The Current Status of Medical Care for Idiopathic Normal-pressure Hydrocephalus in Medical Centers for Dementia in Japan Kenji Yoshiyama 1 , Hiroaki Kazui 1 , Masatoshi Takeda 1 1Department of Psychiatry, Osaka University Graduate School of Medicine Keyword: 特発性正常圧水頭症 , 認知症疾患医療センター , アンケート調査 , 診療ガイドライン , 診療連携 , idiopathic normal pressure hydrocephalus , the Medical Center for Dementia , questionnaire investigation , clinical guidelines , medical cooperation pp.1139-1145
Published Date 2015/9/1
DOI https://doi.org/10.11477/mf.1416200273
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We used a questionnaire to evaluate how patients with idiopathic normal-pressure hydrocephalus (iNPH) are examined in Medical Centers for Dementia (MCDs), which are qualified medical organizations for dementia patients in Japan. Ninety-eight of 205 MCDs responded to our questionnaire. Accordingly, more than 590 patients with iNPH underwent an MCD examination during the period of 1 year. In regards to the Guidelines for Management of iNPH, 40 of the 98 MCDs used neither the first nor second edition of the Guidelines, even though up-to-date information is available in the second edition of the Guidelines. At most MCDs, consultation with iNPH specialists was performed without a cerebrospinal fluid tap test. At more than half of the responding MCDs, doctors felt that the selection of appropriate candidates for shunt surgery differed from those selected by neurosurgeons. Moreover, 73 out of 87 MCDs argued that patients with iNPH should be examined by both dementia specialists and neurosurgeons after shunt surgery. These results suggest that doctors at MCDs should take advantage of up-to-date information and cooperate with iNPH specialists and neurosurgeons.

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