NeurocirugiaPub Date : 2024-05-01DOI: 10.1016/j.neucir.2023.10.004
Herbert Daniel Jiménez Zapata, Adrián Fernández García, Carla Timisoara Amilburu Sáenz, Carlos Alberto Rodríguez Arias
{"title":"Utilidad de la volumetría del tercer ventrículo en pacientes con hidrocefalia a presión normal","authors":"Herbert Daniel Jiménez Zapata, Adrián Fernández García, Carla Timisoara Amilburu Sáenz, Carlos Alberto Rodríguez Arias","doi":"10.1016/j.neucir.2023.10.004","DOIUrl":"10.1016/j.neucir.2023.10.004","url":null,"abstract":"<div><h3>Objective</h3><p>To use third ventricle morphometric variables as a tool for the selection of patients with idiopathic normal pressure hydrocephalus (iNPH) who are candidates for ventriculoperitoneal shunts (VPS).</p></div><div><h3>Material and methods</h3><p>Retrospective study enrolling patients with iNPH. Katzman infusion test was performed and a Rout<!--> <!-->>12<!--> <!-->mmHg/ml/min was considered a positive result. The transverse diameter and the volume of the third ventricle were measured in the preoperative MRI. Postoperative improvement was assessed with the NPH score. The results were analysed with SPSS software.</p></div><div><h3>Results</h3><p>Fifty-two patients with a mean age of 76 years were analysed. There was no difference in the diameter of the third ventricle among patients with a positive result and those with a negative result in the infusion test (12.28<!--> <!-->mm vs. 11.68<!--> <!-->mm; <em>p</em> <!-->=<!--> <!-->0.14). Neither were difference detected in the ventricle volume of both groups (3.6<!--> <!-->cm<sup>3</sup> vs. 3.5<!--> <!-->cm<sup>3</sup>; <em>p</em> <!-->=<!--> <!-->0.66). Those patients who improved after VPS had a smaller third ventricle compared to those who did not respond after surgery (11.85<!--> <!-->mm vs. 12.96<!--> <!-->mm; <em>p</em> <!-->=<!--> <!-->0.009). Diameter and volume of third ventricle present a significant strong correlation (Pearson correlation coefficient<!--> <!-->=<!--> <!-->0.72; <em>p</em> <!--><<!--> <!-->0.0001).</p></div><div><h3>Conclusion</h3><p>Morphometric variables of third ventricle may be useful in predicting a good response to VPS in patients with idiopathic normal pressure hydrocephalus.</p></div>","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"35 3","pages":"Pages 122-126"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135714939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurocirugiaPub Date : 2024-05-01DOI: 10.1016/j.neucir.2023.11.003
Alejandra Mosteiro , Diego Culebras , Alberto Vargas Solano , Javier Luis Moreno Negrete , Antonio López-Rueda , Laura Llull , Daniel Santana , Leire Pedrosa , Sergio Amaro , Ramón Torné , Joaquim Enseñat
{"title":"Aneurysmal subarachnoid haemorrhage: Volumetric quantification of the blood distribution pattern to accurately predict the ruptured aneurysm location","authors":"Alejandra Mosteiro , Diego Culebras , Alberto Vargas Solano , Javier Luis Moreno Negrete , Antonio López-Rueda , Laura Llull , Daniel Santana , Leire Pedrosa , Sergio Amaro , Ramón Torné , Joaquim Enseñat","doi":"10.1016/j.neucir.2023.11.003","DOIUrl":"https://doi.org/10.1016/j.neucir.2023.11.003","url":null,"abstract":"<div><h3>Background</h3><p>In spontaneous subarachnoid haemorrhage (SAH) accurate determination of the bleeding source is paramount to guide treatment. Traditionally, the bleeding pattern has been used to predict the aneurysm location. Here, we have tested a software-based tool, which quantifies the volume of intracranial blood and stratifies it according to the regional distribution, to predict the location of the ruptured aneurysm.</p></div><div><h3>Methods</h3><p>A consecutive series of SAH patients admitted to a single tertiary centre between 2012–2018, within 72 h of onset, harbouring a single intracranial aneurysm. A semi-automatized method of blood quantification, based on the relative density increase, was applied to initial non-contrast CTs. Five regions were used to define the bleeding patterns and to correlate them with aneurysm location: perimesencephalic, interhemispheric, right/left hemisphere and intraventricular.</p></div><div><h3>Results</h3><p>68 patients were included for analysis. There was a strong association between the distribution of blood and the aneurysm location (p < 0.001). In particular: ACom and interhemispheric fissure (p < 0.001), MCA and ipsilateral hemisphere (p < 0.001), ICA and ipsilateral hemisphere and perimesencephalic cisterns (p < 0.001), PCom and hemispheric, perimesencephalic and intraventricular (p = 0.019), and PICA and perimesencephalic and intraventricular (p < 0.001). The internal diagnostic value was high (AUROC ≥ 0.900) for these locations.</p></div><div><h3>Conclusion</h3><p>Regional automatised volumetry seems a reliable and objective tool to quantify and describe the distribution of blood within the subarachnoid spaces. This tool accurately predicts the location of the ruptured aneurysm; its use may be prospectively considered in the emergency setting when speed and simplicity are attained.</p></div>","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"35 3","pages":"Pages 136-144"},"PeriodicalIF":0.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140816743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
