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The study on prediction of the operation on idiopathic normal pressure hydrocephalus

Research Project

Project/Area Number 24591710
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Psychiatric science
Research InstitutionOsaka University

Principal Investigator

Yoshiyama Kenji  大阪大学, 医学(系)研究科(研究院), 助教 (20426498)

Co-Investigator(Kenkyū-buntansha) KUDO TAKASHI  大阪大学, 保健センター, 教授 (10273632)
渡邉 嘉之  大阪大学, 医学(系)研究科(研究院), 准教授 (20362733)
Co-Investigator(Renkei-kenkyūsha) WATANABE YOSHIYUKI  大阪大学, 大学院医学系研究科, 准教授 (20362733)
Project Period (FY) 2012-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2013: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2012: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords特発性正常圧水頭症 / シャント手術 / 脳波 / 形態画像 / 手術 / 歩行障害 / 認知機能障害 / 脳脊髄液排除試験 / シャント術 / 頭部MRI / 髄液検査 / 脳画像
Outline of Final Research Achievements

The symptoms of idiopathic Normal Pressure Hydrocephalus (iNPH) can be reversed by shunt operation, while the symptoms of all patients with iNPH are not reversed. The cerebrospinal fluid (CSF) tap test is effective for prediction of shunt operation. However, CSF tap test is invasive and could not be complete prediction. In this study, we indicate that the association between the degree of deformation of the brain from MRI, which is noninvasive, before shunt operation and improvement of gait and cognitive impairment after shunt operation. We also indicate that Neuronal Activity Topography analysis, which calculates normalized power variance of electroencephalogram and is also noninvasive, could be prediction of shunt operation. And we indicate the effect of shunt operation on neuropsychiatric symptoms and care burden in patients with iNPH.

Report

(5 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (21 results)

All 2016 2015 2014 2013 2012

All Journal Article (8 results) (of which Peer Reviewed: 6 results,  Open Access: 3 results) Presentation (12 results) (of which Int'l Joint Research: 3 results,  Invited: 1 results) Book (1 results)

  • [Journal Article] Effect of lumbo-peritoneal shunt surgery on neuropsychiatric symptoms in patients with idiopathic normal pressure hydrocephalus.2016

    • Author(s)
      Kanemoto H, Kazui H, Suzuki Y, Sato S, Kishima H, Yoshimine T, Yoshiyama K.
    • Journal Title

      J Neurol Sci.

      Volume: 361 Pages: 206-12

    • DOI

      10.1016/j.jns.2016.01.001

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 原著 認知症疾患医療センターにおける特発性正常圧水頭症診療の現状2015

    • Author(s)
      吉山顕次、数井裕光、武田雅俊
    • Journal Title

      BRAIN and NERVE

      Volume: 67 Issue: 9 Pages: 1139-1145

    • DOI

      10.11477/mf.1416200273

    • ISSN
      1344-8129, 1881-6096
    • Year and Date
      2015-09-01
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 正常圧水頭症2015

    • Author(s)
      吉山顕次、数井裕光
    • Journal Title

      認知症の最新医療

      Volume: 5 Pages: 194-8

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Noninvasive prediction of shunt operation outcome in idiopathic normal pressure hydrocephalus.2015

    • Author(s)
      Aoki Y, Kazui H, Tanaka T, Ishii R, Wada T, Ikeda S, Hata M, Canuet L, Katsimichas T, Musha T, Matsuzaki H, Imajo K, Kanemoto H, Yoshida T, Nomura K, Yoshiyama K, Iwase M, Takeda M
    • Journal Title

      Scientific reports

      Volume: 5 Issue: 1 Pages: 1-5

    • DOI

      10.1038/srep07775

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] EEG and Neuronal Activity Topography analysis can predict effectiveness of shunt operation in idiopathic normal pressure hydrocephalus patients.2013

