Diagnosis and Differential Diagnosis of Hydrocephalus in Adults

Sönke Langner; Steffen Fleck; Jörg Baldauf; Birger Mensel; Jens Peter Kühn; Michael Kirsch

doi:10.1055/s-0043-108550

RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren, Inhaltsverzeichnis

Rofo 2017; 189(08): 728-739
DOI: 10.1055/s-0043-108550

Review

Diagnostik und Differenzialdiagnostik des Hydrozephalus beim Erwachsenen

Artikel in mehreren Sprachen: English | deutsch

Sönke Langner

¹Institute for Diagnostic Radiology and Neuroradiology, Universitymedicine Greifswald

,

Steffen Fleck

²Department of Neurosurgery, University Medicine Greifswald, Germany

,

Jörg Baldauf

²Department of Neurosurgery, University Medicine Greifswald, Germany

,

Birger Mensel

¹Institute for Diagnostic Radiology and Neuroradiology, Universitymedicine Greifswald

,

Jens Peter Kühn

¹Institute for Diagnostic Radiology and Neuroradiology, Universitymedicine Greifswald

,

Michael Kirsch

¹Institute for Diagnostic Radiology and Neuroradiology, Universitymedicine Greifswald

› Institutsangaben

Abstract

Widmung

Professor Hosten zum 60. Geburtstag

Zusammenfassung

Ziel Bei einem „Hydrozephalus“ kommt es durch ein Missverhältnis zwischen Liquorproduktion und -resorption oder ein Abflusshindernis zu einer Dilatation der Ventrikel und einem konsekutiven Anstieg des Hirndrucks. Die Bildgebung ist von zentraler Bedeutung, um die Diagnose zu bestätigen, die Ursache zu identifizieren und die Therapie planen zu können.

Methode Der Übersichtsartikel stellt die verschiedenen Formen des Hydrozephalus und deren bildmorphologische Charakteristika vor, beschreibt die zur Verfügung stehenden Untersuchungstechniken sowie mögliche Differenzialdiagnosen der einzelnen Erkrankungen.

Ergebnisse und Schlussfolgerung Für die Diagnose und Differenzialdiagnose des Hydrozephalus ist die Bildgebung von zentraler Bedeutung. Untersuchungsmethode der Wahl ist die MRT wobei in Notfallsituationen die initiale Diagnostik häufig mit CT erfolgt.

Kernaussagen

Ein Hydrocephalus occlusus ist durch eine Blockade des Liquorabflusses bedingt.
Ein Hydrocephalus malresorptivus ist durch eine Störung der Liquorresorption bedingt.
Das MR-Untersuchungsprotokoll sollte immer sagittale hochauflösende T2-gewichtete Aufnahmen umfassen.
Bei Verdacht auf ein entzündliches oder tumoröses Geschehen ist die Kontrastmittelgabe obligat.

Zitierweise

Langner S, Fleck S, Baldauf J et al. Diagnosis and Differential Diagnosis of Hydrocephalus in Adults. Fortschr Röntgenstr 2017; 189: 728 – 739

