The grasp reflex in patients with idiopathic normal pressure hydrocephalus
ConclusionThis retrospective study identified grasp reflexes as a highly prevalent phenomenon in patients with iNPH. These reflexes can assist in evaluating the severity of various symptoms, including cognitive, gait, urinary, motor and emotional symptoms. (Source: Journal of Neurology)
Source: Journal of Neurology - April 8, 2024 Category: Neurology Source Type: research

Quantitative noninvasive measurement of cerebrospinal fluid flow in shunted hydrocephalus
CONCLUSIONS: The PC-MRI sequence provided accurate and reliable clinical measurements of CSF flow in shunt-treated patients. This work provides the necessary framework to include PC-MRI as an immediate addition to the clinical setting in the noninvasive evaluation of shunt function and in future clinical investigations of CSF physiology.PMID:38564811 | DOI:10.3171/2023.7.JNS231326 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Joseph H Ha Matthew T Borzage Erik B Vanstrum Eamon K Doyle Meenakshi Upreti Benita Tamrazi Marvin Nelson Stefan Bl üml Malkiat S Johal J Gordon McComb Jason Chu Susan Durham Mark D Krieger Rex A Moats Peter A Chiarelli Source Type: research

Risk Analysis Index as a preoperative frailty tool for elective ventriculoperitoneal shunt surgery for idiopathic normal pressure hydrocephalus
CONCLUSIONS: In a nationwide database analysis, increasing frailty, as measured by RAI, was associated with NHD, 30-day mortality, unplanned readmission, eLOS, and postoperative complications. Although the RAI outperformed the mFI-5, it is essential to account for the potentially reversible clinical issues related to the underlying disease process, as these factors may inflate frailty scores, assign undue risk, and diminish their utility. This knowledge may enhance provider understanding of the impact of frailty on postoperative outcomes for patients with iNPH, while highlighting the potential constraints associated with f...
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Evan Courville Kavelin Rumalla Syed Faraz Kazim Alis J Dicpinigaitis Meic Schmidt Timothy M Robinson Christian A Bowers Source Type: research

Quantitative noninvasive measurement of cerebrospinal fluid flow in shunted hydrocephalus
CONCLUSIONS: The PC-MRI sequence provided accurate and reliable clinical measurements of CSF flow in shunt-treated patients. This work provides the necessary framework to include PC-MRI as an immediate addition to the clinical setting in the noninvasive evaluation of shunt function and in future clinical investigations of CSF physiology.PMID:38564811 | DOI:10.3171/2023.7.JNS231326 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Joseph H Ha Matthew T Borzage Erik B Vanstrum Eamon K Doyle Meenakshi Upreti Benita Tamrazi Marvin Nelson Stefan Bl üml Malkiat S Johal J Gordon McComb Jason Chu Susan Durham Mark D Krieger Rex A Moats Peter A Chiarelli Source Type: research

Risk Analysis Index as a preoperative frailty tool for elective ventriculoperitoneal shunt surgery for idiopathic normal pressure hydrocephalus
CONCLUSIONS: In a nationwide database analysis, increasing frailty, as measured by RAI, was associated with NHD, 30-day mortality, unplanned readmission, eLOS, and postoperative complications. Although the RAI outperformed the mFI-5, it is essential to account for the potentially reversible clinical issues related to the underlying disease process, as these factors may inflate frailty scores, assign undue risk, and diminish their utility. This knowledge may enhance provider understanding of the impact of frailty on postoperative outcomes for patients with iNPH, while highlighting the potential constraints associated with f...
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Evan Courville Kavelin Rumalla Syed Faraz Kazim Alis J Dicpinigaitis Meic Schmidt Timothy M Robinson Christian A Bowers Source Type: research