    • Author(s)
      Aoki Y, Kazui H, Tanaka T, Ishii R, Wada T, Ikeda S, Hata M, Canuet L, Musha T, Matsuzaki H, Imajo K, Yoshiyama K, Yoshida T, Shimizu Y, Nomura K, Iwase M, Takeda M
    • Journal Title

      Neuroimage Clin

      Volume: 3 Pages: 522-530

    • DOI

      10.1016/j.nicl.2013.10.009

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Association between milder brain deformation before a shunt operation and improvement in cognition and gait in idiopathic normal pressure hydrocephalus2013

    • Author(s)
      Yamamoto D, Kazui H(CA), Wada T, Nomura K, Sugiyama H, Shimizu Y, Yoshiyama K, Yoshida T, Kishima H, Yamashita F, Yoshimine T, Takeda M
    • Journal Title

      Dement Geriatr Cogn Disord

      Volume: 35 Issue: 3-4 Pages: 197-207

    • DOI

      10.1159/000347147

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Reversibility of brain morphology after shunt operations and preoperative clinical symptoms in patients with idiopathic normal pressure hydrocephalus.2012

    • Author(s)
      Wada T
    • Journal Title

      Psychogeriatrics

      Volume: 13(1) Issue: 1 Pages: 41-48

    • DOI

      10.1111/psyg.12001

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 特集:認知症最前線ー新薬登場を受けた実地診療のすべて 正常圧水頭症2012

    • Author(s)
      数井裕光、吉山顕次、武田雅俊
    • Journal Title

      Medical Practice

      Volume: 29 Pages: 763-767

    • Related Report
      2012 Research-status Report
  • [Presentation] Definite iNPHにおける術前のCSF中のアルツハイマー病バイオマーカー値とシャント術3ヶ月後の歩行・認知の改善との関係2015

    • Author(s)
      数井裕光,鐘本英輝,吉山顕次,田中稔久,貴島晴彦,鈴木由希子,佐藤俊介,東眞吾,末廣聖,吉峰俊樹,武田雅俊
    • Organizer
      第8回日本水頭症脳脊髄液学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2015-11-22
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Association between high biomarker probability of Alzheimer's disease and improvement of cognition and gait after shunt surgery in patients with idiopathic normal pressure hydrocephalus.2015

    • Author(s)
      Kazui H, Kanemoto H, Suzuki Y, Sato S, Suehiro T, Azuma S, Yoshiyama K, Tanaka T.
    • Organizer
      Hydrocephalus 2015
    • Place of Presentation
      Banff Canada
    • Year and Date
      2015-09-18
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Association between apathy and regional cerebral blood flow in patients with idiopathic normal pressure hydrocephalus.2015

    • Author(s)
      Kanemoto H, Kazui H, Suehiro T, Azuma S, Sato S, Suzuki Y, Yoshiyama K.
    • Organizer
      Hydrocephalus 2015
    • Place of Presentation
      Banff Canada
    • Year and Date
      2015-09-18
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Longitudinal clinical observation of 4 patients with preclinical stage of idiopathic normal pressure hydrocephalus.2015

    • Author(s)
      Azuma S, Suehiro T, Kazui H, Sato S, Suzuki Y, Kanemoto H, Yoshiyama K.
    • Organizer
      Hydrocephalus 2015
    • Place of Presentation
      Banff Canada
    • Year and Date
      2015-09-18
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Effect of lumboperitoneal shunt on neuropsychiatric symptoms in the patients with idiopathic normal pressure hydrocephalus2014

    • Author(s)
      Hideki Kanemoto, Hiroaki Kazui, Yukiko Suzuki, Shunsuke Sato, Kenji Yoshiyama, Masatoshi Takeda
    • Organizer
      Hydrocephalus
    • Place of Presentation
      Bristol U.K
    • Year and Date
      2014-09-06 – 2014-09-08
    • Related Report
      2014 Research-status Report
  • [Presentation] Variability of functional mobility in patients with idiopathic normal hydrocephalus and its influence on the gait assessment.2014

