BRAIN and NERVE－神経研究の進歩76巻2号

2024年02月発行

特集 特発性正常圧水頭症の現在

特発性正常圧水頭症の外科的治療

著者： 喜多大輔¹

所属機関： ¹公立能登総合病院脳神経外科

ページ範囲：P.159 - P.166

文献概要

髄液シャント手術は特発性正常圧水頭症の唯一の治療法であり，術式として脳室-腹腔／心房，腰椎-腹腔がある。圧可変式バルブと抗サイフォンデバイスを組み合わせたハイブリッドバルブが普及し，シャント再建，シャント流量過多時の硬膜下血腫などの合併症は大幅に減少している。シャント術後の頭蓋内環境をより生理的状態に保つための技術開発が課題である。

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