Clinical Neuroradiology

, Volume 28, Issue 4, pp 617–618 | Cite as

Parkinsonian Patient with Comorbid Normal Pressure Hydrocephalus

Clinical Usefulness of Diagnosis Supported by Neurological Findings
  • Jeong-Yoon Lee
  • Kayeong Im
  • Kyum-Yil KwonEmail author


Idiopathic normal pressure hydrocephalus (iNPH) is diagnosed not only by the clinical triad of gait disturbance, dementia, and urinary incontinence but also by the neuroradiological findings, while other neurodegenerative disorders should be excluded. Parkinsonism including gait difficulty is an early and common symptom in patients with iNPH [1]; however, co-existence of iNPH and other Parkinsonian disorders has been occasionally reported [2, 3]. This article presents an unusual case of Parkinson’s disease (PD) presenting with the clinical triad of iNPH, which was considerably improved after a ventriculoperitoneal shunt operation.

Case Report

A 69-year-old female visited the movement clinic in this hospital complaining of progressive gait disturbance which had started 1 year before. The past medical history was notable for hypertension and Parkinson’s disease. Although the patient had taken anti-Parkinsonian medications for 1 year in another hospital, gait impairment...



This work was supported by the Soonchunhyang University Research Fund and the National Research Foundation (NRF) of the Republic of Korea (No. NRF-2018R1C1B5045312).

Compliance with ethical guidelines

Conflict of interest

J.-Y. Lee, K. Im and K.-Y. Kwon declare that they have no competing interests.

Ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1975 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from the patient included in the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurology, Soonchunhyang University Seoul HospitalSoonchunhyang University School of MedicineSeoulKorea (Republic of)

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