its use as a diagnostic or prognostic aid is, therefore, suspect. The use of high-pressure shunting systems for the initial shunting procedure is emphasized. |
| doi_str_mv | 10.1227/00006123-199004000-00015 |
| format | Article |
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Preoperative diagnostic and prognostic criteria were evaluated. Findings on computed tomographic scans (significant ventricular enlargement, the absence of gyral atrophy, and the absence of sylvian fissure enlargement) and the clinical triad associated with hydrocephalus in adults (dementia, ataxia, and especially incontinence of urine) all contributed individually and in combination to the diagnosis of hydrocephalus that could be corrected by surgery. The use of radionucleotide cisternography did not add any additional information. Its use as a diagnostic or prognostic aid is, therefore, suspect. The use of high-pressure shunting systems for the initial shunting procedure is emphasized.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1227/00006123-199004000-00015</identifier><identifier>PMID: 2330088</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Cerebrospinal Fluid Shunts ; Humans ; Hydrocephalus - diagnostic imaging ; Hydrocephalus - physiopathology ; Hydrocephalus - surgery ; Male ; Middle Aged ; Tomography, X-Ray Computed</subject><ispartof>Neurosurgery, 1990-04, Vol.26 (4), p.655-660</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-57de1e139adf4f71205688a6fd56d4c813d812ec641a484969fac5db4bc5d4b23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2330088$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Benzel, E C</creatorcontrib><creatorcontrib>Pelletier, A L</creatorcontrib><creatorcontrib>Levy, P G</creatorcontrib><title>Communicating hydrocephalus in adults: prediction of outcome after ventricular shunting procedures</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>A series of adult patients with idiopathic hydrocephalus in whom shunts were placed are presented. Preoperative diagnostic and prognostic criteria were evaluated. Findings on computed tomographic scans (significant ventricular enlargement, the absence of gyral atrophy, and the absence of sylvian fissure enlargement) and the clinical triad associated with hydrocephalus in adults (dementia, ataxia, and especially incontinence of urine) all contributed individually and in combination to the diagnosis of hydrocephalus that could be corrected by surgery. The use of radionucleotide cisternography did not add any additional information. Its use as a diagnostic or prognostic aid is, therefore, suspect. The use of high-pressure shunting systems for the initial shunting procedure is emphasized.</description><subject>Adult</subject><subject>Aged</subject><subject>Cerebrospinal Fluid Shunts</subject><subject>Humans</subject><subject>Hydrocephalus - diagnostic imaging</subject><subject>Hydrocephalus - physiopathology</subject><subject>Hydrocephalus - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Tomography, X-Ray Computed</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LxDAQhoMo67r6E4ScvFWTJk0Tb7L4BQteFLyFNEndSNvUpBH235v9cAdmhhneeQceACBGt7gs6zuUg-GSFFgIhGieipy4OgFzXJW0oHl3CuYIU14QwT7PwUWM31nBaM1nYFYSghDnc9Asfd-nwWk1ueELrjcmeG3HtepShG6AyqRuivdwDNY4PTk_QN9CnybtewtVO9kAf-0wBadTpwKM6zTsnMatj0nBxktw1qou2qtDX4CPp8f35Uuxent-XT6sCk1qNhVVbSy2mAhlWtrWuEQV41yx1lTMUM0xMRyXVjOKFeVUMNEqXZmGNrnSpiQLcLP3za9_ko2T7F3UtuvUYH2KshY14UiQLOR7oQ4-xmBbOQbXq7CRGMktXvmPVx7xyh3efHp9-JGa3prj4YEn-QOuqHfr</recordid><startdate>19900401</startdate><enddate>19900401</enddate><creator>Benzel, E C</creator><creator>Pelletier, A L</creator><creator>Levy, P G</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19900401</creationdate><title>Communicating hydrocephalus in adults: prediction of outcome after ventricular shunting procedures</title><author>Benzel, E C ; Pelletier, A L ; Levy, P G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-57de1e139adf4f71205688a6fd56d4c813d812ec641a484969fac5db4bc5d4b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cerebrospinal Fluid Shunts</topic><topic>Humans</topic><topic>Hydrocephalus - diagnostic imaging</topic><topic>Hydrocephalus - physiopathology</topic><topic>Hydrocephalus - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Benzel, E C</creatorcontrib><creatorcontrib>Pelletier, A L</creatorcontrib><creatorcontrib>Levy, P G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Benzel, E C</au><au>Pelletier, A L</au><au>Levy, P G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Communicating hydrocephalus in adults: prediction of outcome after ventricular shunting procedures</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>1990-04-01</date><risdate>1990</risdate><volume>26</volume><issue>4</issue><spage>655</spage><epage>660</epage><pages>655-660</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><abstract>A series of adult patients with idiopathic hydrocephalus in whom shunts were placed are presented. 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| ispartof | Neurosurgery, 1990-04, Vol.26 (4), p.655-660 |
| issn | 0148-396X 1524-4040 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Cerebrospinal Fluid Shunts Humans Hydrocephalus - diagnostic imaging Hydrocephalus - physiopathology Hydrocephalus - surgery Male Middle Aged Tomography, X-Ray Computed |
| title | Communicating hydrocephalus in adults: prediction of outcome after ventricular shunting procedures |
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