Document Detail


Rehabilitation of patients with chronic normal-pressure hydrocephalus after aneurysmal subarachnoid hemorrhage benefits from ventriculoperitoneal shunt.
MedLine Citation:
PMID:  19903651     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study compares the effect and rehabilitation prognosis of 6-month combined ventriculoperitoneal shunt (VPS) versus rehabilitation training alone in chronic normal-pressure hydrocephalus patients. METHOD: After suffering from aneurysmal subarachnoid hemorrhage, 39 subjects were diagnosed with chronic normal-pressure hydrocephalus because of clinical deterioration or nonimprovement of gait ataxia, cognitive disturbance, and/or urinary incontinence during rehabilitation. Twenty-four subjects underwent ventriculoperitoneal shunt (VPS) placement, while 15 subjects did not undergo the procedure. RESULTS: Statistically significant increases in the Barthel Index (BI) were observed between the treatment and control groups 1 month (p < .05) and 6 months (p < .01) after VPS placement. Similar changes also were observed for the Mini-Mental State Examination (MMSE) at the 1-month (p < .01) and 6-month follow-up visits (p < .01). Significant differences in the change in MMSE and BI at admission, before VPS placement, and at 1 month and 6 months after VPS placement in the treatment group were demonstrated (p < .01). CONCLUSION: Chronic normal-pressure hydrocephalus after aneurysmal subarachnoid hemorrhage is an important issue to which clinicians should pay attention. It negatively influences the functional and behavioral outcome of rehabilitation but can be treated.
Authors:
Zhen Chen; Weiqun Song; Jubao Du; Guangqing Li; Yanhui Yang; Feng Ling
Publication Detail:
Type:  Clinical Trial; Duplicate Publication; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Topics in stroke rehabilitation     Volume:  16     ISSN:  1074-9357     ISO Abbreviation:  Top Stroke Rehabil     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-11-11     Completed Date:  2009-12-29     Revised Date:  2010-05-06    
Medline Journal Info:
Nlm Unique ID:  9439750     Medline TA:  Top Stroke Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  330-8     Citation Subset:  IM    
Affiliation:
Department of Rehabilitation, and Department of Neurosugery, Xuanwu Hospital of Capital Medical University, Beijing, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Analysis of Variance
Female
Follow-Up Studies
Humans
Hydrocephalus, Normal Pressure / etiology*,  radiography,  rehabilitation*
Male
Mental Status Schedule
Middle Aged
Retrospective Studies
Severity of Illness Index
Subarachnoid Hemorrhage / surgery*
Tomography, X-Ray Computed / methods
Treatment Outcome
Ventriculoperitoneal Shunt / adverse effects*
Comments/Corrections
Comment In:
Top Stroke Rehabil. 2010 Jan-Feb;17(1):viii   [PMID:  20437661 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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