Parkinsonian Symptomatology May Correlate with CT Findings before and after Shunting in Idiopathic Normal Pressure Hydrocephalus
Table 1
Comparison between the grades of the Parkinsonian features before and after ventriculoperitoneal shunt operation.
Pre VP shunt
Post VP shunt
value
(Mean SD)
(Mean SD)
iNPH grading scale gait domain
2.85 6.9
1.62 0.86
.001
UPDRS motor examination subitems
Speech
0.92 0.80
0.54 0.66
.200
Facial expression
1.00 0.91
0.69 0.75
.305
Tremor at rest
0.46 0.78
0.15 0.38
.305
Action tremor of hands
0.46 0.66
0.23 0.44
.442
Rigidity
0.85 0.80
0.38 0.65
.124
Finger taps
1.15 0.90
0.77 0.73
.200
Hand movements
1.00 0.82
0.69 0.75
.305
Rapid alternating movements of hands
1.15 0.80
0.92 0.86
.442
Leg agility
0.850.69
0.69 0.75
.608
Arising from chair
2.691.25
1.23 0.93
.001
Posture
1.310.48
1.000.00
.305
Gait
2.540.88
1.000.56
.001
Postural stability
2.541.05
1.310.75
.001
Body bradykinesia and hypokinesia
2.150.80
1.460.52
.021
UPDRS motor examination total score
19.085.66
12.007.07
VP shunt: ventriculoperitoneal shunt; iNPH: idiopathic normal pressure hydrocephalus; UPDRS: unified Parkinson’s disease rating scale; value: value by 2-way analysis of variance with repeated measure, value by Wilcoxon signed rank test. The total number of patients was 13.
