Guidelines for management of idiopathic normal pressure hydrocephalus
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- ISHIKAWA Masatsune
- Kitano Hospital
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- HASHIMOTO Masaaki
- Noto General Hospital
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- KUWANA Nobumasa
- Yokosuka Hokubu-Kyosai Hospital
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- MORI Etsuro
- Tohoku University, Graduate School of Medicine
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- MIYAKE Hiroji
- Nishinomiya Kyoritsu Hospital
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- WACHI Akihiko
- Tama Southern Regional Hospital
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- TAKEUCHI Totaro
- KANTOH Neurosurgical Hospital
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- KAZUI Hiroaki
- Osaka University, Graduate School of Medicine
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- KOYAMA Hiroshi
- National Hospital Organization, Kyoto Medical Center
書誌事項
- タイトル別名
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- Guidelines for Management of Idiopathic Normal Pressure Hydrocephalus Guidelines From the Guidelines Committee of Idiopathic Normal Pressure Hydrocephalus, the Japanese Society of Normal Pressure Hydrocephalus
- Guidelines From the Guidelines Committee of Idiopathic Normal Pressure Hydrocephalus, the Japanese Society of Normal Pressure Hydrocephalus
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抄録
With the rapid aging of Japanese society, medical care of the elderly has become an important social issue. Among various disorders manifesting dementia, gait disturbance, and urinary incontinence in the elderly population, normal pressure hydrocephalus (NPH), especially of idiopathic type (iNPH), is becoming noteworthy. The Guidelines for management of iNPH in Japan are created in compliance with the evidence-based medicine methods and published in 2004. This English version is made to show the diagnosis and treatment of iNPH with reference to the socio-medical background in Japan and to promote the international research on iNPH. They propose three diagnostic levels; possible, probable, and definite. They indicate the diagnostic importance of high convexity tightness and dilated sylvian fissure with mild to moderate ventriculomegaly on coronal magnetic resonance imaging. The cerebrospinal fluid tap test is regarded as an important diagnostic test because of its simplicity to perform and high predictability of the shunt efficacy. The use of programmable valves at shunt surgeries is recommended. Flowcharts for diagnosis, preoperative assessment, and prevention for complications of shunt surgery are made to promote a wide use of them.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 48 (Supplement), S1-S23, 2008
一般社団法人 日本脳神経外科学会
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詳細情報
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- CRID
- 1390282680031831936
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- NII論文ID
- 110006656294
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- NII書誌ID
- AN00358613
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- ISSN
- 13498029
- 04708105
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- PubMed
- 18408356
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可