Key words

hydrocephalus - brain - MR imaging

Volltext

Referenzen

References
1 Kahle KT. Kulkarni AV. Limbrick Jr DD. et al. Hydrocephalus in children. Lancet (London, England) 2016; 387: 788-799
2 Reith W. Yilmaz U. Hydrocephalus and intracranial hypotension. Der Radiologe 2012; 52: 821-826
3 Symss NP. Oi S. Theories of cerebrospinal fluid dynamics and hydrocephalus: historical trend. Journal of neurosurgery Pediatrics 2013; 11: 170-177
4 Eymann R. Clinical symptoms of hydrocephalus. Der Radiologe 2012; 52: 807-812
5 Sakka L. Coll G. Chazal J. Anatomy and physiology of cerebrospinal fluid. European annals of otorhinolaryngology, head and neck diseases 2011; 128: 309-316
6 Greitz D. Radiological assessment of hydrocephalus: new theories and implications for therapy. Neurosurgical review 2004; 27: 145-165 discussion 166-147
7 Brinker T. Stopa E. Morrison J. et al. A new look at cerebrospinal fluid circulation. Fluids and barriers of the CNS 2014; 11: 10
8 Bulat M. Klarica M. Recent insights into a new hydrodynamics of the cerebrospinal fluid. Brain research reviews 2011; 65: 99-112
9 Oreskovic D. Klarica M. The formation of cerebrospinal fluid: nearly a hundred years of interpretations and misinterpretations. Brain research reviews 2010; 64: 241-262
10 Preuss M. Hoffmann KT. Reiss-Zimmermann M. et al. Updated physiology and pathophysiology of CSF circulation – the pulsatile vector theory. Child's nervous system – official journal of the International Society for Pediatric Neurosurgery 2013; 29: 1811-1825
11 Fink KR. Benjert JL. Imaging of Nontraumatic Neuroradiology Emergencies. Radiologic clinics of North America 2015; 53: 871-890 , x
12 Kartal MG. Algin O. Evaluation of hydrocephalus and other cerebrospinal fluid disorders with MRI: An update. Insights into imaging 2014; 5: 531-541
13 LeMay M. Hochberg FH. Ventricular differences between hydrostatic hydrocephalus and hydrocephalus ex vacuo by computed tomography. Neuroradiology 1979; 17: 191-195
14 Ragan DK. Cerqua J. Nash T. et al. The accuracy of linear indices of ventricular volume in pediatric hydrocephalus: technical note. Journal of neurosurgery Pediatrics 2015; 15: 547-551
15 Pini L. Pievani M. Bocchetta M. et al. Brain atrophy in Alzheimer's Disease and aging. Ageing research reviews 2016; 30: 25-48
16 Kim H. Jeong EJ. Park DH. et al. Finite element analysis of periventricular lucency in hydrocephalus: extravasation or transependymal CSF absorption?. Journal of neurosurgery 2016; 124: 334-341
17 Kartal MG. Ocakoglu G. Algin O. Feasibility of 3-dimensional sampling perfection with application optimized contrast sequence in the evaluation of patients with hydrocephalus. Journal of computer assisted tomography 2015; 39: 321-328
18 Bradley Jr WG. Magnetic Resonance Imaging of Normal Pressure Hydrocephalus. Seminars in ultrasound, CT, and MR 2016; 37: 120-128
19 Jaeger M. Khoo AK. Conforti DA. et al. Relationship between intracranial pressure and phase contrast cine MRI derived measures of intracranial pulsations in idiopathic normal pressure hydrocephalus. Journal of clinical neuroscience – official journal of the Neurosurgical Society of Australasia 2016; 33: 169-172
20 Qvarlander S. Ambarki K. Wahlin A. et al. Cerebrospinal fluid and blood flow patterns in idiopathic normal pressure hydrocephalus. Acta neurologica Scandinavica 2016;
21 Dincer A. Ozek MM. Radiologic evaluation of pediatric hydrocephalus. Child's nervous system – official journal of the International Society for Pediatric Neurosurgery 2011; 27: 1543-1562
22 Osborn AG. Preece MT. Intracranial cysts: radiologic-pathologic correlation and imaging approach. Radiology 2006; 239: 650-664
23 Beaumont TL. Limbrick Jr DD. Rich KM. et al. Natural history of colloid cysts of the third ventricle. Journal of neurosurgery 2016; 125: 1420-1430
24 Langner S. Buelow R. Fleck S. et al. Management of Intracranial Incidental Findings on Brain MRI. Fortschr Röntgenstr 2016; 188: 1123-1133