    • Author(s)
      Yukiko Suzuki, Shunsuke Sato, Hiroaki Kazui, Hideki Kanemoto, Kenji Yoshiyama, Masatoshi Takeda
    • Organizer
      Hydrocephalus
    • Place of Presentation
      Bristol U.K
    • Year and Date
      2014-09-06 – 2014-09-08
    • Related Report
      2014 Research-status Report
  • [Presentation] EEG analysis using Neural Activity Topography in iNPH patients before and after CSF Tapping.2013

    • Author(s)
      Yasunori Aoki, Hiroaki Kazui, Ryouhei Ishii, Tamiki Wada, Daisuke Yamamoto, Haruyasu Matsuzaki, Kaoru Imajo, Toshimitsu Musha, Masao
    • Organizer
      11th World Congress of Biological Psychiatry
    • Place of Presentation
      Kyoto
    • Related Report
      2013 Research-status Report
  • [Presentation] Association between milder brain deformation before a shunt operation and improvement in cognition and gait in idiopathic normal pressure hydrocephalus.2013

    • Author(s)
      Hiroaki Kazui, Daisuke Yamamoto, Tamiki Wada, Keiko Nomura, Hiromichi Sugiyama, Yoshiro Shimizu, Kenji Yoshiyama, Haruhiko Kishima, Fumio Yamashita, Masatoshi Takeda.
    • Organizer
      11th World Congress of Biological Psychiatry
    • Place of Presentation
      Kyoto
    • Related Report
      2013 Research-status Report
  • [Presentation] Reversibility of brain morphology after shunt operations and preoperative clinical symptoms in patients with idiopathic normal pressure hydrocephalus.2013

    • Author(s)
      Tamiki Wada, Hiroaki Kazui, Daisuke Yamamoto, Haruhiko Kishima, Fumio Yamashita, Keiko Nomura, Hiromichi Sugiyama, Yoshiro Shimizu, Kenji Yoshiyama, Tetsuhiko Yoshida, Toshiki Yoshimine, Masatoshi Takeda.
    • Organizer
      11th World Congress of Biological Psychiatry
    • Place of Presentation
      Kyoto
    • Related Report
      2013 Research-status Report
  • [Presentation] Time course of improvement of cognitive and walking performances after transient cerebrospinal fluid tapping in patients with idiopathic normal pressure hydrocephalus.2012

    • Author(s)
      Nomura K, Kazui H, Wada T, Yamamoto D, Sugiyama H, Shimizu Y, Yoshiyama K, Yoshida T, Kishima H, Yoshimine T, Takeda M.
    • Organizer
      Hydrocephalus 2012 Kyoto
    • Place of Presentation
      Kyoto
    • Related Report
      2012 Research-status Report
  • [Presentation] Reversibility of brain after shunt operation and preoperative clinical symptoms in idiopathic normal pressure hydrocephalus2012

    • Author(s)
      Wada T, Kazui H, Yamamoto D, Kishima H, Yamashita F, Nomura K, Sugiyama H, Shimizu Y, Yoshiyama K, Yoshida T, Yoshimine T, Takeda M.
    • Organizer
      Hydrocephalus 2012 Kyoto
    • Place of Presentation
      Kyoto
    • Related Report
      2012 Research-status Report
  • [Presentation] Association between the brain deformation and the improvement of clinical symptoms after shunt operation in idiopathic normal pressure hydrocephalus2012

    • Author(s)
      Yamamoto D, Kazui H, Yamashita F, Sugiyama H, Nomura K, Wada T, Yoshiyama K, Takeda M
    • Organizer
      Hydrocephalus 2012 Kyoto
    • Place of Presentation
      Kyoto
    • Related Report
      2012 Research-status Report
  • [Book] 特発性正常圧水頭症の診療2014

    • Author(s)
      吉山顕次、数井裕光
    • Total Pages
      9
    • Publisher
      金芳堂
    • Related Report
      2014 Research-status Report

URL: 

Published: 2013-05-31   Modified: 2019-07-29  

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