Herbert Daniel Jiménez Zapata, Adrián Fernández García, Carla Timisoara Amilburu Sáenz, Carlos Alberto Rodríguez Arias
{"title":"正常压力下第三脑室容积测量法在脑积水患者中的应用","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":null,"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":0.7000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"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\":null,\"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\":0.7000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neurocirugia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1130147323003913\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NEUROSCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurocirugia","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1130147323003913","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
Utilidad de la volumetría del tercer ventrículo en pacientes con hidrocefalia a presión normal
Objective
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).
Material and methods
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.
Results
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; p = 0.14). Neither were difference detected in the ventricle volume of both groups (3.6 cm3 vs. 3.5 cm3; p = 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; p = 0.009). Diameter and volume of third ventricle present a significant strong correlation (Pearson correlation coefficient = 0.72; p < 0.0001).
Conclusion
Morphometric variables of third ventricle may be useful in predicting a good response to VPS in patients with idiopathic normal pressure hydrocephalus.
期刊介绍：
Neurocirugía is the official Journal of the Spanish Society of Neurosurgery (SENEC). It is published every 2 months (6 issues per year). Neurocirugía will consider for publication, original clinical and experimental scientific works associated with neurosurgery and other related neurological sciences.
All manuscripts are submitted for review by experts in the field (peer review) and are carried out anonymously (double blind). The Journal accepts works written in Spanish or English.
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