Cognitive changes after cerebrospinal fluid shunting in young adults with spina bifida and assumed arrested hydrocephalus
- Maria Mataróa,
- Maria Antonia Pocab,
- Juan Sahuquillob,
- Ampar Cuxartc,
- Jordi Iborrac,
- María Dolores de la Calzadad,
- Carme Junquée
- aNeuropsychology, Department of Neurosurgery, Vall d'Hebron University Hospitals, Passeig Vall d'Hebron 119–129, 08035 Barcelona, Spain, bDepartment of Neurosurgery, cDepartment of Rehabilitation, Spina Bifida Unit, dDepartment of Neurophysiology, eDepartment of Psychiatry and Clinical Psychophysiology, University of Barcelona, Spain
- M A Poca26382app{at}comb.es
- Received 12 July 1999
- Revised 24 November 1999
- Accepted 2 December 1999
Abstract
OBJECTIVES To establish whether surgery can improve the neuropsychological functioning of young adult patients with spina bifida and apparent clinically arrested hydrocephalus showing abnormal intracranial pressure.
METHODS Twenty three young adults with spina bifida and assumed arrested hydrocephalus (diagnosed as active or compensated by continuous intracranial pressure monitoring) underwent surgery. All patients received neuropsychological examination before surgery and 6 months later. Neuropsychological assessment included tests of verbal and visual memory, visuospatial functions, speed of mental processing, and frontal lobe functions.
RESULTS Shunt placement in this subgroup of patients improves neuropsychological functioning, especially in verbal and visual memory and attention and cognitive flexibility.
CONCLUSIONS Young adults with spina bifida and suspected non-functioning shunt or non-shunted ventriculomegaly should be carefully monitored to identify those who could benefit from shunting.
