뇌척수액 션트수술 후에 회복된 외상후수두증 치매

J Korean Neurol Assoc > Volume 27(4); 2009 > Article

Journal of the Korean Neurological Association 2009;27(4): 432-436.

Dementia Caused by Post-traumatic Hydrocephalus Showing Marked Improvement After a Shunt Operation

강지혜, 김성관 송영진a 박경원

동아대학교 의과대학 신경과학교실, 신경외과학교실a

뇌척수액 션트수술 후에 회복된 외상후수두증 치매

Ji Hye Kang

Department of Neurology and Neurosurgerya, Dong-A University College of Medicine, Busan, Korea

Abstract

A few cases of dementia caused by posttraumatic hydrocephalus have been reported. A 75-year-old man was admitted to hospital for the evaluation of cognitive impairment and gait disturbance of 2 weeks duration. The patient had been involved in a car accident 50 days prior to his admission. A brain MRI revealed significant hydrocephalus. His score on the Korean version of the Mini Mental State Examination was 14/30, and a neuropsychological assessment revealed severe impairments in all domains. A lumboperitoneal shunt operation was performed. His global cognitive functions and daily activities were fully recovered after the procedure. Key Words: Posttraumatic hydrocephalus, Lumboperitoneal shunt