ARCHIVES
VOL. 8, ISSUE 12 (2021)
Role of MRI CSF flowmetry in differantiation between normal pressure hydrocephalus and invoultional brain changes
Authors
Ahmed Metwali Hamza Ahmed, Hoda Abdelkareem Abdalsamie, Mohammed Sayed I Elshandawely
Abstract
Background: Phase contrast MR imaging is a quick and non- invasive method for its ability to distinguish between normal pressure hydrocephalus and involutional brain abnormalities. Patient and Methods: The descriptive case-control study was conducted at Al-Azhar University, Assiut, Egypt from December 2020 to October 2021, and comprised patients with normal pressure hydrocephalus and involutional brain changes. Healthy volunteers were included as controls. Conventional magnetic resonance imaging of the brain was performed followed by the assessment of cerebrospinal fluid flow dynamics, was done at the level of the aqueduct of Sylvius. Results: Of the 50 subjects with a mean age of 47.2 ±18.19 years (range: 18-77 years), There were 28(56%) males and 22(44%) were females. Among the patients, 20(40%) had brain atrophic changes based on magnetic resonance imaging, and 18(36%) had normal pressure hydrocephalus This study revealed that CSF flowmetry can differentiate between NPH and atrophic brain changes by the value of stroke volume, where the normal range was (15-27 ul),, and all cases of atrophic brain changes showed stroke volume between (2.7-15.9ul), where all cases of NPH showed stroke volume between (35-155ul),. This study can also confirm the diagnosis of aqueductal stenosis and differentiate it from communicating hydrocephalus (case of aqueductal stenosis showed stroke volume less than 11 μl, where communicating hydrocephalus showed stroke volume is between (11-18 ul),, signs clinically and scanning criteria. Conclusion: In order to distinguish between normal pressure hydrocephalus and age-related brain atrophy, phase-contrast magnetic resonance imaging was proven to be a beneficial tool.
Download
Pages:106-113
How to cite this article:
Ahmed Metwali Hamza Ahmed, Hoda Abdelkareem Abdalsamie, Mohammed Sayed I Elshandawely "Role of MRI CSF flowmetry in differantiation between normal pressure hydrocephalus and invoultional brain changes". International Journal of Multidisciplinary Research and Development, Vol 8, Issue 12, 2021, Pages 106-113
Download Author Certificate
Please enter the email address corresponding to this article submission to download your certificate.