Posttraumatic hydrocephalus: A clinical, neuroradiologic, and neuropsychologic assessment of long-term outcome

Posttraumatic hydrocephalus: A clinical, neuroradiologic, and neuropsychologic assessment of long-term outcome
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DOI:
10.1053/s0003-9993(03)00314-9
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发表时间:
2003-11-01
影响因子:
4.3
通讯作者:
Oliveri, G
Oliveri, G
中科院分区:
医学1区
文献类型:
--
作者:
Mazzini, L;Campini, R;Oliveri, G

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目的:检测创伤后脑积水(PTH)的临床和放射学特征,确定其预后价值,并评估分流手术的效果。设计:前瞻性队列的相关性研究。设置:脑损伤康复中心。参与者:140例严重创伤性脑损伤(TBI)患者被转诊至一所大学系统的住院重症康复中心。干预措施:不适用。主要结果测量:格拉斯哥结果量表(GOS)、残疾评定量表(DRS)、神经行为评定量表(NRS)、单光子发射计算机断层扫描(SPECT)和磁共振成像。结果:45%的患者发现PTH。PTH的危险因素为年龄(P
Objectives: To detect the clinical and radiologic characteristics of posttraumatic hydrocephalus (PTH), to define its prognostic value, and to assess the effects of shunt surgery.Design: Correlational study on a prospective cohort.Setting: Brain injury rehabilitation center.Participants: One hundred forty patients with severe traumatic brain injury (TBI) referred to an inpatient intensive rehabilitation unit of primary care in a university-based system.Interventions: Not applicable.Main Outcome Measures: The Glasgow Outcome Scale (GOS), Disability Rating Scale (DRS), FIM(TM) instrument, and Neurobehavioural Rating Scale (NRS), as well as single-photon emission computed tomography (SPECT) and magnetic resonance imaging.Results: PTH was found in 45% of patients. Risk factors for PTH were as follows: age (P