Is a combination of Tc-SPECT or perfusion weighted magnetic resonance imaging with spinal tap test helpful in the diagnosis of normal pressure hydrocephalus?
Identifieur interne : 000780 ( PubMed/Corpus ); précédent : 000779; suivant : 000781Is a combination of Tc-SPECT or perfusion weighted magnetic resonance imaging with spinal tap test helpful in the diagnosis of normal pressure hydrocephalus?
Auteurs : F. Hertel ; C. Walter ; M. Schmitt ; M. Mörsdorf ; W. Jammers ; H P Busch ; M. BettagSource :
- Journal of neurology, neurosurgery, and psychiatry [ 0022-3050 ] ; 2003.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Cerebrospinal Fluid Pressure (physiology), Cerebrospinal Fluid Shunts, Cerebrovascular Circulation (physiology), Female, Humans, Hydrocephalus, Normal Pressure (diagnosis), Hydrocephalus, Normal Pressure (physiopathology), Hydrocephalus, Normal Pressure (surgery), Magnetic Resonance Imaging, Male, Middle Aged, Patient Selection, Preoperative Care, Reproducibility of Results, Sensitivity and Specificity, Spinal Puncture, Tomography, Emission-Computed, Single-Photon.
- MESH :
- diagnosis : Hydrocephalus, Normal Pressure.
- physiology : Cerebrospinal Fluid Pressure, Cerebrovascular Circulation.
- physiopathology : Hydrocephalus, Normal Pressure.
- surgery : Hydrocephalus, Normal Pressure.
- Adult, Aged, Aged, 80 and over, Cerebrospinal Fluid Shunts, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Patient Selection, Preoperative Care, Reproducibility of Results, Sensitivity and Specificity, Spinal Puncture, Tomography, Emission-Computed, Single-Photon.
Abstract
The aim of this study was to evaluate the combination of spinal tap test (STT) with cerebral perfusion measurement assessed either by Tc-bicisate-SPECT (Tc-SPECT) or perfusion weighted MRI (pwMRI), or both, for a better preoperative selection of promising candidates for shunt operations in suspected idiopathic normal pressure hydrocephalus.
PubMed: 12640067
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pubmed:12640067Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Is a combination of Tc-SPECT or perfusion weighted magnetic resonance imaging with spinal tap test helpful in the diagnosis of normal pressure hydrocephalus?</title><author><name sortKey="Hertel, F" sort="Hertel, F" uniqKey="Hertel F" first="F" last="Hertel">F. Hertel</name><affiliation><nlm:affiliation>Department of Neurosurgery, Brüderkrankenhaus Trier, University of Trier, Nordallee 1, D-54292 Trier, Germany. F.Hertel@bk-trier.de</nlm:affiliation></affiliation></author><author><name sortKey="Walter, C" sort="Walter, C" uniqKey="Walter C" first="C" last="Walter">C. Walter</name></author><author><name sortKey="Schmitt, M" sort="Schmitt, M" uniqKey="Schmitt M" first="M" last="Schmitt">M. Schmitt</name></author><author><name sortKey="Morsdorf, M" sort="Morsdorf, M" uniqKey="Morsdorf M" first="M" last="Mörsdorf">M. Mörsdorf</name></author><author><name sortKey="Jammers, W" sort="Jammers, W" uniqKey="Jammers W" first="W" last="Jammers">W. Jammers</name></author><author><name sortKey="Busch, H P" sort="Busch, H P" uniqKey="Busch H" first="H P" last="Busch">H P Busch</name></author><author><name sortKey="Bettag, M" sort="Bettag, M" uniqKey="Bettag M" first="M" last="Bettag">M. Bettag</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2003">2003</date><idno type="RBID">pubmed:12640067</idno><idno type="pmid">12640067</idno><idno type="wicri:Area/PubMed/Corpus">000780</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000780</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Is a combination of Tc-SPECT or perfusion weighted magnetic resonance imaging with spinal tap test helpful in the diagnosis of normal pressure hydrocephalus?</title><author><name sortKey="Hertel, F" sort="Hertel, F" uniqKey="Hertel F" first="F" last="Hertel">F. Hertel</name><affiliation><nlm:affiliation>Department of Neurosurgery, Brüderkrankenhaus Trier, University of Trier, Nordallee 1, D-54292 Trier, Germany. F.Hertel@bk-trier.de</nlm:affiliation></affiliation></author><author><name sortKey="Walter, C" sort="Walter, C" uniqKey="Walter C" first="C" last="Walter">C. Walter</name></author><author><name sortKey="Schmitt, M" sort="Schmitt, M" uniqKey="Schmitt M" first="M" last="Schmitt">M. Schmitt</name></author><author><name sortKey="Morsdorf, M" sort="Morsdorf, M" uniqKey="Morsdorf M" first="M" last="Mörsdorf">M. Mörsdorf</name></author><author><name sortKey="Jammers, W" sort="Jammers, W" uniqKey="Jammers W" first="W" last="Jammers">W. Jammers</name></author><author><name sortKey="Busch, H P" sort="Busch, H P" uniqKey="Busch H" first="H P" last="Busch">H P Busch</name></author><author><name sortKey="Bettag, M" sort="Bettag, M" uniqKey="Bettag M" first="M" last="Bettag">M. Bettag</name></author></analytic><series><title level="j">Journal of neurology, neurosurgery, and psychiatry</title><idno type="ISSN">0022-3050</idno><imprint><date when="2003" type="published">2003</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cerebrospinal Fluid Pressure (physiology)</term><term>Cerebrospinal Fluid Shunts</term><term>Cerebrovascular Circulation (physiology)</term><term>Female</term><term>Humans</term><term>Hydrocephalus, Normal Pressure (diagnosis)</term><term>Hydrocephalus, Normal Pressure (physiopathology)</term><term>Hydrocephalus, Normal Pressure (surgery)</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Patient Selection</term><term>Preoperative