Abstract
A generally accepted theory for the genesis of dilatation of ventricles of patients suffering from normal-pressure hydrocephalus (NPH) is the restriction of the capacity to absorb cerebro-spinal fluid (CSF). This restricted absorption of CSF is equalised by the implantation of a drainage system. Based on theoretical considerations it would be expected that the dilatation of the ventricles should decrease in parallel with the postoperative clinical improvement. However, our own experiences in the era of echo- and pneumoencephalography made us doubt this correlation, doubts which were confirmed by the evaluations of SHENKIN et al. (12). The methods offered by computed tomography (CT) which submit patients to less stress, enable us for the first time to carry out more exact examinations of the correlation between clinical improvement and postoperative decrease of the dilatation of the ventricles.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Black, P. McL.: Idiopathic normal-pressure hydrocephalus. Results of shunting in 62 patients. J. Neurosurg. 52, 371–377 (1980)
Greenberg, J.O., Shenkin, H.A., Adam, R.: Idiopathic normal-pressure hydrocephalus — a report of 73 patients. J. Neurosurg. Psychiatry 40, 336–341 (1977)
Gunasekera, L., Richardson, A.E.: Computerized axial tomography in idiopathic hydrocephalus. Brain 100, 749–754 (1977)
Hussey, F., Schanzer, B., Katzman, R.: A simple constant-infusion manometric test for measurement of CSF absorption. II. Clinical-studies. Neurology 20, 665–680 (1970)
Jacobs, L., Conti, D., Kinkel, W.R., Manning, E.: Normal-pressure hydrocephalus: Relationship of clinical and radiographic findings to improvement following shunt surgery. JAMA 235, 510–512 (1976)
Jacobs, L., Kinkel, W.: Computerized axial transverse tomography in normal pressure hydrocephalus. Neurology 26, 501–507 (1976)
Katzman, R., Hussey, F.: A simple constant-infusion manometric test for measurement of CSF absorption: I. Rational and method. Neurology (Minneap.) 20, 534–544 (1970)
Laws, E.R., Mokri, B.: Occult hydrocephalus: Results of shunting correlated with diagnostic tests. Clin. Neurosurg. 24, 316–333 (1977)
Lorenzo, A.V., Bresnan, M.J., Barlow, C.F.: Cerebrospinal fluid absorption deficit in normal-pressure hydrocephalus. Arch. Neurol. 30, 387–393 (1974)
Messert, B., Wannamaker, B.B.: Reappraisal of the adult occult hydrocephalus syndrome. Neurology 224–231 (1974)
Salmon, J.H.; Adult hydrocephalus: Evaluation of shunt therapy in 80 patients. J. Neurosurg. 37, 423–428 (1972)
Shenkin, H.A., Greenberg, J.O., Grossman, Ch.B.: Ventricular size after shunting for idiopathic normal pressure hydrocephalus. J. Neurol., Neurosurg. Psych. 38, 833–837 (1975)
Sprung, Ch., Grumme, Th.: Use of CT cisternography, RISA cisternography, and the infusion gest for predicting shunting results in normal pressure hydrocephalus (NPH). Advances in neurosurgery, Vol. 7. Marguth, F., Brock, M., Kazner, E., Klinger, M., Schmiedek, P. (eds.), pp. 350–360. Berlin, Heidelberg, New York: Springer 1979
Udvarhelyi, G.B.: Kritische Bewertung neuro-chirurgischer Behandlungsmethoden beim sogenannten Normaldruck-Hydrocephalus. Neurochirurgia 21, 1–8 (1978)
Wannamaker, B.B., Hungerford, G.D., Rawe, S.E.: Computed tomography in patients with successfully shunted normal pressure hydrocephalus. Computed axial tomography 175–181 University Park Press USA (1977)
Wood, J.H., Bartlet, D., James, A.E., Udvarhelyi, B.: Normal-pressure hydrocephalus: diagnosis and patient selection for shunt surgery. Neurology 517–526 (1974)
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1982 Springer-Verlag Berlin · Heidelberg
About this paper
Cite this paper
Sprung, C., Schulz, B. (1982). Correlation of Postoperative Clinical Course and Ventricular Size Determined by Computed Tomography in Normal Pressure Hydrocephalus. In: Driesen, W., Brock, M., Klinger, M. (eds) Computerized Tomography Brain Metabolism Spinal Injuries. Advances in Neurosurgery, vol 10. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68310-7_25
Download citation
DOI: https://doi.org/10.1007/978-3-642-68310-7_25
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-11115-3
Online ISBN: 978-3-642-68310-7
eBook Packages: Springer Book Archive