Table 1.
Healthy | iNPH cohort | iNPH cohort |
Significancea |
||
---|---|---|---|---|---|
Responders | Non-responders/Conservative | (Responders vs. Non-responders/Conservative) | |||
Demographic information | |||||
N | 4 | 26 | 17 | 9 | |
Age (yrs) | 30.8 ± 8.5 | 69.8 ± 9.6 | 71.1 ± 7.8 | 67.4 ± 12.4 | ns |
Gender (F/M) | 1/3 | 11/15 | 7/10 | 4/5 | |
MRI biomarkers | |||||
Evan's index | 0.26 ± 0.02 | 0.38 ± 0.05 | 0.39 ± 0.05 | 0.36 ± 0.04 | ns |
Callosal angle (degrees) | 101.5 ± 8.4 | 88.7 ± 26.0 | 84.1 ± 25.6 | 97.4 ± 25.8 | ns |
DESH (N; %) | 0 (0%) | 13 (50%) | 9 (53%) | 4 (44%) | ns |
PC-MRI-derived CSFvolumetric flow rate and direction at CCJ | |||||
CSF volumetric net flow rate (mL/cycle) | 0.081 ± 0.070 | 0.068 ± 0.10 | 0.073 ± 0.093 | 0.059 ± 0.121 | ns |
Estimated CSF volumetric net flow rate (L/24 h) | 6.40 ± 4.88 | 6.86 ± 9.04 | 7.12 ± 8.10 | 6.31 ± 11.51 | ns |
Cranially directed net CSF flow (N) | 4 | 17 | 12 | 5 | ns |
Spinally directed net CSF flow (N) | 0 | 5 | 3 | 2 | |
PC-MRI-derived CSF volumetric flow rate and direction in cerebral aqueduct | |||||
CSF volumetric net flow rate (mL/cycle) | −0.003 ± 0.001 | 0.012 ± 0.025 | 0.023 ± 0.021 | −0.006 ± 0.02 | p = 0.020 |
Estimated CSF volumetric net flow rate (L/24 h) | −0.26 ± 0.05 | 1.09 ± 2.24 | 2.141 ± 1.646 | −0.65 ± 1.95 | p = 0.016 |
Antegrade-directed net CSF flow (N) | 4 | 7 | 3 | 4 | ns |
Retrograde-directed net CSF flow (N) | 0 | 14 | 11 | 3 | |
Net CSF stroke volume ratio (aqueduct/CCJ; % ratio)) | 2.9 ± 2.2 | 23.4 ± 19.8 | 24.5 ± 20.0 | 20.7 ± 21.2 | p = 0.037 |
ICP scores | |||||
Static ICP | |||||
Mean ICP average (mmHg) | 6.6 ± 3.0 | 7.1 ± 2.6 | 5.8 ± 3.6 | ns | |
Mean ICP >15 mmHg (%) | 1 ± 3 | 1 ± 4 | 2 ± 3 | ns | |
Pulsatile ICP | |||||
MWA average (mmHg) | 4.8 ± 1.5 | 5.2 ± 1.3 | 4.0 ± 1.4 | p = 0.041 | |
MWA >5 mmHg (%) | 37 ± 34 | 46 ± 33 | 20 ± 32 | ns |
iNPH: idiopathic normal pressure hydrocephalus; CCJ: cranio-cervical junction; DESH: disproportionately enlarged subarachnoid space hydrocephalus; MWA: mean ICP wave amplitude.
Significance determined by Mann-Whitney U test (ns: non-significant)