Poster électronique

Rôle de la PC-IRM dans le diagnostic étiologique des pathologies neurodégénératives associées à une hydrocéphalie
S. Elsankari (1), A. Fichten (1), C. Gondry-Jouet (1), M. Czosnyka (2), H. Deramond (1), D. Le Gars (1), O. Godefroy (1), JM. Serot (1), ME. Meyer (1), O. Balédent (1) - (1) Amiens - France, (2) Cambridge - Royaume Uni
Congrès 2010
Résumé
Objectifs
L'hydrocéphalie peut être liée aux processus neurodégénératifs, mais une cause curable par déséquilibre de la dynamique du LCS est souvent systématiquement recherchée. La dynamique du LCS dans les pathologies neurodégénératives n'a jamais étéévaluée.
Matériels et méthodes
Nous avons recueilli les données des 50 patients explorés en IRM par contraste de phase (PC-IRM) pour une symptomatologie neurologique et une hydrocéphalie : le diagnostic initial, les signes cliniques, le volume oscillatoire de LCS ventriculaire (VOV) et cervical (VOC), et le diagnostic final retenu.
Résultats
Parmi 17 patients suspects de sténose de l'aqueduc, 12 virent le diagnostic confirmé en PC-IRM et furent traités par ventriculocisternostomie, 4 avaient un VOV hyperdynamique et bénéficièrent d'un shunt et 1 des flux normaux.
Conclusion
Le rôle des flux de LCS dans les démences neurodégénératives reste méconnu. La PC-IRM constitue un outil diagnostique non-invasif potentiellement utile chez certains patients, pour le diagnostic et la décision thérapeutique.
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2017-02-20 06.30 :
wty123

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