Abstract

LEON CASTELLON, Roberto et al. ⁹⁹ Tc-DTPA radionuclide cisternography to confirm the diagnosis of normal pressure hydrocephalus. Rev cubana med [online]. 2016, vol.55, n.2, pp.167-174. ISSN 0034-7523.

A female patient who was admitted to Hermanos Ameijeiras Clinical and Surgical Hospital is presented here. She had a history of chronic alcohol abuse and progressive clinical deterioration of cognitive behavioral, abnormal gait and sphincter disorders. This patient had a radioisotope cisternography in order to test its effectiveness in the study of the dynamics of cerebrospinal fluid, and to diagnose normotensive hidden hydrocephalus. This MRI revealed hydrocephalus and skull evolutionary radioisotope cisternography confirmed the diagnosis of normal pressure hidden hydrocephalus. This patient received a shunt with a favorable evolutionary clinical response. It is concluded that cisternography radioisotope remains a useful tool to confirm this diagnosis and predict response to derivative treatment.

Keywords : normotensive hidden hydrocephalus; radioisotope cisternography; 99Tc-DTPA.

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