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症状性颅压正常脑积水的诊断,一直强调以痴呆为标准,而不是步态障碍和尿失禁。Ojemann等指出,步态障碍往往出现在其他症状之前;有人甚至认为,步态障碍常常是颅压正常脑积水唯一明显的症状;而腰穿和放出脑脊液则有利于诊治。某些老年病人,虽然精神相对比较正常,但发生难以解释的步态不稳或下肢的一些模糊症状逐渐进展为活动障碍,应考虑到是否是颅压正常脑积水(NPH)问题。作者回顾分析50例60岁以上的老年病人,其主要症状或唯一症状是步态障碍,经CT诊断为NP
Symptoms of normal hydrocephalus normal diagnosis of hydrocephalus, has been to emphasize dementia as the standard, rather than gait disorders and urinary incontinence. Ojemann et al. Pointed out that gait disorders are often preceded by other symptoms. Some even think that gait disorders are often the only obvious symptoms of normal pressure in hydrocephalus and that lumbar puncture and release of cerebrospinal fluid is helpful for diagnosis and treatment. Some elderly patients, although the spirit is relatively normal, but unsteady gait instability or some vague symptoms of lower extremity gradually progress to activity disorder, should be considered whether it is normal intracranial pressure hydrocephalus (NPH) problem. The authors reviewed 50 cases of elderly patients over the age of 60, the main symptoms or the only symptom is gait disorder, the CT diagnosis of NP