Rehabilitation of Patients with Chronic Normal-Pressure Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage Benefits from Ventriculoperitoneal Shunt
机构:[1]Department of Rehabilitation, and Department of Neurosugery, Xuanwu Hospital of Capital Medical University, Beijing, China.康复医学科首都医科大学宣武医院[2]Department of Rehabilitation, Xuanwu Hospital of Capital Medical University, Beijing, China.康复医学科首都医科大学宣武医院[3]Department of Radiology, Xuanwu Hospital of Capital Medical University, Beijing, China.放射科首都医科大学宣武医院[4]Department of Neurosugery, Xuanwu Hospital of Capital Medical University, Beijing, China首都医科大学宣武医院
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 I 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 I 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.
基金:
National Science Functional of China (grant 3770714) and Ministry of Organization of the Beijing government (grant 20071D0501800243).
第一作者机构:[1]Department of Rehabilitation, and Department of Neurosugery, Xuanwu Hospital of Capital Medical University, Beijing, China.
推荐引用方式(GB/T 7714):
Zhen Chen,Weiqun Song,Jubao Du,et al.Rehabilitation of Patients with Chronic Normal-Pressure Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage Benefits from Ventriculoperitoneal Shunt[J].TOPICS IN STROKE REHABILITATION.2009,16(5):330-8.doi:10.1310/tsr1605-330.
APA:
Zhen Chen,Weiqun Song,Jubao Du,Guangqing Li,Yanhui Yang&Feng Ling.(2009).Rehabilitation of Patients with Chronic Normal-Pressure Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage Benefits from Ventriculoperitoneal Shunt.TOPICS IN STROKE REHABILITATION,16,(5)
MLA:
Zhen Chen,et al."Rehabilitation of Patients with Chronic Normal-Pressure Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage Benefits from Ventriculoperitoneal Shunt".TOPICS IN STROKE REHABILITATION 16..5(2009):330-8