Motor skills, cognitive impairment, and quality of life in normal pressure hydrocephalus: early effects of shunt placement
Background Traditionally, clinical findings of normal pressure hydrocephalus are mainly characterized by the Hakim triad. The aim of this study is to evaluate the performance of patients suffering from idiopathic normal pressure hydrocephalus (iNPH) in a more holistic manner regarding motor skills,...
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| Veröffentlicht in: | Acta neurochirurgica 2022-07, Vol.164 (7), p.1765-1775 |
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| creator | Hülser, Matthias Spielmann, Hannah Oertel, Joachim Sippl, Christoph |
| description | Background
Traditionally, clinical findings of normal pressure hydrocephalus are mainly characterized by the Hakim triad. The aim of this study is to evaluate the performance of patients suffering from idiopathic normal pressure hydrocephalus (iNPH) in a more holistic manner regarding motor skills, cognitive impairment, and quality of life.
Methods
In total, 30 individuals diagnosed with iNPH as well as a reference group with another 30 individuals were included. The iNPH patients and the reference group were age, educational, and morbidity matched. A standardized test battery for psychomotor skills, gait, neuropsychological abilities as well as questionnaires for quality of life was applied. The iNPH group was tested prior to surgery, at 6 weeks, and 3 months postoperatively. The reference group was tested once.
Results
Patients showed a significant improved performance in various items of the test battery during the first 3 months postoperatively. This included neuropsychological evaluation, motor skills including gait and upper motor function as well as the quality of life of the patients. Compared to reference individuals, neuropsychological aspects and quality of life of iNPH patients improved in some parts nearly to normal values.
Conclusion
Our findings underline that shunt surgery does not only improve the symptoms in iNPH patients but also ameliorates the quality of life to a great extent close to those of age and comorbidity matched reference individuals. This data enables an optimized counseling of iNPH patients regarding the expectable outcome after shunt surgery especially regarding cognitive performance, motor skills as well as life quality. |
| doi_str_mv | 10.1007/s00701-022-05149-2 |
| format | Article |
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Traditionally, clinical findings of normal pressure hydrocephalus are mainly characterized by the Hakim triad. The aim of this study is to evaluate the performance of patients suffering from idiopathic normal pressure hydrocephalus (iNPH) in a more holistic manner regarding motor skills, cognitive impairment, and quality of life.
Methods
In total, 30 individuals diagnosed with iNPH as well as a reference group with another 30 individuals were included. The iNPH patients and the reference group were age, educational, and morbidity matched. A standardized test battery for psychomotor skills, gait, neuropsychological abilities as well as questionnaires for quality of life was applied. The iNPH group was tested prior to surgery, at 6 weeks, and 3 months postoperatively. The reference group was tested once.
Results
Patients showed a significant improved performance in various items of the test battery during the first 3 months postoperatively. This included neuropsychological evaluation, motor skills including gait and upper motor function as well as the quality of life of the patients. Compared to reference individuals, neuropsychological aspects and quality of life of iNPH patients improved in some parts nearly to normal values.
