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뇌척수액 션트수술 후에 회복된 외상후수두증 치매

Dementia Caused by Post-traumatic Hydrocephalus Showing Marked Improvement After a Shunt Operation

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초록

A few cases of dementia caused by posttraumatic hydrocephalus have been reported. A 75-year-old man was admitted to hospital for the evaluation of cognitive impairment and gait disturbance of 2 weeks duration. The patient had been involved in a car accident 50 days prior to his admission. A brain MRI revealed significant hydrocephalus. His score on the Korean version of the Mini Mental State Examination was 14/30, and a neuropsychological assessment revealed severe impairments in all domains. A lumboperitoneal shunt operation was performed. His global cognitive functions and daily activities were fully recovered after the procedure.

Abstract

A few cases of dementia caused by posttraumatic hydrocephalus have been reported. A 75-year-old man was admitted to hospital for the evaluation of cognitive impairment and gait disturbance of 2 weeks duration. The patient had been involved in a car accident 50 days prior to his admission. A brain MRI revealed significant hydrocephalus. His score on the Korean version of the Mini Mental State Examination was 14/30, and a neuropsychological assessment revealed severe impairments in all domains. A lumboperitoneal shunt operation was performed. His global cognitive functions and daily activities were fully recovered after the procedure.

참고문헌 (10)

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  3. Duinkerke A, "Cognitive Recovery in Idiopathic Normal Pressure Hydrocephalus After Shunt", Cogn Behav Neurol, 17, pp.179~184 (2004)
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  5. Chang S, "Demographic Factors Influence Cognitive Recovery After Shunt for Normal-Pressure Hydrocephalus", Neurologist, 12, pp.39~42 (2006)
  6. Chaudhry P, "Characteristics and reversibility of dementia in Normal Pressure Hydrocephalus", Behav Neurol, 18, pp.149~158 (2007)
  7. Pujari S, "Normal Pressure Hydrocephalus: long term outcome after shunt surgery.", J Neurol Neurosur Psychiatry, 79, pp.1282~1286 (2008)
  8. Thomas G, "Baseline neuropsychological profile and cognitive response to cerebrospinal fluid shunting for idiopathic normal pressure hydrocephalus", Dement Geriatr Cogn Disord, 20, pp.163~168 (2005)
  9. Kim SW, "Clinical Analysis", Neurosurg Soc, 38, pp.211~214 (2005)
  10. Thomsen AM, "Prognosis of dementia in normal pressure hydrocephalus after a shunt operation", Ann Neurol, 20, pp.304~310 (1986)

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