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Differentiation of normal pressure hydrocephalus and cerebral atrophy by computed tomography and spinal infusion test

Abstract

The diagnostic value of computed tomography (CT) and spinal infusion test (SIT) was investigated in 27 patients with normal pressure hydrocephalus (NPH) and 35 patients with cerebral atrophy. The most consistent CT finding of NPH was dilatation of the temporal horns, that of cerebral atrophy widening of the convexity sulci. However, 43% of patients with cerebral atrophy demonstrated no cortical atrophy. The SIT showed an excellent relation with isotope cisternography and continuous intracranial pressure recording. NPH and cerebral atrophy were correctly differentiated in 71% by CT and SIT. A normal SIT and a CT scan without the typical features of NPH exclude impairment of cerebrospinal fluid absorption. An abnormal SIT and a CT scan showing ventricular enlargement without dilatation of convexity sulci, require isotope cisternography and possibly intracranial pressure recording to determine the degree of the absorption deficit.
Authors:
Tans, J T.J. [1] 
  1. Nijverheidsorganisatie TNO, The Hague (Netherlands). Dept. of Neurology and Research Unit TNO for Clinical Neurophysiology
Publication Date:
Jan 01, 1979
Product Type:
Journal Article
Reference Number:
AIX-11-544298; EDB-80-103370
Resource Relation:
Journal Name: J. Neurol.; (Germany, Federal Republic of); Journal Volume: 222:2
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BRAIN; CAT SCANNING; MALFORMATIONS; DIAGNOSIS; ATROPHY; CEREBROSPINAL FLUID; COMPARATIVE EVALUATIONS; BIOLOGICAL MATERIALS; BODY; BODY FLUIDS; CENTRAL NERVOUS SYSTEM; COMPUTERIZED TOMOGRAPHY; DIAGNOSTIC TECHNIQUES; DISEASES; IMAGE PROCESSING; MATERIALS; NERVOUS SYSTEM; ORGANS; PATHOLOGICAL CHANGES; TOMOGRAPHY; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
5247152
Country of Origin:
Germany
Language:
English
Other Identifying Numbers:
Journal ID: CODEN: JNRYA
Submitting Site:
INIS
Size:
Pages: 109-118
Announcement Date:
Aug 01, 1980

Citation Formats

Tans, J T.J. Differentiation of normal pressure hydrocephalus and cerebral atrophy by computed tomography and spinal infusion test. Germany: N. p., 1979. Web.
Tans, J T.J. Differentiation of normal pressure hydrocephalus and cerebral atrophy by computed tomography and spinal infusion test. Germany.
Tans, J T.J. 1979. "Differentiation of normal pressure hydrocephalus and cerebral atrophy by computed tomography and spinal infusion test." Germany.
@misc{etde_5247152,
title = {Differentiation of normal pressure hydrocephalus and cerebral atrophy by computed tomography and spinal infusion test}
author = {Tans, J T.J.}
abstractNote = {The diagnostic value of computed tomography (CT) and spinal infusion test (SIT) was investigated in 27 patients with normal pressure hydrocephalus (NPH) and 35 patients with cerebral atrophy. The most consistent CT finding of NPH was dilatation of the temporal horns, that of cerebral atrophy widening of the convexity sulci. However, 43% of patients with cerebral atrophy demonstrated no cortical atrophy. The SIT showed an excellent relation with isotope cisternography and continuous intracranial pressure recording. NPH and cerebral atrophy were correctly differentiated in 71% by CT and SIT. A normal SIT and a CT scan without the typical features of NPH exclude impairment of cerebrospinal fluid absorption. An abnormal SIT and a CT scan showing ventricular enlargement without dilatation of convexity sulci, require isotope cisternography and possibly intracranial pressure recording to determine the degree of the absorption deficit.}
journal = []
volume = {222:2}
journal type = {AC}
place = {Germany}
year = {1979}
month = {Jan}
}