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特发性正常颅压脑积水是一种病因不明,正常颅压下脑室扩大,临床表现为步态异常和/或痴呆及括约肌功能障碍的疾病。对分流术反应不一。目前临床研究表明采用合理的分类诊断以及辅助预测试验如脑脊液外流阻力、短期脑脊液体外引流等将有助于选择可从分流术中获益的病人。本文对以上方面及术后随访等研究现状进行了综述,以期为临床诊治和进一步的临床试验提供参考。
Idiopathic normal intracranial pressure hydrocephalus is a disease of unknown etiology, enlargement of ventricles under normal intracranial pressure, clinical manifestations of abnormal gait and / or dementia and sphincter dysfunction. Responsive to shunt surgery. Current clinical studies have shown that the use of reasonable diagnostic classification and auxiliary prediction tests such as resistance to cerebrospinal fluid efflux and short-term drainage of cerebrospinal fluid outside the body will help select patients who benefit from shunts. This article reviews the above aspects and the status of postoperative follow-up and other studies, in order to provide a reference for clinical diagnosis and treatment and further clinical trials.