الفهرس | Only 14 pages are availabe for public view |
Abstract The syndrome of normal pressure hydrocephalus (NPH) has been well described. The adult with symptomatic hydrocephalus will present with mild dementia, a gait disturbance, and urinary incontinence. The literature documents a wide range of response to ventriculo-peritoneal (VP) shunting procedures in these patients. Investigators have grappled for years with finding a method to identify those patients who have clinical symptoms, clinical findings, and radiographic studies supportive of NPH who will respond to ventriculo-peritoneal (VP) shunting. Elderly patients suffering from central brain atrophy have the radiological appearance as hydrocephalus, so we face a problem in differentiation between them. Recently magnetic resonance imaging (MRI) examination has evolved to solve these problems, through cerebrospinal fluid (CSF) flow measurements. The aim of this study is to high light the role of MRI CSF flow measurements in evaluation of NPH, choose candidates for shunting, and differentiate between brain atrophy and hydrocephalus. |