MovDisordV3, Main, Exploration, bibRecord, 005301

Movement disorders in adult hydrocephalus

Identifieur interne : 005301 ( Main/Exploration ); précédent : 005300; suivant : 005302

Movement disorders in adult hydrocephalus

Auteurs : Krauss [Allemagne, États-Unis] ; Jens P. Regel [Allemagne] ; Dirk W. Droste [Allemagne] ; Miro Orszagh [Allemagne] ; Jan J. Borremans [Allemagne] ; Werner Vach [Allemagne]

Source :

Movement Disorders [ 0885-3185 ] ; 1997-01.

RBID : ISTEX:F304320E3516E3809D0CBFA0B0514FC90D86D3A7

English descriptors

KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Cerebrospinal Fluid Shunts, Female, Humans, Hydrocephalus, Hydrocephalus (diagnosis), Hydrocephalus (etiology), Hydrocephalus (surgery), Hydrocephalus, Normal Pressure (diagnosis), Hydrocephalus, Normal Pressure (etiology), Hydrocephalus, Normal Pressure (surgery), Male, Middle Aged, Movement Disorders (diagnosis), Movement Disorders (etiology), Movement Disorders (surgery), Movement disorders, Neurologic Examination, Normal pressure hydrocephalus, Parkinson Disease, Secondary (diagnosis), Parkinson Disease, Secondary (etiology), Parkinson Disease, Secondary (surgery), Parkinsonism.
MESH :
- diagnosis : Hydrocephalus, Hydrocephalus, Normal Pressure, Movement Disorders, Parkinson Disease, Secondary.
- etiology : Hydrocephalus, Hydrocephalus, Normal Pressure, Movement Disorders, Parkinson Disease, Secondary.
- surgery : Hydrocephalus, Hydrocephalus, Normal Pressure, Movement Disorders, Parkinson Disease, Secondary.
- Adolescent, Adult, Aged, Aged, 80 and over, Cerebrospinal Fluid Shunts, Female, Humans, Male, Middle Aged, Neurologic Examination.

Abstract

In a prospective series of symptomatic adult hydrocephalus characterized by gait disturbance, cognitive impairment, and/or urinary incontinence, 88 of 118 patients (75%) had additional akinetic, tremulous, hypertonic, or hyperkinetic movement disorders. Their prevalence was highest in patients with idiopathic normal pressure hydrocephalus (NPH) of the elderly (56/65 patients, 86%), and they were less frequent in patients with secondary NPH (10/15, 66%), with nonhydrodynamic atrophic/other hydrocephalus (20/33, 61%), and with obstructive hydrocephalus/aqueductal stenosis (2/5, 40%). Akinetic symptoms were found in 73 of 118 patients (62%), and the most frequent movement disorder was upper extremity bradykinesia (55%). Akinetic, tremulous, hypertonic, and hyperkinetic movement disorders were exclusively secondary to causes not related to hydrocephalus in 24 of 118 patients (20%). The proportion of patients with movement disorders not attributable to only such causes was highest in the idiopathic NPH group (44/65, 68%). Thirteen of 118 patients (11%) presented with a parkinsonian syndrome. There was evidence for coexistent Parkinson's disease in four of these patients. Parkinsonism was found to be secondary to NPH in five patients and was found improved after shunting. Akinetic symptoms in patients with NPH generally responded favorably to CSF diversion, which was evident in 80% of a subset of this group. Various other movement disorders did not show definite improvement. The high prevalence of bradykinesia and other akinetic symptoms in NPH and the beneficial effect of shunting on such symptoms suggest that NPH may cause a more generalized disorder of motor function.

Url:

https://api.istex.fr/document/F304320E3516E3809D0CBFA0B0514FC90D86D3A7/fulltext/pdf

DOI: 10.1002/mds.870120110

Affiliations:

Le document en format XML

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<author><name sortKey="Regel, Jens P" sort="Regel, Jens P" uniqKey="Regel J" first="Jens P." last="Regel">Jens P. Regel</name>
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<author><name sortKey="Droste, Dirk W" sort="Droste, Dirk W" uniqKey="Droste D" first="Dirk W." last="Droste">Dirk W. Droste</name>
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<author><name sortKey="Orszagh, Miro" sort="Orszagh, Miro" uniqKey="Orszagh M" first="Miro" last="Orszagh">Miro Orszagh</name>
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<term>Female</term>
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<term>Movement Disorders (surgery)</term>
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<term>Aged, 80 and over</term>
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<front><div type="abstract" xml:lang="en">In a prospective series of symptomatic adult hydrocephalus characterized by gait disturbance, cognitive impairment, and/or urinary incontinence, 88 of 118 patients (75%) had additional akinetic, tremulous, hypertonic, or hyperkinetic movement disorders. Their prevalence was highest in patients with idiopathic normal pressure hydrocephalus (NPH) of the elderly (56/65 patients, 86%), and they were less frequent in patients with secondary NPH (10/15, 66%), with nonhydrodynamic atrophic/other hydrocephalus (20/33, 61%), and with obstructive hydrocephalus/aqueductal stenosis (2/5, 40%). Akinetic symptoms were found in 73 of 118 patients (62%), and the most frequent movement disorder was upper extremity bradykinesia (55%). Akinetic, tremulous, hypertonic, and hyperkinetic movement disorders were exclusively secondary to causes not related to hydrocephalus in 24 of 118 patients (20%). The proportion of patients with movement disorders not attributable to only such causes was highest in the idiopathic NPH group (44/65, 68%). Thirteen of 118 patients (11%) presented with a parkinsonian syndrome. There was evidence for coexistent Parkinson's disease in four of these patients. Parkinsonism was found to be secondary to NPH in five patients and was found improved after shunting. Akinetic symptoms in patients with NPH generally responded favorably to CSF diversion, which was evident in 80% of a subset of this group. Various other movement disorders did not show definite improvement. The high prevalence of bradykinesia and other akinetic symptoms in NPH and the beneficial effect of shunting on such symptoms suggest that NPH may cause a more generalized disorder of motor function.</div>
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Movement Disorders (revue)

Movement disorders in adult hydrocephalus

Movement disorders in adult hydrocephalus

Source :

English descriptors

Abstract

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	Movement Disorders (revue)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.