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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.34 no.4 São Paulo Dec. 1976

http://dx.doi.org/10.1590/S0004-282X1976000400007 

Consideraciones sobre el hidrocefalo de baja presion

 

Considerations on low pressure hydrocephalus

 

 

E. HerskovitsII; R. Matera Jr.I; R. MateraIII

ICentro de Investigaciones Neurológicas, Buenos Aires, Argentina: Médico residente, Neurologia
II
Centro de Investigaciones Neurológicas, Buenos Aires, Argentina: Professor Auxiliar de Clinica Neurológica U.N.B.A.
IIICentro de Investigaciones Neurológicas, Buenos Aires, Argentina: Professor Titular de Neurocirugía U.N.B.A.

 

 


RESUMEN

Se analizan las condiciones fisiopatológicas del sindrome de hidrocéfalo de presión normal. De un grupo de 21 pacientes con sintomatologia clínica correspondiente a esta entidad, se seleccionan 10 que presentan un diagnóstico clínico, radiológico y cisternográfico indudable de la entidad en estudio. Se observó que, a pesar de esta selección solamente un 50% de ellos se vió beneficiado con la colocación de una válvula de baja presión. Surge entonces la hipotésis de que este cuadro es un sindrome multicausal; que por un proceso fisiopatogenico común produce un cuadro clínico, radiológico y cisternográfico similar y que serían beneficiados únicamente aquellos enfermos en los que se soluciona el problema mecánico.


SUMMARY

The physiopathological conditions of the normal pressure hydrocephalus syndrome are analysed. Within a group of 21 patients with clinical sinto- mathology pertaining this entity, only were 10 selected with a clinical, radiological and cisternografic indubitable diagnosis. It has been noticed that in spite of the stricked selection only a 50% of them have been beneficed by the application of a low pressure valve. Then, the hypothesis that the disease is a multicausal syndrome appears, which by an identical physiopathologic process produces or exhibits a similar clinical, radiological and cisternographic picture. Only those patients on whom the mechanical problem is solved would be beneficed by neurosurgery.


 

 

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Clínica Neurológica — Hospital Ramos Mejia — Urquiza 609 — Buenos Aires — Argentina.

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