{"id":2857,"date":"2022-09-13T15:47:12","date_gmt":"2022-09-13T15:47:12","guid":{"rendered":"https:\/\/hydroandme.com\/?page_id=2857"},"modified":"2022-09-13T15:47:13","modified_gmt":"2022-09-13T15:47:13","slug":"diagnosi","status":"publish","type":"page","link":"https:\/\/hydroandme.com\/it\/diagnosi\/","title":{"rendered":"Diagnosi"},"content":{"rendered":"[vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” bg_image=”104″ bg_position=”left top” background_image_loading=”default” bg_repeat=”no-repeat” scene_position=”center” text_color=”light” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” enable_gradient=”true” color_overlay=”#ffd937″ color_overlay_2=”rgba(255,217,55,0.26)” overlay_strength=”0.95″ gradient_direction=”left_to_right” enable_shape_divider=”true” shape_divider_position=”bottom” shape_divider_height=”100″ bg_image_animation=”none” shape_type=”curve”][vc_column column_padding=”padding-14-percent” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Diagnosi<\/strong><\/h1>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][nectar_global_section id=”364″][vc_column_text]\n

Esistono tipi diversi di idrocefalo, alcuni pi\u00f9 difficili da diagnosticare di altri. Il medico sceglier\u00e0 tra una serie di tecniche o strumenti diagnostici per confermare la diagnosi.<\/h4>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” equal_height=”yes” content_placement=”middle” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” bottom_padding=”5%” left_padding_desktop=”10%” constrain_group_2=”yes” right_padding_desktop=”10%” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” centered_text=”true” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”469″ animation=”Fade In” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” el_class=”radius”][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Ecografia<\/h3>\n

Un dispositivo che si serve delle onde sonore per tracciare le strutture all\u2019interno del cranio. \u00c8 simile alle ecografie eseguite sulle donne incinte per verificare le condizioni di salute del bambino.<\/p>\n

L\u2019ecografia utilizza onde sonore ad alta frequenza per produrre immagini. Viene spesso utilizzata per una valutazione iniziale dei neonati, perch\u00e9 \u00e8 una tecnica relativamente semplice. L\u2019ecografo viene posizionato sopra il punto morbido (fontanella) nella parte superiore della testa del bambino. Questo strumento consente inoltre di rilevare l\u2019idrocefalo prima della nascita nel corso degli esami prenatali di routine. Le ecografie prenatali non hanno effetti collaterali noti sulle madri o sui bambini. Possono mostrare ventricoli allargati con vari livelli di assottigliamento del tessuto cerebrale (parenchimale). Il medico potrebbe vedere se il plesso coroideo, una struttura simile a un\u2019alga all\u2019interno dei ventricoli che produce l\u2019LCR, galleggia all\u2019interno del ventricolo. Spesso una separazione di pi\u00f9 di 3\u00a0mm tra il plesso coroideo e il margine del ventricolo \u00e8 considerata anormale. Questo esame mostra se i ventricoli laterali sono dilatati in modo anomalo.[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” equal_height=”yes” content_placement=”middle” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” bottom_padding=”5%” left_padding_desktop=”10%” constrain_group_2=”yes” right_padding_desktop=”10%” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” centered_text=”true” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”472″ animation=”Fade In” hover_animation=”none” alignment=”” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” el_class=”radius”][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

TAC<\/h3>\n

(tomografia assiale computerizzata), una tecnica che si serve di raggi X per creare le immagini e tracciare le dimensioni dei ventricoli.<\/p>\n

Si tratta di una tecnologia a raggi X specializzata che pu\u00f2 produrre viste in sezione trasversale del cervello. La scansione \u00e8 veloce e indolore. Tuttavia, poich\u00e9 il paziente deve rimanere sdraiato e immobile, ai bambini viene solitamente somministrato un leggero sedativo. Gli svantaggi della TAC includono immagini meno dettagliate di una risonanza magnetica e l\u2019esposizione a una piccola quantit\u00e0 di radiazioni. Nel caso dell\u2019idrocefalo, la TAC viene generalmente utilizzata solo per esami di emergenza.[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” equal_height=”yes” content_placement=”middle” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” bottom_padding=”5%” left_padding_desktop=”10%” constrain_group_2=”yes” right_padding_desktop=”10%” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” centered_text=”true” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”475″ animation=”Fade In” hover_animation=”none” alignment=”” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” el_class=”radius”][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Risonanza magnetica<\/h3>\n

