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The Predictive Value of CSF Dynamic Tests in Patients with the Idiopathic Adult Hydrocephalus Syndrome Arch Neurol 52:783-789, Malm,J.,et al, 1995 See this aricle in Pubmed Article Abstract Gait was improved in 25(72%)of the 35 patients,whereas the Bartel index remained unchanged.The conditions of five of seven patients with gait disturbance as the sole symptom improved.The spatial function(37%improved) and the findings from the Fuld object memory tests(29%improved)were significantly improved.Shunt dysfunction could not explain the lack of effect of an operation in the remaining patients.It should be noted that these results obtained at 3 months postoperatively may not be applicable in a long-term perspective.The CSF outflow conductance or CSF tap test were not able to identify those patients who would or would not benefit from a CSF diversion procedure.However,patients had a lower conductance and a higher CSF pressure than did control subjects.Considerable improvement in gait was seen,but cognitive function was little affected. The CSF tap test or conductance does not provide additional information that is necessary to distinguish between patients whose conditions will or will not respond to shunting,when selection for surgery is based on conservative clinical criteria.

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(click to filter results - removes previous filter) cerebrospinal fluid,infusion test cerebrospinal fluid,tap test hydrocephalus hydrocephalus,normal pressure hydrocephalus,treatment of lumbar puncture shunt procedure,ventricular treatment of neurologic disorder

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