دورية أكاديمية
Cerebrospinal fluid closing pressure-guided tap test for the diagnosis of idiopathic normal pressure hydrocephalus: A descriptive cross-sectional study.
| العنوان: | Cerebrospinal fluid closing pressure-guided tap test for the diagnosis of idiopathic normal pressure hydrocephalus: A descriptive cross-sectional study. |
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| المؤلفون: | Gómez-Amarillo DF; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., Pulido LF; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., Mejía I; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., García-Baena C; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., Cárdenas MF; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., Gómez LM; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., Fuentes YV; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., Volcinschi-Moros D; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., Jaramillo-Velásquez D; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., Ramón JF; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., Mejía JA; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., Jiménez E; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia., Hakim F; Neurosurgery Section, Hospital Universitario Fundación Santa Fé de Bogotá, Bogotá D.C, Colombia. |
| المصدر: | Surgical neurology international [Surg Neurol Int] 2020 Oct 02; Vol. 11, pp. 315. Date of Electronic Publication: 2020 Oct 02 (Print Publication: 2020). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Scientific Scholar LLC Country of Publication: United States NLM ID: 101535836 Publication Model: eCollection Cited Medium: Print ISSN: 2229-5097 (Print) Linking ISSN: 21527806 NLM ISO Abbreviation: Surg Neurol Int Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Pittsford, NY, USA : Scientific Scholar LLC Original Publication: Mumbai : Medknow |
| مستخلص: | Background: Tap test improves symptoms of idiopathic normal pressure hydrocephalus (iNPH); hence, it is widely used as a diagnostic procedure. However, it has a low sensitivity and there is no consensus on the parameters that should be used nor the volume to be extracted. We propose draining cerebrospinal fluid (CSF) during tap test until a closing pressure of 0 cm H2O is reached as a standard practice. We use this method with all our patients at our clinic. Methods: This is a descriptive cross-sectional study where all patients with presumptive diagnosis of iNPH from January 2014 to December 2019 were included in the study. We used a univariate descriptive analysis and stratified analysis to compare the opening pressure and the volume of CSF extracted during the lumbar puncture, between patients in whom a diagnosis of iNPH was confirmed and those in which it was discarded. Results: A total of 92 patients were included in the study. The mean age at the time of presentation was 79.4 years and 63 patients were male. The diagnosis of iNPH was confirmed in 73.9% patients. The mean opening pressure was 14.4 cm H2O mean volume of CSF extracted was 43.4 mL. Conclusion: CSF extraction guided by a closing pressure of 0 cm H2O instead of tap test with a fixed volume of CSF alone may be an effective method of optimizing iNPH symptomatic improvement and diagnosis. Competing Interests: There are no conflicts of interest. (Copyright: © 2020 Surgical Neurology International.) |
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| فهرسة مساهمة: | Keywords: Cerebrospinal fluid closing pressure; Cerebrospinal fluid drainage; Cerebrospinal fluid extraction; Closing pressure-guided; Idiopathic normal pressure hydrocephalus; Tap test |
| تواريخ الأحداث: | Date Created: 20201023 Latest Revision: 20220417 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC7568097 |
| DOI: | 10.25259/SNI_380_2020 |
| PMID: | 33093992 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2229-5097 |
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| DOI: | 10.25259/SNI_380_2020 |