最近审阅: 26 十月 2020
最近更新: 17 十月 2019

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

其他诊断因素

  • 认知障碍
  • 尿频、尿急和尿失禁
  • 大便失禁

危险因素

  • 年龄>65 岁
  • 血管疾病
  • 糖尿病

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
更多 首要检查

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
更多 需考虑的检查

治疗流程

撰稿人

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.

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

同行评议者展开全部内容

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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