, una tecnica che utilizza i segnali radio e un magnete per creare immagini del cervello, in modo da poter visualizzare i ventricoli e determinarne le dimensioni e la forma. Per controllare il flusso dell\u2019LCR si utilizzano coloranti o altri materiali che consentono di tracciare dei modelli di flusso.<\/p>\n

Questo esame \u00e8 indolore ma rumoroso e richiede che il paziente resti immobile e sdraiato. La risonanza magnetica pu\u00f2 mostrare ventricoli allargati a causa di un eccesso di liquido cefalorachidiano. Pu\u00f2 essere utilizzata anche per identificare le cause all\u2019origine dell\u2019idrocefalo o altre condizioni che contribuiscono ai sintomi. I bambini possono aver bisogno di un leggero sedativo per alcune risonanze magnetiche. Tuttavia, alcuni ospedali usano una versione molto veloce della risonanza magnetica, che generalmente non richiede sedazione.[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” equal_height=”yes” content_placement=”middle” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” bottom_padding=”5%” left_padding_desktop=”10%” constrain_group_2=”yes” right_padding_desktop=”10%” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” centered_text=”true” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”470″ animation=”Fade In” hover_animation=”none” alignment=”” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” el_class=”radius”][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Esame neuropsicologico<\/h3>\n

Una serie di domande e risposte utilizzate per stabilire se vi sia una perdita di funzioni cerebrali causata dall\u2019idrocefalo.<\/p>\n

In caso di sospetto idrocefalo normoteso, le facolt\u00e0 mentali vengono valutate utilizzando esami neuropsicologici (cognitivi). L\u2019idrocefalo normoteso mostra somiglianze con altri disturbi neurodegenerativi, principalmente il morbo di Alzheimer. La neuropsicologia clinica \u00e8 uno strumento per determinare un profilo cognitivo per l\u2019NPH, utile per la diagnosi differenziale, per monitorare la progressione della malattia e per valutare l\u2019efficacia del trattamento.[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” equal_height=”yes” content_placement=”middle” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” bottom_padding=”5%” left_padding_desktop=”10%” constrain_group_2=”yes” right_padding_desktop=”10%” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” centered_text=”true” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”473″ animation=”Fade In” hover_animation=”none” alignment=”” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” el_class=”radius”][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Esami LCR<\/h3>\n

Utilizzati per predire la risposta e\/o stabilire la pressione dello shunt. Questi esami includono: puntura lombare, drenaggio lombare esterno, misurazione della resistenza del deflusso dell\u2019LCR, monitoraggio della pressione intracranica (PIC) e cisternografia isotopica.<\/p>\n[\/vc_column_text][toggles style=”default”][toggle color=”Default” title=”Puntura lombare”][vc_column_text]La puntura lombare, detta anche \u201ctap test\u201d, \u00e8 una procedura in cui si preleva un campione di LCR dal tratto lombo-sacrale della colonna vertebrale.
\nLa rimozione di una piccola quantit\u00e0 di LCR durante una puntura lombare pu\u00f2 aiutare ad alleviare i sintomi. Il medico valuter\u00e0 la tua andatura e il tuo equilibrio prima e dopo la procedura, per capire se la rimozione dell\u2019LCR comporta un miglioramento significativo. Questi esami aiuteranno a prendere decisioni sul trattamento. \u00a0Se i sintomi migliorano, allora un intervento chirurgico potrebbe avere effetti positivi.<\/p>\n

Se una puntura lombare non migliora i sintomi, si pu\u00f2 utilizzare un drenaggio lombare.
\nSotto anestesia locale, viene inserito un tubicino tra le ossa della colonna vertebrale (vertebre), per drenare una maggiore quantit\u00e0 di LCR. La procedura prosegue per alcuni giorni, per vedere se i sintomi migliorano.[\/vc_column_text][\/toggle][toggle color=”Default” title=”Test di infusione lombare”][vc_column_text]Durante il test di infusione lombare, viene iniettato lentamente del liquido nel tratto lombo-sacrale della colonna vertebrale e contemporaneamente si misura la pressione.
\nIl tuo corpo dovrebbe assorbire il liquido extra e la pressione dovrebbe rimanere bassa. Se il tuo corpo non riesce ad assorbire il liquido extra, la pressione aumenter\u00e0 e questo \u00e8 un segnale della presenza dell\u2019NPH e dell\u2019utilit\u00e0 di un intervento chirurgico.[\/vc_column_text][\/toggle][\/toggles][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][nectar_global_section id=”96″][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"

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