Conclusion
Our findings underline that shunt surgery does not only improve the symptoms in iNPH patients but also ameliorates the quality of life to a great extent close to those of age and comorbidity matched reference individuals. This data enables an optimized counseling of iNPH patients regarding the expectable outcome after shunt surgery especially regarding cognitive performance, motor skills as well as life quality.</description><identifier>ISSN: 0942-0940</identifier><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-022-05149-2</identifier><identifier>PMID: 35212797</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Cognitive ability ; Comorbidity ; CSF Circulation ; Gait ; Hydrocephalus ; Interventional Radiology ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Morbidity ; Motor ability ; Motor skill ; Motor task performance ; Neurology ; Neuropsychology ; Neuroradiology ; Neurosurgery ; Original - CSF Circulation ; Original Article - CSF Circulation ; Patients ; Performance evaluation ; Pressure ; Quality of life ; Surgery ; Surgical Orthopedics</subject><ispartof>Acta neurochirurgica, 2022-07, Vol.164 (7), p.1765-1775</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-1d50235a61659c12a8649118f5cb8328711bbace9599b660890a903514578f813</citedby><cites>FETCH-LOGICAL-c474t-1d50235a61659c12a8649118f5cb8328711bbace9599b660890a903514578f813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00701-022-05149-2$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00701-022-05149-2$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35212797$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hülser, Matthias</creatorcontrib><creatorcontrib>Spielmann, Hannah</creatorcontrib><creatorcontrib>Oertel, Joachim</creatorcontrib><creatorcontrib>Sippl, Christoph</creatorcontrib><title>Motor skills, cognitive impairment, and quality of life in normal pressure hydrocephalus: early effects of shunt placement</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir</addtitle><addtitle>Acta Neurochir (Wien)</addtitle><description>Background
Traditionally, clinical findings of normal pressure hydrocephalus are mainly characterized by the Hakim triad. The aim of this study is to evaluate the performance of patients suffering from idiopathic normal pressure hydrocephalus (iNPH) in a more holistic manner regarding motor skills, cognitive impairment, and quality of life.
Methods
In total, 30 individuals diagnosed with iNPH as well as a reference group with another 30 individuals were included. The iNPH patients and the reference group were age, educational, and morbidity matched. A standardized test battery for psychomotor skills, gait, neuropsychological abilities as well as questionnaires for quality of life was applied. The iNPH group was tested prior to surgery, at 6 weeks, and 3 months postoperatively. The reference group was tested once.
Results
Patients showed a significant improved performance in various items of the test battery during the first 3 months postoperatively. This included neuropsychological evaluation, motor skills including gait and upper motor function as well as the quality of life of the patients. Compared to reference individuals, neuropsychological aspects and quality of life of iNPH patients improved in some parts nearly to normal values.
Conclusion
Our findings underline that shunt surgery does not only improve the symptoms in iNPH patients but also ameliorates the quality of life to a great extent close to those of age and comorbidity matched reference individuals. This data enables an optimized counseling of iNPH patients regarding the expectable outcome after shunt surgery especially regarding cognitive performance, motor skills as well as life quality.</description><subject>Cognitive ability</subject><subject>Comorbidity</subject><subject>CSF Circulation</subject><subject>Gait</subject><subject>Hydrocephalus</subject><subject>Interventional Radiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Morbidity</subject><subject>Motor ability</subject><subject>Motor skill</subject><subject>Motor task performance</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Neuroradiology</subject><subject>Neurosurgery</subject><subject>Original - CSF Circulation</subject><subject>Original Article - CSF Circulation</subject><subject>Patients</subject><subject>Performance evaluation</subject><subject>Pressure</subject><subject>Quality of