Document Detail

Neurological symptoms and signs in adult aqueductal stenosis.
MedLine Citation:
PMID:  12713521     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To comprehensively describe and compare prospectively (pre/postoperatively) the symptomatology in aqueductal stenosis (AS) vs idiopathic normal pressure hydrocephalus (INPH). METHODS: Twenty-seven patients with AS and 39 patients with INPH were consecutively included. Postural functions, gait, wakefulness, cognitive functions, urinary continence and headache were examined before and 3 months after treatment with shunt operation or endoscopic ventriculostomy. RESULTS: The AS patients had better postural functions, walked faster, performed better cognitively and had a higher wakefulness than INPH patients, but these differences were explained by age differences between groups. The frequency of incontinence was similar in the two patients groups. Headache occurred more frequently in AS, but independently of the other symptoms. Most symptoms and signs improved after surgery. CONCLUSION: Patients with AS had a higher frequency of headaches than INPH patients, but otherwise the symptomology of the two groups was not found to differ after correcting for age differences.
M Tisell; M Tullberg; P Hellström; E Blomsterwall; C Wikkelsø
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta neurologica Scandinavica     Volume:  107     ISSN:  0001-6314     ISO Abbreviation:  Acta Neurol. Scand.     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-04-25     Completed Date:  2003-08-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370336     Medline TA:  Acta Neurol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  311-7     Citation Subset:  IM    
Institute of Clinical Neuroscience, Hydrocephalus Research Unit, Sahlgrenska University Hospital, Göteborg University, Sweden.
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MeSH Terms
Aged, 80 and over
Cerebral Aqueduct / pathology*
Constriction, Pathologic / complications
Diagnosis, Differential
Hydrocephalus / diagnosis*,  etiology,  surgery
Hydrocephalus, Normal Pressure / diagnosis,  pathology,  surgery
Middle Aged
Neurologic Examination
Prospective Studies

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