Dopaminergic Degeneration and Small Vessel Disease in Patients with Normal Pressure Hydrocephalus Who Underwent Shunt Surgery
Abstract
1. Introduction
2. Methods
2.1. Patient Selection and Clinical Evaluation
2.2. Imaging
2.2.1. MRI
2.2.2. 99 mTc-TRODAT-1 SPECT
2.3. Surgical Procedures
2.4. Statistical Analyses
3. Results
3.1. Association between Clinical Characteristics and Imaging Biomarkers of 99 mTc-TRODAT-1 SPECT and White Matter Small Vessel Disease
3.2. Adverse Effects
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Age (Mean ± SD) | 75 ± 9.9 |
Male, Sex | 26 (66.67%) |
HTN | 23 (58.97%) |
DM | 9 (23.08%) |
CAD | 3 (7.69%) |
CKD | 6 (15.38%) |
BPH | 10 (38.46%) |
99 mTc-TRODAT-1 stages | |
Average | 2.1 ± 1.2 (0~4) |
White matter small vessel disease (Fazekas scores) | |
Periventricular area | 1.6 ± 0.9 (0~3) |
Putamen | 0.4 ± 0.5 (0~2) |
Karnofsky Performance Scale | |
Pre-operative | 56.9 ± 11.8 (30~80) |
Post-operative | 71 ± 11.9 (50~90) |
iNPHGS | |
Pre-operative scores | 7.8 ± 2.6 (5~12) |
Cognition | 2.3 ± 1 (1~4) |
Gait | 2.9 ± 0.8 (2~4) |
Urinary function | 2.5 ± 1.3 (1~4) |
Post-operative scores | 5.7 ± 2.6 (5~9) |
Cognition | 2 ± 1 (1~3) |
Gait | 1.7 ± 0.8 (0~2) |
Urinary function | 2.0 ± 1.3 (0~3) |
Intra-cranial pressure (lumbar puncture) | |
Opening pressure | 11.7 ± 4.6 (4~20) |
Close pressure | 5.4 ± 3.1 (0~13) |
Pressure gradient | 6.5 ± 2.9 (3~14) |
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Chang, T.-W.; Tseng, P.-H.; Wang, Y.-C.; Tseng, G.-F.; Chiu, T.-L.; Lin, S.-Z.; Tsai, S.-T. Dopaminergic Degeneration and Small Vessel Disease in Patients with Normal Pressure Hydrocephalus Who Underwent Shunt Surgery. J. Clin. Med. 2020, 9, 1084. https://doi.org/10.3390/jcm9041084
Chang T-W, Tseng P-H, Wang Y-C, Tseng G-F, Chiu T-L, Lin S-Z, Tsai S-T. Dopaminergic Degeneration and Small Vessel Disease in Patients with Normal Pressure Hydrocephalus Who Underwent Shunt Surgery. Journal of Clinical Medicine. 2020; 9(4):1084. https://doi.org/10.3390/jcm9041084
Chicago/Turabian StyleChang, Tze-Wei, Pao-Hui Tseng, Yi-Cheng Wang, Guo-Fang Tseng, Tsung-Lang Chiu, Shinn-Zong Lin, and Sheng-Tzung Tsai. 2020. "Dopaminergic Degeneration and Small Vessel Disease in Patients with Normal Pressure Hydrocephalus Who Underwent Shunt Surgery" Journal of Clinical Medicine 9, no. 4: 1084. https://doi.org/10.3390/jcm9041084
APA StyleChang, T.-W., Tseng, P.-H., Wang, Y.-C., Tseng, G.-F., Chiu, T.-L., Lin, S.-Z., & Tsai, S.-T. (2020). Dopaminergic Degeneration and Small Vessel Disease in Patients with Normal Pressure Hydrocephalus Who Underwent Shunt Surgery. Journal of Clinical Medicine, 9(4), 1084. https://doi.org/10.3390/jcm9041084