life</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><issn>0942-0940</issn><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kctO3TAQhi1Exf0FuqgsdcOCtL7ESdwFEkJcKlF1U9aW4-OcY-rYwZMgHZ4epwco7YKNPaP55h-Pf4Q-UvKFElJ_hXwQWhDGCiJoKQu2hfaILHMqS7L9Jt5F-wB3hFBWl3wH7XLBcijrPfT4I44xYfjtvIcTbOIyuNE9WOz6QbvU2zCeYB0W-H7S3o1rHDvsXZfrAYeYeu3xkCzAlCxerRcpGjustJ_gG7Y6-TW2XWfNCHMfrKYw4sFrY2fdQ_Sh0x7s0fN9gG4vL36dXxc3P6--n5_dFKasy7GgC0EYF7qilZCGMt1UpaS06YRpG86amtK2zZJSSNlWFWkk0ZLw_CGibrqG8gN0utEdpra3C5NHJ-3VkFyv01pF7dS_leBWahkflGScV6zKAsfPAineTxZG1Tsw1nsdbJxAZYRLxnjNMvr5P_QuTink9TLVkKqkVMwU21AmRYBku9fHUKJma9XGWpWtVX-sVXPTp7drvLa8eJkBvgEgl8LSpr-z35F9AkT1r8k</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>Hülser, Matthias</creator><creator>Spielmann, Hannah</creator><creator>Oertel, Joachim</creator><creator>Sippl, Christoph</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220701</creationdate><title>Motor skills, cognitive impairment, and quality of life in normal pressure hydrocephalus: early effects of shunt placement</title><author>Hülser, Matthias ; Spielmann, Hannah ; Oertel, Joachim ; Sippl, Christoph</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-1d50235a61659c12a8649118f5cb8328711bbace9599b660890a903514578f813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cognitive ability</topic><topic>Comorbidity</topic><topic>CSF Circulation</topic><topic>Gait</topic><topic>Hydrocephalus</topic><topic>Interventional Radiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgery</topic><topic>Morbidity</topic><topic>Motor ability</topic><topic>Motor skill</topic><topic>Motor task performance</topic><topic>Neurology</topic><topic>Neuropsychology</topic><topic>Neuroradiology</topic><topic>Neurosurgery</topic><topic>Original - CSF Circulation</topic><topic>Original Article - CSF Circulation</topic><topic>Patients</topic><topic>Performance evaluation</topic><topic>Pressure</topic><topic>Quality of life</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hülser, Matthias</creatorcontrib><creatorcontrib>Spielmann, Hannah</creatorcontrib><creatorcontrib>Oertel, Joachim</creatorcontrib><creatorcontrib>Sippl, Christoph</creatorcontrib><collection>SpringerOpen</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hülser, Matthias</au><au>Spielmann, Hannah</au><au>Oertel, Joachim</au><au>Sippl, Christoph</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Motor skills, cognitive impairment, and quality of life in normal pressure hydrocephalus: early effects of shunt placement</atitle><jtitle>Acta neurochirurgica</jtitle><stitle>Acta Neurochir</stitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>164</volume><issue>7</issue><spage>1765</spage><epage>1775</epage><pages>1765-1775</pages><issn>0942-0940</issn><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>Background
Traditionally, clinical findings of normal pressure hydrocephalus are mainly characterized by the Hakim triad. The aim of this study is to evaluate the performance of patients suffering from idiopathic normal pressure hydrocephalus (iNPH) in a more holistic manner regarding motor skills, cognitive impairment, and quality of life.
Methods
In total, 30 individuals diagnosed with iNPH as well as a reference group with another 30 individuals were included. The iNPH patients and the reference group were age, educational, and morbidity matched. A standardized test battery for psychomotor skills, gait, neuropsychological abilities as well as questionnaires for quality of life was applied. The iNPH group was tested prior to surgery, at 6 weeks, and 3 months postoperatively. The reference group was tested once.
Results
Patients showed a significant improved performance in various items of the test battery during the first 3 months postoperatively. This included neuropsychological evaluation, motor skills including gait and upper motor function as well as the quality of life of the patients. Compared to reference individuals, neuropsychological aspects and quality of life of iNPH patients improved in some parts nearly to normal values.
Conclusion
Our findings underline that shunt surgery does not only improve the symptoms in iNPH patients but also ameliorates the quality of life to a great extent close to those of age and comorbidity matched reference individuals. This data enables an optimized counseling of iNPH patients regarding the expectable outcome after shunt surgery especially regarding cognitive performance, motor skills as well as life quality.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>35212797</pmid><doi>10.1007/s00701-022-05149-2</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Cognitive ability Comorbidity CSF Circulation Gait Hydrocephalus Interventional Radiology Medicine Medicine & Public Health Minimally Invasive Surgery Morbidity Motor ability Motor skill Motor task performance Neurology Neuropsychology Neuroradiology Neurosurgery Original - CSF Circulation Original Article - CSF Circulation Patients Performance evaluation Pressure Quality of life Surgery Surgical Orthopedics |
| title | Motor skills, cognitive impairment, and quality of life in normal pressure hydrocephalus: early effects of shunt placement |
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