Clinical Study

Cerebrospinal Fluid Biomarkers in Idiopathic Normal Pressure Hydrocephalus

Table 1

Characteristics of the patients and CSF concentrations of the analyzed biomarkers.

Positive ELDNegative ELDP

N. patients269
Median age at ELD (range)74 (65–88)77 (69–88).29
Median age at onset (range)71.5 (62–86)75 (68–88).14
Male/female13/135/4.77 ( )
Gait ( )259.55 ( )
Cognition ( )219.16 ( )
Incontinence ( )146.50 ( )
Major symptom gait/cogn/inc21/2/17/1/1.72 ( )
2 cases n.d.*
Shunt251
Shunt response fair/good/exc1/3/210/0/1
NFL pg/mL1940**± 2662 (280–>10000)2046 ± 2886 (483–9306).92
Total tau pg/mL274 ± 358 (44–1860)291 ± 283 (89–983).90
A  pg/mL250 ± 179 (31–765)209 ± 120 (102–486).52
Total tau/A > 1.157 (27%)4 (44%).33 ( )
p-Tau181 pg/mL55 ± 45 (16–234)53 ± 25 (24–95).88
TNF-α pg/mL0.7 ± 1.1 (0–4.9)1.3 ± 1.4 (0–3.4).16
TGFβ-1 pg/mL61 ± 24 (29–146)71 ± 62 (20–228).52
VEGF pg/mLn.d.***n.d.***

The values are given as mean±SD (range) unless otherwise stated.
*not able to determine one major symptom.
** two cases with concentration >10 000 pg/mL (10 000 used as a value and therefore the real mean value is expected to be higher.)
***not determined due to low concentration.
ELD: external lumbar drainage test, NFL: neurofilament light chain, t-tau: total tau, p-tau181: phosphorylated tau181, A : amyloid- , TNF-α: tumour necrosis factor-α, TGFβ1: transforming growth factor β1, and VEGF: vascular endothelial growth factor.