Case Report

Comorbid Normal Pressure Hydrocephalus with Parkinsonism: A Clinical Challenge and Call for Awareness

Table 1

Functional independence, neuropsychological assessment, and freezing of gait.

Pre-LPPost-LPPostshunt6 months after shunt

Schwab and England ADL80%, completely independent in most chores; takes twice as long80%,completely independent in most chores; takes twice as long100%, completely independent; able to do all chores without slowness, difficulty, or impairment100%, completely independent; able to do all chores without slowness, difficulty, or impairment

MoCA222526

Trail Making A52.0 sec36.4 sec29.1 sec39.1 sec

Trail Making B93.3 sec95.8 sec71.8 sec69.7 sec

UPDRS part II FoG2 (occasional freezing when walking)0 (none)0 (none)