Care</term><term>Reproducibility of Results</term><term>Sensitivity and Specificity</term><term>Spinal Puncture</term><term>Tomography, Emission-Computed, Single-Photon</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hydrocephalus, Normal Pressure</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Cerebrospinal Fluid Pressure</term><term>Cerebrovascular Circulation</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hydrocephalus, Normal Pressure</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hydrocephalus, Normal Pressure</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cerebrospinal Fluid Shunts</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Patient Selection</term><term>Preoperative Care</term><term>Reproducibility of Results</term><term>Sensitivity and Specificity</term><term>Spinal Puncture</term><term>Tomography, Emission-Computed, Single-Photon</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to evaluate the combination of spinal tap test (STT) with cerebral perfusion measurement assessed either by Tc-bicisate-SPECT (Tc-SPECT) or perfusion weighted MRI (pwMRI), or both, for a better preoperative selection of promising candidates for shunt operations in suspected idiopathic normal pressure hydrocephalus.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">12640067</PMID><DateCreated><Year>2003</Year><Month>03</Month><Day>17</Day></DateCreated><DateCompleted><Year>2003</Year><Month>04</Month><Day>23</Day></DateCompleted><DateRevised><Year>2014</Year><Month>06</Month><Day>11</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-3050</ISSN><JournalIssue CitedMedium="Print"><Volume>74</Volume><Issue>4</Issue><PubDate><Year>2003</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Journal of neurology, neurosurgery, and psychiatry</Title><ISOAbbreviation>J. Neurol. Neurosurg. Psychiatr.</ISOAbbreviation></Journal><ArticleTitle>Is a combination of Tc-SPECT or perfusion weighted magnetic resonance imaging with spinal tap test helpful in the diagnosis of normal pressure hydrocephalus?</ArticleTitle><Pagination><MedlinePgn>479-84</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study was to evaluate the combination of spinal tap test (STT) with cerebral perfusion measurement assessed either by Tc-bicisate-SPECT (Tc-SPECT) or perfusion weighted MRI (pwMRI), or both, for a better preoperative selection of promising candidates for shunt operations in suspected idiopathic normal pressure hydrocephalus.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">27 consecutive patients were examined with a standard clinical protocol (assessed by the Homburg Hydrocephalus Scale (HHS)) as well as with 99m Tc-bicisate-SPECT (n=27) or additionally by pwMRI (n=12) before and after STT. The results of these examinations were compared preoperatively for each patient and correlated with postoperative clinical outcome after shunt surgery.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Nine patients showed both, a clinical improvement, and increased cerebral perfusion after STT. They underwent shunt surgery with good to excellent results. In another nine patients increasing cerebral perfusion was detected although they did not show a clear clinical improvement after STT. Six of them also received a shunt operation with good to excellent outcome. Three patients of the last group could have an operation. Nine patients did not show any clinical improvement or any kind of increasing cerebral perfusion after STT. Therefore, they did not undergo surgery. The results of SPECT and pwMRI correlated in 92 % of the patients (11 of 12).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">It is concluded that a combination of clinical assessment with SPECT or pwMRI is helpful in the preoperative selection of patients for shunting procedures with suspected NPH syndrome. This combination is a minimal invasive and objective test modality that is superior to STT alone. Further studies are necessary for a comparison of the described imaging techniques with different diagnostic tests in this difficult field of cerebral disease.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hertel</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Brüderkrankenhaus Trier, University of Trier, Nordallee 1, D-54292 Trier, Germany. F.Hertel@bk-trier.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Walter</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Schmitt</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Mörsdorf</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Jammers</LastName><ForeName>W</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Busch</LastName><ForeName>H P</ForeName><Initials>HP</Initials></Author><Author ValidYN="Y"><LastName>Bettag</LastName><ForeName>M</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Neurol Neurosurg Psychiatry</MedlineTA><NlmUniqueID>2985191R</NlmUniqueID><ISSNLinking>0022-3050</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Neurol. 2000 Jan;247(1):5-14</RefSource><PMID Version="1">10701891</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AJNR Am J Neuroradiol. 1998 Aug;19(7):1277-84</RefSource><PMID Version="1">9726467</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Neurosurg Clin N Am. 2001 Oct;12(4):661-84, viii</RefSource><PMID Version="1">11524288</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Neurosurgery. 2001 Nov;49(5):1166-84; 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