Ventriculomegaly in the elderly: who needs a shunt? a mri study on 90 patients

Baroncini, Marc; Baledent, Olivier; Ardi, Celine Ebrahimi; Deken-Delannoy, Valérie; Kuchcinski, Gregory; Duhamel, Alain; Ares, Gustavo Soto; Lejeune, Jean-Paul; Hodel, Jerome

Type de document :

Article dans une revue scientifique: Article original

DOI :

10.1007/978-3-319-65798-1_45

PMID :

29492565

URL permanente :

http://hdl.handle.net/20.500.12210/17085

Titre :

Ventriculomegaly in the elderly: who needs a shunt? a mri study on 90 patients

Auteur(s) :

Baroncini, Marc [Auteur]

Baledent, Olivier [Auteur]
Ardi, Celine Ebrahimi [Auteur]
Deken-Delannoy, Valérie [Auteur]
Kuchcinski, Gregory [Auteur]

Troubles cognitifs dégénératifs et vasculaires - U 1171 - EA 1046 [TCDV]
Troubles cognitifs dégénératifs et vasculaires - U1171
Duhamel, Alain [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Ares, Gustavo Soto [Auteur]
Lejeune, Jean-Paul [Auteur]

Thérapies Assistées par Lasers et Immunothérapies pour l'Oncologie - U 1189 [OncoThAI]
Thérapies Lasers Assistées par l'Image pour l'Oncologie (ONCO-THAI) - U1189
Hodel, Jerome [Auteur]

Titre de la revue :

Acta neurochirurgica. Supplement

Nom court de la revue :

Acta Neurochir. Suppl.

Numéro :

126

Pagination :

221-228

Date de publication :

2018-01-01

ISSN :

0065-1419

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

In the case of ventriculomegaly in the elderly, it is often difficult to differentiate between communicating chronic hydrocephalus (CCH) and brain atrophy. The aim of this study is to describe the MRI criteria of CCH, ...
Lire la suite >In the case of ventriculomegaly in the elderly, it is often difficult to differentiate between communicating chronic hydrocephalus (CCH) and brain atrophy. The aim of this study is to describe the MRI criteria of CCH, defined by a symptomatic patient with ventriculomegaly and that improved after shunt placement. Magnetic resonance imaging was prospectively evaluated in 90 patients with ventriculomegaly. Patients were classified into three groups: patients without clinical signs of CCH (control, n = 47), patients with CCH treated by shunt placement with clinical improvement (responders, n = 36), and patients with CCH treated using a shunt without clinical improvement (nonresponders, n = 7). MRI parameters of the two groups of interest (responders vs. controls) were compared. Compared with controls, Evans' index (p = 0.029), ventricular area (p < 0.01), and volume (p = 0.0001) were higher in the responders. In this group, the callosal angle was smaller (p ≤ 0.0001) and the aqueductal stroke volume (SVa) of CSF was higher (p ≤ 0.0001) than in controls. On the ROC curves, the optimal cut-off values for differentiating between responders and controls were a ventricular area >33.5 cm2 On suspicion of CCH, a large ventricular area, a small callosal angle, and an increased aqueductal stroke volume are important MRI arguments that can be associated with the clinical evaluation and dynamic testing of CSF to confirm the indication for a shunt.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

CHU Lille
Inserm
Université de Lille

Collections :

Date de dépôt :

2019-12-09T16:55:49Z

Historique des modifications

Numéro de version	Lien	Date de modification
4	20.500.12210/17085	2025-01-24T13:02:15Z
3	20.500.12210/17085.3	2025-01-24T09:35:50Z
1	20.500.12210/17085.1*	2019-12-09T16:55:49Z

*Version sélectionnée

Ventriculomegaly in the elderly: who needs ...

BibTeX

CSV

Excel

RIS

Information

Historique des modifications

Ventriculomegaly in the elderly: who needs ... BibTeX CSV Excel RIS

Information

Historique des modifications

Ventriculomegaly in the elderly: who needs ...

BibTeX

CSV

Excel

RIS