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正常压力脑积水

最后审阅: 5 Oct 2024
最后更新: 13 Oct 2022

小结

定义

病史和体格检查

关键诊断因素

  • 对左旋多巴无反应的步态障碍
完整详情

其他诊断因素

  • 认知障碍
  • 尿频、尿急和尿失禁
  • 大便失禁
完整详情

危险因素

  • 年龄>65 岁
  • 血管疾病
  • 糖尿病
完整详情

诊断性检查

首要检查

  • 头颅 CT(平扫)或头颅 MRI
  • 左旋多巴激发试验
完整详情

需考虑的检查

  • 腰椎穿刺术:
  • 腰椎穿刺兼脑脊液(CSF)放液治疗
  • 持续腰大池外引流
  • 脑脊液(CSF)输注
  • 连续颅内压监测
完整详情

治疗流程

持续性治疗

适合手术

不适合手术

撰稿人

作者

Richard Adam Grünewald, MA, DPhil, FRCP
Richard Adam Grünewald

Consultant Neurologist

Honorary Clinical Senior Lecturer

Sheffield Teaching Hospitals NHS Foundation Trust

Sheffield

UK

利益声明

RAG has chaired a NICE guideline development group on neurological conditions, including recognition of movement disorders associated with normal pressure hydrocephalus. RAG received standard remuneration for chairing a NICE guideline development group. RAG is the author of a paper cited in this topic.

鸣谢

Dr Richard Grünewald would like to gratefully acknowledge Mr Jeremy Rowe, a previous contributor to this topic.

同行评议者

Robin Wilson, MD, PhD

Associate Director

Adult Hydrocephalus Center

Sandra and Malcolm Berman Brain & Spine Institute

Sinai Hospital

Baltimore

MD

利益声明

RW declares that she has no competing interests.

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