@article{ref1, title="Brain diseases and fall-related surgery in older persons", journal="European neurology", year="2022", author="Sakakibara, Ryuji and Iimura, Ayako and Ogata, Tsuyoshi and Terayama, Keiichiro and Katsuragawa, Shuichi and Nagao, Takaaki and Suzuki, Keiko and Izawa, Kaori and Nakajima, Kiwa and Haruki, Shin-Ichi and Tateno, Fuyuki and Aiba, Yosuke and Nemoto, Masaaki and Nakagawa, Koichi", volume="ePub", number="ePub", pages="ePub-ePub", abstract="BACKGROUND: It is known that age-related brain symptoms (gait difficulty and dementia) increase the likelihood of fall-related surgery. In contrast, it is not known which types of brain disease underlie such symptoms most.

OBJECTIVE: The aim of this study was to correlate brain diseases with the types of surgeries performed at our hospital for patients who had fallen.

METHODS: This was a retrospective study at a multifaculty university hospital in Japan, with a 12-month recruiting period, a follow-up period of 3.0 ± 2.5 weeks, and ≥1×/week visits. We assembled a neurogeriatric team to diagnose brain diseases with the use of brain imaging to the extent possible and correlated the diagnoses with types of fall-related surgery.

RESULTS: Fall-related surgery was conducted by the orthopedics (OP) and neurosurgery (NS) faculties (total n = 124) at a ratio of about 2 to 1. The underlying brain diseases differed by faculty; for OP, surgery was most commonly performed in patients with a combination of white matter disease (WMD) and Alzheimer's disease (AD) (79%) followed by dementia with Lewy bodies. In contrast, for NS, the most common surgery was for patients with alcoholism (50%) followed by a combination of WMD and AD.

CONCLUSION: Fall-related surgery was performed by the OP and NS faculties at a 2 to 1 ratio. The major underlying brain diseases were a combination of WMD and AD (79%) for OP and alcoholism (50%) for NS.

Language: en

", language="en", issn="0014-3022", doi="10.1159/000521807", url="http://dx.doi.org/10.1159/000521807" }