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Surgical Treatment of Vertebral Compression Fracture in a Patient with Idiopathic Normal Pressure Hydrocephalus

Idiopathic normal pressure hydrocephalus (iNPH) with gait disturbance can be effectively treated with a cerebrospinal fluid shunt. Furthermore, balloon kyphoplasty (BKP) is a successful minimally invasive treatment for osteoporotic vertebral compression fractures (VCFs). This case report presents th...

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Autores principales: Tanaka, Tatsuya, Fujiwara, Ren, Sashida, Ryohei, Hirokawa, Yu, Wakamiya, Tomihiro, Michiwaki, Yuhei, Shimoji, Kazuaki, Suehiro, Eiichi, Onoda, Keisuke, Yamane, Fumitaka, Kawashima, Masatou, Matsuno, Akira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japan Medical Association 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10407305/
https://www.ncbi.nlm.nih.gov/pubmed/37560370
http://dx.doi.org/10.31662/jmaj.2023-0005
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author Tanaka, Tatsuya
Fujiwara, Ren
Sashida, Ryohei
Hirokawa, Yu
Wakamiya, Tomihiro
Michiwaki, Yuhei
Shimoji, Kazuaki
Suehiro, Eiichi
Onoda, Keisuke
Yamane, Fumitaka
Kawashima, Masatou
Matsuno, Akira
author_facet Tanaka, Tatsuya
Fujiwara, Ren
Sashida, Ryohei
Hirokawa, Yu
Wakamiya, Tomihiro
Michiwaki, Yuhei
Shimoji, Kazuaki
Suehiro, Eiichi
Onoda, Keisuke
Yamane, Fumitaka
Kawashima, Masatou
Matsuno, Akira
author_sort Tanaka, Tatsuya
collection PubMed
description Idiopathic normal pressure hydrocephalus (iNPH) with gait disturbance can be effectively treated with a cerebrospinal fluid shunt. Furthermore, balloon kyphoplasty (BKP) is a successful minimally invasive treatment for osteoporotic vertebral compression fractures (VCFs). This case report presents the surgical management of an elderly patient with iNPH who presented after a VCF due to a fall. A 77-year-old woman who had been experiencing progressive gait disturbance for five years reported experiencing back pain one month after a fall. Imaging revealed a recent L1 VCF that did not compromise the spinal canal. Furthermore, the Mini-Mental State Examination results and the timed up-and-go test were 20 points and 17.96 seconds, respectively. Magnetic resonance imaging revealed ventriculomegaly with an Evans’ index of 0.35. Her symptoms improved temporarily after a tap test, and she was diagnosed with probable iNPH. BKP was performed for VCFs, followed by the lumboperitoneal (LP) shunt placement for iNPH one month later. Following the operation, her symptoms improved without complications. After one month of performing BKP, an LP shunt would be placed to prevent shunt complications, such as infection and catheter-related neurological symptoms. Screening for iNPH in the elderly who present after VCFs due to a fall may identify iNPH patients who may benefit more from surgical treatments.
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spelling pubmed-104073052023-08-09 Surgical Treatment of Vertebral Compression Fracture in a Patient with Idiopathic Normal Pressure Hydrocephalus Tanaka, Tatsuya Fujiwara, Ren Sashida, Ryohei Hirokawa, Yu Wakamiya, Tomihiro Michiwaki, Yuhei Shimoji, Kazuaki Suehiro, Eiichi Onoda, Keisuke Yamane, Fumitaka Kawashima, Masatou Matsuno, Akira JMA J Case Report Idiopathic normal pressure hydrocephalus (iNPH) with gait disturbance can be effectively treated with a cerebrospinal fluid shunt. Furthermore, balloon kyphoplasty (BKP) is a successful minimally invasive treatment for osteoporotic vertebral compression fractures (VCFs). This case report presents the surgical management of an elderly patient with iNPH who presented after a VCF due to a fall. A 77-year-old woman who had been experiencing progressive gait disturbance for five years reported experiencing back pain one month after a fall. Imaging revealed a recent L1 VCF that did not compromise the spinal canal. Furthermore, the Mini-Mental State Examination results and the timed up-and-go test were 20 points and 17.96 seconds, respectively. Magnetic resonance imaging revealed ventriculomegaly with an Evans’ index of 0.35. Her symptoms improved temporarily after a tap test, and she was diagnosed with probable iNPH. BKP was performed for VCFs, followed by the lumboperitoneal (LP) shunt placement for iNPH one month later. Following the operation, her symptoms improved without complications. After one month of performing BKP, an LP shunt would be placed to prevent shunt complications, such as infection and catheter-related neurological symptoms. Screening for iNPH in the elderly who present after VCFs due to a fall may identify iNPH patients who may benefit more from surgical treatments. Japan Medical Association 2023-06-12 2023-07-14 /pmc/articles/PMC10407305/ /pubmed/37560370 http://dx.doi.org/10.31662/jmaj.2023-0005 Text en Copyright © Japan Medical Association https://creativecommons.org/licenses/by/4.0/JMA Journal is an Open Access journal distributed under the Creative Commons Attribution 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Tanaka, Tatsuya
Fujiwara, Ren
Sashida, Ryohei
Hirokawa, Yu
Wakamiya, Tomihiro
Michiwaki, Yuhei
Shimoji, Kazuaki
Suehiro, Eiichi
Onoda, Keisuke
Yamane, Fumitaka
Kawashima, Masatou
Matsuno, Akira
Surgical Treatment of Vertebral Compression Fracture in a Patient with Idiopathic Normal Pressure Hydrocephalus
title Surgical Treatment of Vertebral Compression Fracture in a Patient with Idiopathic Normal Pressure Hydrocephalus
title_full Surgical Treatment of Vertebral Compression Fracture in a Patient with Idiopathic Normal Pressure Hydrocephalus
title_fullStr Surgical Treatment of Vertebral Compression Fracture in a Patient with Idiopathic Normal Pressure Hydrocephalus
title_full_unstemmed Surgical Treatment of Vertebral Compression Fracture in a Patient with Idiopathic Normal Pressure Hydrocephalus
title_short Surgical Treatment of Vertebral Compression Fracture in a Patient with Idiopathic Normal Pressure Hydrocephalus
title_sort surgical treatment of vertebral compression fracture in a patient with idiopathic normal pressure hydrocephalus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10407305/
https://www.ncbi.nlm.nih.gov/pubmed/37560370
http://dx.doi.org/10.31662/jmaj.2023-0005
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