[Normal pressure hydrocephalus in geriatric patients--a treatable form of dementia].
Six geriatric patients are presented who were treated because of normal pressure hydrocephalus. A tentative diagnosis was made if dementia, gait disturbance, and incontinence together with a typical CAT-scan were present. In these cases an operation was carried out. After ventriculo-peritoneal shunting clinical improvements were seen in four patients. Postoperative complications were hygromas in three patients and a shunt-dislocation in another patient. A chronic subdural bleeding was recorded also in one of these patients with only a temporary success in this case. Two patients showed no clinical improvement at any time. However, in these cases additional neurologic symptoms together with typical CAT-scan changes were present. Before making a decision for an operation vascular processes and Alzheimer's disease should be ruled out.
Martin
U
U
Geriatrische Klinik, Radioonkologie, Nuklearmedizin der Städtischen Kliniken Duisburg.
Martin
M
M
Bettag
W
W
Fiebach
B J
BJ
Leven
B
B
Magnus
L
L
Makoski
H B
HB
Wandt
H
H
D000368:Aged; D002557:Cerebrospinal Fluid Shunts; D003704:Dementia / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000150:complications*; D006850:Hydrocephalus, Normal Pressure / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D009483:Neuropsychological Tests; D011183:Postoperative Complications / Q000175:diagnosis; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed
Normaldruckhydrozephalus bei geriatrischen Patienten--eine behandelbare Form der Demenz.