Articolul precedent |
Articolul urmator |
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Ultima descărcare din IBN: 2022-10-06 15:49 |
SM ISO690:2012 FALA, Paula, ANDRONACHI, Victor, GAVRILIUC, Pavel, ANDRUȘCA, Alexandru, GAVRILIUC, Olga. Hidrocefalia normotensivă idiopatică: sinteză de literatură. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 350. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||||
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Pag. 350-350 | |||||||
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Background. Idiopathic Normal Pressure Hydrocephalus (iNPH) is a potentially reversible disease, characterized by ventriculomegaly, gait disorders, cognitive impairment and urinary incontinence. The prevalence of idiopathic NPH is between 0.5% and 1.5%, for the population over 61 years of age. Objective of the study. The objective was to develop a standard of care for patients diagnosed with idiopathic normal pressure hydrocephalus based on an extensive literature review and to create an Institutional Protocol. Material and Methods. We conducted an extensive literature review including 39 articles published over the last 5 years. We searched in the PubMed database articles published in English and German using the following keywords “normal pressure hydrocephalus” and developed the Institutional Protocol according to the methodology developed by the Ministry of Health, Labor and Social Protection. Results. The diagnosis of idiopathic normal pressure hydrocephalus is difficult due to frequently associated diseases such as Alzheimer's disease, dementia in Parkinson's disease and microangiopathy. Brain MRI is useful both for diagnosis and for predicting a positive tap test and shunt responsivness. While the tap test remains the gold standard for diagnosis, the continuous CSF drainage test is an alternative as it can improve the sensitivity of the diagnosis. The treatment of choice is ventricular shunting, which has a positive impact on the evolution of the disease and the patient’s quality of life. Conclusion. We have developed an institutional protocol and created a pathway for accurate diagnosis and effective treatment based on positive predictors such as brain MRI and tap test. |
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Cuvinte-cheie Normal pressure hydrocephalus, dementia, hidrocefalia normotensivă idiopatică, demenţă |
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