Parkinsonian Patient with Comorbid Normal Pressure Hydrocephalus
- 126 Downloads
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 ; 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.
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.
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.
- 2.Malm J, Graff-Radford NR, Ishikawa M, Kristensen B, Leinonen V, Mori E, Owler BK, Tullberg M, Williams MA, Relkin NR. Influence of comorbidities in idiopathic normal pressure hydrocephalus – research and clinical care. A report of the ISHCSF task force on comorbidities in INPH. Fluids Barriers CNS. 2013;10:22.CrossRefGoogle Scholar