Disfunción neuropsicológica en la Hidrocefalia de Presión Normal por tumoración metastásica - Estudio de Caso Clínico
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Ajayu
Abstract
La Hidrocefalia de Presión Normal (HPN) por tumoración metastásica es una alteración neurológica muy poco común. La HPN se caracteriza por un exceso de líquido cefalorraquídeo acumulado en las cavidades ventriculares, siendo que en estos casos se produce por obstrucción metastásica. El propósito fue identificar y analizar los cambios neuropsicológicos antes y después de la colocación de un sistema de derivación ventriculoperitoneal. Se consideró apenas un participante para este estudio de caso, un hombre con 77 años residente en la ciudad de Lisboa. Se aplicó un screening constituido por diversas subpruebas de la WISC, figura compleja de Rey, EADS, 16PF-5 y una entrevista clínica. En la evaluación preoperatoria se verificaron déficits neuropsicológicos y cambios de la regulación emocional significativos. Una vez colocada la derivación apenas persisten los cambios en la memoria visoespacial y sintomatología depresiva. La estimulación natural presentó mejoras, sin embargo, la memoria debe ser rehabilitada y la depresión tratada para minimizar el daño.
Normal Pressure Hydrocephalus (NPH) due to a metastatic tumor is a rare neurological disorder. The NPH is characterized by an excess of cerebrospinal fluid accumulated in the ventricular cavities, and in this case, it is caused by metastatic obstruction. We aimed to identify and analyze the neuropsychological changes before and after placement of a ventriculoperitoneal shunt system. Only one participant was considered for this case study, a 77-year-old who lived in the city of Lisbon. A screening consisting of various subtests of the WISC, the complex figure of Rey, DASS-21, 16PF-5, and a clinical interview was applied. In the preoperative evaluation, significant neuropsychological deficits and emotional regulation changes were verified. Once the shunt was placed, changes in visuospatial memory and depressive symptoms hardly persisted. Significant improvements are verifies due to natural stimulation, however, memory must be rehabilitated and depression treated to minimize the damage.
Normal Pressure Hydrocephalus (NPH) due to a metastatic tumor is a rare neurological disorder. The NPH is characterized by an excess of cerebrospinal fluid accumulated in the ventricular cavities, and in this case, it is caused by metastatic obstruction. We aimed to identify and analyze the neuropsychological changes before and after placement of a ventriculoperitoneal shunt system. Only one participant was considered for this case study, a 77-year-old who lived in the city of Lisbon. A screening consisting of various subtests of the WISC, the complex figure of Rey, DASS-21, 16PF-5, and a clinical interview was applied. In the preoperative evaluation, significant neuropsychological deficits and emotional regulation changes were verified. Once the shunt was placed, changes in visuospatial memory and depressive symptoms hardly persisted. Significant improvements are verifies due to natural stimulation, however, memory must be rehabilitated and depression treated to minimize the damage.
Description
Vol. 21, No. 2