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
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.
鉴别诊断
- 帕金森病
- 帕金森叠加综合征 (Parkinson's-plus syndromes)
- 脑血管震颤麻痹
更多 鉴别诊断指南
- 特发性正常压力脑积水管理指南:第三版
- 实践指南:特发性正常压力脑积水:对分流的应答和应答的预测指标
更多 指南- 登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明