Senile brain atrophy and hydrocephalus -A case of treatable dementia, idiopathic normal pressure hydrocephalus-

概要

論文の詳細を見る
A 76y male suffering from progressive dementia (Hasegawa's dementia scale = 6), urinary incontinence, and gate disturbance received CSF shunting. The clinical findings of MRI, CT-cisternography, and a CSF-tap test were not typical for idiopathic normal pressure hydrocephalus (iNPH); rather, the MRI showed brain atrophy. The decision to perform shunting surgery was made due to the clinical manifestation of progressive dementia, and fortunately, it was successful. Senile brain atrophy does not rule out hydrocephalus. The indication of CSF shunting for senile iNPH is outlined. 「INTRODUCTION」Idiopathic normal pressure hydrocephalus (iNPH) represents a treatable form of dementia (Martin U, 1989). Recent estimates of the incidence of this condition are in the region of 2.9% of in elderly subjects of >65y (Hiraoka K, 2008). Thus >30000 dementia senile >65y people are estimated to be treatable yearly in Japan. As dementia is an increasing demographic problem, treatable forms such as iNPH have become a central issue in geronto-neurology.
藍野大学の論文