Predictors of improvement after shunting for normal pressure hydrocephalus

Favorable indicators*

Early appearance of gait disorder

Gait disorder most prominent symptom

Shorter duration of symptoms (<6 months)

Identified etiology of NPH

Clinical response to CSF removal (tap test, lumbar drain)

Unfavorable indicators*

Early appearance of dementia

Moderate to severe dementia

Dementia present for more than two years

Gait disorder absent or appearing after dementia

Alcoholism

MRI findings:

Marked white matter disease

Diffuse sulcal enlargement

Medial temporal atrophy

NPH: normal pressure hydrocephalus; CSF: cerebrospinal fluid; MRI: magnetic resonance imaging.
* Any one factor is not decisive in selecting patients for surgery.

Graphic 80958 Version 4.0

خرید پکیج

Predictors of improvement after shunting for normal pressure hydrocephalus