25 Schroeder HW. Oertel J. Gaab MR. Endoscopic treatment of cerebrospinal fluid pathway obstructions. Neurosurgery 2007; 60: ONS44-ONS51 ; discussion ONS51-42
26 Vaz-Guimaraes Filho FA. Ramalho CO. Suriano IC. et al. Neuroendoscopic surgery for unilateral hydrocephalus due to inflammatory obstruction of the Monro foramen. Arquivos de neuro-psiquiatria 2011; 69: 227-231
27 Webb CM. White Jr AC. Update on the Diagnosis and Management of Neurocysticercosis. Current infectious disease reports 2016; 18: 44
28 Boydston WR. Sanford RA. Muhlbauer MS. et al. Gliomas of the tectum and periaqueductal region of the mesencephalon. Pediatric neurosurgery 1991; 17: 234-238
29 Igboechi C. Vaddiparti A. Sorenson EP. et al. Tectal plate gliomas: a review. Child's nervous system – official journal of the International Society for Pediatric Neurosurgery 2013; 29: 1827-1833
30 Langner S. Kirsch M. Radiological Diagnosis and Differential Diagnosis of Headache. Fortschr Röntgenstr 2015; 187: 879-891
31 Lensing FD. Abele TA. Sivakumar W. et al. Pineal region masses – imaging findings and surgical approaches. Current problems in diagnostic radiology 2015; 44: 76-87
32 Grossman R. Ram Z. Posterior Fossa Intra-Axial Tumors in Adults. World neurosurgery 2016; 88: 140-145
33 Shih RY. Smirniotopoulos JG. Posterior Fossa Tumors in Adult Patients. Neuroimaging clinics of North America 2016; 26: 493-510
34 Rath TJ. Hughes M. Arabi M. et al. Imaging of cerebritis, encephalitis, and brain abscess. Neuroimaging clinics of North America 2012; 22: 585-607
35 Sarrazin JL. Bonneville F. Martin-Blondel G. Brain infections. Diagnostic and interventional imaging 2012; 93: 473-490
36 Shi YZ. Wang ZQ. Xu YM. et al. MR findings of primary choroid plexus papilloma of the cerebellopontine angle: report of three cases and literature reviews. Clinical neuroradiology 2014; 24: 263-267
37 Lieb JM. Stippich C. Ahlhelm FJ. Normal pressure hydrocephalus. Der Radiologe 2015; 55: 389-396
38 Picascia M. Zangaglia R. Bernini S. et al. A review of cognitive impairment and differential diagnosis in idiopathic normal pressure hydrocephalus. Functional neurology 2015; 30: 217-228
39 Kitagaki H. Mori E. Ishii K. et al. CSF spaces in idiopathic normal pressure hydrocephalus: morphology and volumetry. AJNR American journal of neuroradiology 1998; 19: 1277-1284
40 Markey KA. Mollan SP. Jensen RH. et al. Understanding idiopathic intracranial hypertension: mechanisms, management, and future directions. The Lancet Neurology 2016; 15: 78-91
41 Friedman DI. Liu GT. Digre KB. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. Neurology 2013; 81: 1159-1165
42 Bidot S. Saindane AM. Peragallo JH. et al. Brain Imaging in Idiopathic Intracranial Hypertension. Journal of neuro-ophthalmology 2015; 35: 400-411
43 Bakkour A. Morris JC. Wolk DA. et al. The effects of aging and Alzheimer's disease on cerebral cortical anatomy: specificity and differential relationships with cognition. NeuroImage 2013; 76: 332-344
44 Richards JE. Sanchez C. Phillips-Meek M. et al. A database of age-appropriate average MRI templates. NeuroImage 2016; 124: 1254-1259
45 Filippi M. MRI measures of neurodegeneration in multiple sclerosis: implications for disability, disease monitoring, and treatment. Journal of neurology 2015; 262: 1-6
46 Holt JL. Kraft-Terry SD. Chang L. Neuroimaging studies of the aging HIV-1-infected brain. Journal of neurovirology 2012; 18: 291-302
47 Arrillaga-Romany IC. Dietrich J. Imaging findings in cancer therapy-associated neurotoxicity. Seminars in neurology 2012; 32: 476-486
48 Rojas R. Riascos R. Vargas D. et al. Neuroimaging in drug and substance abuse part I: cocaine, cannabis, and ecstasy. Topics in magnetic resonance imaging 2005; 16: 231-238
49 Dickson JM. Weavers HM. Mitchell N. et al. The effects of dehydration on brain volume – preliminary results. International journal of sports medicine 2005; 26: 481-485