scholarly journals INCIDENCE, DIAGNOSTIC CRITERIA AND OUTCOME FOLLOWING SHUNTING OF IDIOPATHIC NORMAL PRESSURE HYDROCEPHALUS IN MEMORY CLINIC POPULATION: PROSPECTIVE OBSERVATIONAL CROSS‐SECTIONAL STUDY

2020 ◽  
Vol 50 (S1) ◽  
pp. 32-33
Keyword(s):  
Diagnostic Criteria ◽  
Normal Pressure Hydrocephalus ◽  
Normal Pressure ◽  
Cross Sectional Study ◽  
Idiopathic Normal Pressure Hydrocephalus ◽  
Sectional Study ◽  
Memory Clinic ◽  
Cross Sectional ◽  
Clinic Population

scholarly journals Cerebrospinal fluid closing pressure-guided tap test for the diagnosis of idiopathic normal pressure hydrocephalus: A descriptive cross-sectional study

2020 ◽  
Vol 11 ◽  
pp. 315
Author(s):  
Diego Fernando Gómez-Amarillo ◽  
Luis Fernando Pulido ◽  
Isabella Mejía ◽  
Catalina García-Baena ◽  
María Fernanda Cárdenas ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Normal Pressure Hydrocephalus ◽  
Normal Pressure ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Opening Pressure ◽  
Cross Sectional ◽  
Tap Test ◽  
The Mean ◽  
Closing Pressure

Background: Tap test improves symptoms of idiopathic normal pressure hydrocephalus (iNPH); hence, it is widely used as a diagnostic procedure. However, it has a low sensitivity and there is no consensus on the parameters that should be used nor the volume to be extracted. We propose draining cerebrospinal fluid (CSF) during tap test until a closing pressure of 0 cm H2O is reached as a standard practice. We use this method with all our patients at our clinic. Methods: This is a descriptive cross-sectional study where all patients with presumptive diagnosis of iNPH from January 2014 to December 2019 were included in the study. We used a univariate descriptive analysis and stratified analysis to compare the opening pressure and the volume of CSF extracted during the lumbar puncture, between patients in whom a diagnosis of iNPH was confirmed and those in which it was discarded. Results: A total of 92 patients were included in the study. The mean age at the time of presentation was 79.4 years and 63 patients were male. The diagnosis of iNPH was confirmed in 73.9% patients. The mean opening pressure was 14.4 cm H2O mean volume of CSF extracted was 43.4 mL. Conclusion: CSF extraction guided by a closing pressure of 0 cm H2O instead of tap test with a fixed volume of CSF alone may be an effective method of optimizing iNPH symptomatic improvement and diagnosis.

scholarly journals PREVALENCE OF OTOLARYNGOLOGICAL SYMPTOMS IN PATIENTS WITH TEMPOROMANDIBULAR DISORDERS- A CROSS-SECTIONAL STUDY

2020 ◽  
Vol 8 (10) ◽  
pp. 780-782
Author(s):  
Annie Susan Thomas ◽  
◽  
Ariel Hannah Philip ◽  
Philip Oommen ◽  
◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Temporomandibular Disorders ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Muscular Disorder ◽  
High Prevalence ◽  
Males And Females ◽  
Ear Symptoms ◽  
Research Diagnostic Criteria

Aim:To investigate the prevalence of otolaryngological symptoms with Temporomandibular Disorders (TMD) in TMD patients. Materials and Methods: In this cross sectional study, the sample consisted of 172 TMD patients, both males and females of 18-59 years. Diagnosis of TMD was based on Research Diagnostic Criteria for TMD (RDC-TMD) Axis 1. The prevalence of otolaryngological symptoms was determined using questionnaire. Results: Of the 172 TMD patients evaluated, 81 patients were having Muscular disorder alone or combined with Intracapsular disorder. Out of the 81 patients having muscular disorder, 74 had ear symptoms (91.4%). Conclusion: A high prevalence (91.4%) of Otolaryngological symptoms with TMD was found in the present study. Ruling out causes of ear symptoms other than TMD by an ENT specialist is essential before proceeding with the treatment of these category of patients for a better prognosis.

