Hydrocéphalie à pression normale : mise au point et aspects pratiques

Mongin, M; Hommet, Caroline; Mondon, Karl

doi:10.1016/j.revmed.2015.08.001

Cited by 13 publications

(7 citation statements)

References 53 publications

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“…The curative treatment is surgical and is based on the internal derivation of the LCS to a site of extracranial resorption. In sub-Saharan Africa and our study, a ventriculoperitoneal derivation is the most used technique [10] [11], as in most Western studies [22]. It is the type of valve used that differs according to the socio-economic level of the study population.…”

Section: Discussionmentioning

confidence: 99%

Management of Idiopathic Chronic Hydrocephalus of the Adult in Guinea: A Prospective Study in 16 Patients

Bah¹,

Souaré²,

Berete³

et al. 2021

OJMN

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Object: Incidence of Idiopathic chronic hydrocephalus of the adult (ICHA) is increasing in Guinea due to the aging of the population. The goal of this study was to describe its epidemiology, clinical presentation, and surgical outcome in a low-resource medical environment. Method: Sixteen patients operated for a probable ICHA were prospectively studied according to a uniform protocol from June 2019 to December 2020. On computerized tomography, all operated patients had a clinical triad of gait disturbance, incontinence, dementia associated with ventriculomegaly, and transependymal edema. In addition, all patients underwent a single lumbar tap, improved clinically, and were subsequently offered a shunt consisting of a simple catheter in 37.5% and a non-adjustable high-pressure valve in 62.5%. Result: The mean age was 68.31 ± 10.4 (range 49 -89). The sex ratio H/F was 1.67/1. Clinically, the most frequent comorbidity was a combination of hypertension and diabetes in 56.5% of cases. The mean time to diagnosis was 8.31 ± 2.75 months (range 3 -14). The immediate postoperative mortality was 12.5% from a status epilepticus and pulmonary sepsis. In addition, we observed 2 cases of chronic subdural hematoma (12.5%) and 2 cases of shunt dysfunction (12.5%) in the first three months. The functional outcome was good in 23% of patients at one month (N = 13), 50% at three months (N = 10), and 87.5% at six months (N = 8). Conclusion: In carefully selected cases, the surgical outcome of ICHA in Guinea is comparable to high-income countries. Efforts need to be put in helping patients get covered with universal insurance and generally promote Neurosurgery in the country to improve the quality of care.

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Section: Discussionmentioning

confidence: 99%

Management of Idiopathic Chronic Hydrocephalus of the Adult in Guinea: A Prospective Study in 16 Patients

Bah¹,

Souaré²,

Berete³

et al. 2021

OJMN

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“…In this study, we first report the possible SPC related dementia with expanded lateral ventricle. We suppose that SPC may block CSF flow and influence the formation and maintenance of normal pressure hydrocephalus (NPH), which could exhibit associated symptoms including headache, cognitive and psychiatric disorders (Siedlecki, 2008 ; Lieb et al, 2015 ; Mongin et al, 2015 ). After neurosurgical treatment, the patient’s symptoms were disappeared.…”

Section: Discussionmentioning

confidence: 99%

A 58-Year Old Male with Cognitive Deteriorations Caused by Septum Pellucidum Cyst: A Case Report

Chen

Zhu

Zhang

et al. 2017

Front. Aging Neurosci.

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Dementia is known to be induced by vascular dementia and certain neurodegenerative diseases. The presenting features of disordered memory, intellect and personality often result in referral to a neurologist initially. Septum pellucidum cyst (SPC) is a rare clinical finding and defined as a cystic structure between the lateral ventricles. SPC induced memory disorder and dementia has been seldom reported in which the clinical features are atypical and can be misdiagnosed. The main difficulty is to establish a correlation between symptoms and the cyst. When indicated, the treatment is essentially surgical and the ideal operative technique is also a matter of debate. Here, we reported a 58-year-male Chinese patient who presented with memory impairment 1 year ago. Both the physical and laboratory examinations were performed to evaluate the general conditions of the patient. Brain magnetic resonance imaging (MRI) was applied to observe SPC and the neighboring brain structures. Mini-Mental State Exam (MMSE) and Montreal Cognitive Assessment (MoCA) were used to assess cognitive function. The results of the patient’s laboratory examinations were normal. However, the patient exhibited severe sleeplessness along with cognitive deteriorations despite short-term (less than 2 weeks) use of benzodiazepines with regular dose. MRI fulfills the consensus criteria for clinical diagnosis of SPC. Furthermore, the results of MMSE and MoCA were showed mild cognitive impairment (MCI) before the treatment of SPC. After neuroendoscopic fenestration of SPC, the patient’s syndromes were disappeared, and his cognitive function was improved. In conclusion, the patient’s symptoms were due to a secondary lesion attributed to the cyst. Comprehensive clinical evaluation and MRI help diagnose SPC induced dementia.

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“…In these patients, imaging findings show that the ventricles of the brain are dilated, but according to lumbar puncture, the CSF pressure is normal. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, since ventriculoperitoneal shunting reduces the size of dilated ventricles, it may lead to ventricular rupture syndrome, which is associated with more complications if re-shunting is required. [ 4 ] Endoscopic third ventriculostomy (ETV) is a new method for the treatment of HCP in which, in addition to the fact that the patient does not need an implant, the risk of infection is low and the long-term treatment outcomes are observed to be excellent. [ 6 ] Numerous studies indicate the predominant effect of ETV in pediatric and adult patients, but considering the importance of treatment outcomes in these patients and the limited information on the treatment outcomes in the country, evaluation of the possibility of failure and response to treatment in normal-pressure HCP patients undergoing ETV is essential.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of treatment response results in patients with normal-pressure hydrocephalus undergoing surgery

Aghamiri

Komlakh

Oveisi

2023

Journal of Family Medicine and Primary Care

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A BSTRACT Introduction: Endoscopic third ventriculostomy is an important surgical method in the treatment of various forms of adult hydrocephalus and in many cases is more effective than traditional methods. The aim of this study was to evaluate the results of response to treatment in patients with normal-pressure hydrocephalus undergoing endoscopic third ventriculostomy surgery. Materials and Methods: This descriptive cross-sectional study was performed on 24 patients with normal-pressure hydrocephalus who underwent endoscopic third ventriculostomy. The patients were selected by the available sampling method, and the data were collected through a researcher-made checklist. Data were analyzed using SPSS-26 software. Results: Among 24 patients, 62.5% were male and the mean age was 70.85 ± 9.1 years. The results showed that there was no statistically significant relationship between age ( P value = 0.43) and sex ( P value = 0.37) with the success and failure rate of the surgical method. There was a significant difference between movement disorders ( P value = 0.00) and dementia ( P value = 0.00) before and after surgery, while there was no statistically significant difference between urinary disorders before and after surgery ( P value = 0.22). Discussion and Conclusion: Endoscopic third ventriculostomy is an effective surgical method in the treatment of patients with normal-pressure hydrocephalus and it improves the symptoms of movement disorder and dementia.

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Hydrocéphalie à pression normale : mise au point et aspects pratiques

Cited by 13 publications

References 53 publications

Management of Idiopathic Chronic Hydrocephalus of the Adult in Guinea: A Prospective Study in 16 Patients

Management of Idiopathic Chronic Hydrocephalus of the Adult in Guinea: A Prospective Study in 16 Patients

A 58-Year Old Male with Cognitive Deteriorations Caused by Septum Pellucidum Cyst: A Case Report

Evaluation of treatment response results in patients with normal-pressure hydrocephalus undergoing surgery

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