Please use this identifier to cite or link to this item: doi:10.22028/D291-35796
Title: Motor skills, cognitive impairment, and quality of life in normal pressure hydrocephalus: early effects of shunt placement
Author(s): Hülser, Matthias
Spielmann, Hannah
Oertel, Joachim
Sippl, Christoph
Language: English
Title: Acta Neurochirurgica
Publisher/Platform: Springer Nature
Year of Publication: 2022
Free key words: iNPH
DDC notations: 610 Medicine and health
Publikation type: Journal Article
Abstract: Background Traditionally, clinical fndings of normal pressure hydrocephalus are mainly characterized by the Hakim triad. The aim of this study is to evaluate the performance of patients sufering from idiopathic normal pressure hydrocephalus (iNPH) in a more holistic manner regarding motor skills, cognitive impairment, and quality of life. Methods In total, 30 individuals diagnosed with iNPH as well as a reference group with another 30 individuals were included. The iNPH patients and the reference group were age, educational, and morbidity matched. A standardized test battery for psychomotor skills, gait, neuropsychological abilities as well as questionnaires for quality of life was applied. The iNPH group was tested prior to surgery, at 6 weeks, and 3 months postoperatively. The reference group was tested once. Results Patients showed a signifcant improved performance in various items of the test battery during the frst 3 months postoperatively. This included neuropsychological evaluation, motor skills including gait and upper motor function as well as the quality of life of the patients. Compared to reference individuals, neuropsychological aspects and quality of life of iNPH patients improved in some parts nearly to normal values. Conclusion Our fndings underline that shunt surgery does not only improve the symptoms in iNPH patients but also ame liorates the quality of life to a great extent close to those of age and comorbidity matched reference individuals. This data enables an optimized counseling of iNPH patients regarding the expectable outcome after shunt surgery especially regarding cognitive performance, motor skills as well as life quality.
DOI of the first publication: 10.1007/s00701-022-05149-2
Link to this record: urn:nbn:de:bsz:291--ds-357961
ISSN: 0942-0940
Date of registration: 18-Mar-2022
Faculty: M - Medizinische Fakultät
Department: M - Neurochirurgie
Professorship: M - Prof. Dr. Joachim Oertel
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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