Ventriculoperitoneal Shunting of Idiopathic Normal Pressure Hydrocephalus Increases Midbrain Size: A Potential Mechanism for Gait Improvement

Neurosurgery ◽  
2006 ◽  
Vol 59 (4) ◽  
pp. 847-851 ◽  
Author(s):  
J Mocco ◽  
Matthew I. Tomey ◽  
Ricardo J. Komotar ◽  
William J. Mack ◽  
Steven J. Frucht ◽  
...  
Keyword(s):  
Normal Pressure Hydrocephalus ◽  
Ventriculoperitoneal Shunt ◽  
Medical Center ◽  
Normal Pressure ◽  
Idiopathic Normal Pressure Hydrocephalus ◽  
Cross Sectional ◽  
Mean Values ◽  
Shunt Placement ◽  
Ventriculoperitoneal Shunting ◽  
The Mean

Abstract OBJECTIVE: Idiopathic normal pressure hydrocephalus (INPH) is characterized by a classic clinical triad of symptoms, including dementia, urinary incontinence, and gait disturbance. Recent work has demonstrated that the maximal midbrain anteroposterior (AP) diameter is significantly smaller in patients with INPH than in healthy, age-matched controls. The current study was undertaken to determine the effect of ventriculoperitoneal shunt placement on midbrain dimensions in INPH patients. METHODS: Twelve consecutive INPH patients undergoing ventriculoperitoneal shunt placement with pre- and postoperative computed tomographic scans at the Columbia University Medical Center were enrolled. Each patient's pre- and postoperative maximum AP and left-to-right diameters of the midbrain at the pontomesencephalic junction were independently measured in a blinded fashion by two of the authors. The average value of each dimension was computed by calculating the mean values of the measurements of the two observers. RESULTS: Both the mean AP diameter (preoperative mean, 2.06 ± 0.04 cm; postoperative mean, 2.27 ± 0.05; P = 0.0007) and left-to-right diameter (preoperative mean, 2.80 ± 0.07; postoperative mean, 3.03 ± 0.08; P = 0.0029) increased from pre- to postoperative imaging. The approximate cross-sectional area determined as the product of AP and left-to-right diameters also increased from pre- to postoperative images (preoperative mean, 5.79 ± 0.22 cm2; postoperative mean, 6.90 ± 0.25 cm2; P = 0.00049). CONCLUSION: This study provides supportive evidence that midbrain cytoarchitecture may play a role in the pathophysiology and post-ventriculoperitoneal shunt gait improvement of INPH patients.

scholarly journals Comparing the Diagnostic Criteria of Metabolic Syndrome in Schoolchildren: Cross-sectional Study

10.3823/2494 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Ingred Pereira Cirino ◽  
Leylla Lays Alves e Silva ◽  
Karollayny De Macêdo Oliveira ◽  
Eugênio Barbosa de Melo Júnior ◽  
Edina Araújo Rodrigues Oliveira ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Diagnostic Criteria ◽  
Private School ◽  
Cross Sectional Study ◽  
Northeastern Brazil ◽  
Sectional Study ◽  
Kappa Index ◽  
Cross Sectional ◽  
The Metabolic Syndrome

Title: Comparing the diagnostic criteria of metabolic syndrome in schoolchildren: a cross-sectional study. Introduction: The Metabolic Syndrome has been highlighted by being the result of the meeting of several cardiovascular risk factors. However, there is still no consensus for the determination of MS in children and adolescents, since the diagnostic criteria and its cut-off points considered at risk are not established and, depending on the criteria used, the prevalence of MS found in the literature may vary. Objective: To compare the diagnostic criteria for metabolic syndrome in adolescents in the private school system. Method: This is a cross-sectional study of 325 adolescents from private schools in the urban area of a city in northeastern Brazil. The analysis was performed through the descriptive statistics, and the verification of the agreement between the results was given by the calculation of the Kappa index. The study was approved by the Ethics Committee (opinion 352.372). Results: In only 7 adolescents, the diagnosis was like the three definitions of metabolic syndrome. Regarding the number of components of metabolic syndrome, a large percentage of adolescents presented 02 or more altered parameters. Regarding the comparison of the diagnostic criteria, the criteria established by De Ferranti presented a higher positive proportion for the syndrome. Conclusion: There were differences between the proportions obtained through the three diagnostic criteria, which may impair the diagnosis of the metabolic syndrome in adolescents.

scholarly journals Osteoporosis in psoriatic arthritis: a cross-sectional study of an outpatient clinic population

RMD Open ◽  
2018 ◽  
Vol 4 (1) ◽  
pp. e000631 ◽  
Author(s):  
Agnete Malm Gulati ◽  
Brigitte Michelsen ◽  
Andreas Diamantopoulos ◽  
Berit Grandaunet ◽  
Øyvind Salvesen ◽  
...  
Keyword(s):  
Psoriatic Arthritis ◽  
Outpatient Clinic ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Clinic Population
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