Computed Tomography of the Brain in the Diagnosis of and Prognosis in Normal Pressure Hydrocephalus

Overview

Journal Neuroradiology

Specialties Neurology
Radiology

Date 1989 Jan 1

PMID 2747894

Citations 9

Authors

C Wikkelso

H Andersson

C Blomstrand

M MATOUSEK

P Svendsen

Affiliations

Soon will be listed here.

Abstract

Thirty-eight patients with normal pressure hydrocephalus were examined by CT before and after a ventriculo-peritoneal shunt operation. Evans ratio, periventricular hypodensity and width of hemispheric sulci, sylvian fissures, cella media, temporal horns and third and fourth ventricle were examined. Twenty-eight patients improved after the operation while 10 were unchanged (non responders). Those patients who improved had more often enlarged third ventricle, enlarged temporal horns and normal sylvian fissures than those who did not improve. No single CT parameter or combination of CT parameters alone could identify responders and non-responders. The ventriculo-peritoneal shunt operation reduced ventricular size (Evans ratio, cella media width), abolished periventricular hypodensity and reduced width of the temporal horns and third ventricle in both responders and non-responders. Reduction of the width of the third ventricle correlated to clinical improvement.

Citing Articles

Differences in Brain Morphology between Hydrocephalus Ex Vacuo and Idiopathic Normal Pressure Hydrocephalus.

Kim M, Park S, Lee J, Kim H, Rhim J, Park S Psychiatry Investig. 2021; 18(7):628-635.

PMID: 34265199 PMC: 8328827. DOI: 10.30773/pi.2020.0352.

Absence of Disproportionately Enlarged Subarachnoid Space Hydrocephalus, a Sharp Callosal Angle, or Other Morphologic MRI Markers Should Not Be Used to Exclude Patients with Idiopathic Normal Pressure Hydrocephalus from Shunt Surgery.

Agerskov S, Wallin M, Hellstrom P, Ziegelitz D, Wikkelso C, Tullberg M AJNR Am J Neuroradiol. 2018; 40(1):74-79.

PMID: 30523139 PMC: 7048608. DOI: 10.3174/ajnr.A5910.

Preoperative prognostic value of MRI findings in 108 patients with idiopathic normal pressure hydrocephalus.

Virhammar J, Laurell K, Cesarini K, Larsson E AJNR Am J Neuroradiol. 2014; 35(12):2311-8.

PMID: 25012669 PMC: 7965311. DOI: 10.3174/ajnr.A4046.

MR volumetric changes after diagnostic CSF removal in normal pressure hydrocephalus.

Singer O, Melber J, Hattingen E, Jurcoane A, Keil F, Neumann-Haefelin T J Neurol. 2012; 259(11):2440-6.

PMID: 22592285 DOI: 10.1007/s00415-012-6525-3.

Decreases in ventricular volume correlate with decreases in ventricular pressure in idiopathic normal pressure hydrocephalus patients who experienced clinical improvement after implantation with adjustable valve shunts.

McConnell K, Zou K, Chabrerie A, Bailey N, Black P Neurosurgery. 2004; 55(3):582-92.

PMID: 15335425 PMC: 1350579. DOI: 10.1227/01.neu.0000134385.23401.01.

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