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Miyati, T; Mase, M; Kasai, H; Hara, M; Yamada, K; Shibamoto, Y; Soellinger, M; Baltes, C; Luechinger, R.
Noninvasive MRI assessment of intracranial compliance in idiopathic normal pressure hydrocephalus.
J Magn Reson Imaging. 2007; 26(2):274-278 Doi: 10.1002/jmri.20999
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Co-Autor*innen der Med Uni Graz
Söllinger Michaela
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Abstract:
PURPOSE: To assess the state and dynamics of the intracranial system in idiopathic normal-pressure hydrocephalus (I-NPH), we determined intracranial compliance using magnetic resonance imaging (MRI). MATERIALS AND METHODS: The intracranial compliance index (ICCI), which was defined as the ratio of the peak-to-peak intracranial volume change (ICVC(p-p)) to the peak-to-peak cerebrospinal fluid (CSF) pressure gradient (PG(p-p)) during the cardiac cycle, was obtained from the net transcranial blood and CSF flow measured with phase-contrast (PC) cine MRI. ICCI was determined in patients with I-NPH (N = 7), brain atrophy, or asymptomatic ventricular dilation (VD) (N = 6), and in healthy volunteers (control group; N = 11). The changes in ICCI indices were also analyzed after a CSF tap test (N = 2). RESULTS: The ICCI in the I-NPH group was significantly lower than in the control and VD groups, whereas no difference was found between the control and VD groups. The ICVC(p-p) was also lower than in the control and VD groups. However, no significant difference was found in the PG(p-p) between groups. The ICCI increased after the tap test. CONCLUSION: Intracranial compliance analysis with MRI makes it possible to noninvasively obtain more detailed information of intracranial biomechanics in the I-NPH and to assist in the diagnosis of I-NPH.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Aged, 80 and over -
Biomechanics -
Brain - pathology
Case-Control Studies - pathology
Female - pathology
Humans - pathology
Hydrocephalus, Normal Pressure - diagnosis
Image Processing, Computer-Assisted - diagnosis
Magnetic Resonance Imaging - methods
Male - methods
Middle Aged - methods
Reference Values - methods
Reproducibility of Results - methods

Find related publications in this database (Keywords)
intracranial compliance
idiopathic normal pressure hydrocephalus
pressure gradient
intracranial volume loading
brain atrophy
tap test
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