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Table 2 Changes in clinical and MRI variables after shunt placement

From: A change in brain white matter after shunt surgery in idiopathic normal pressure hydrocephalus: a tract-based spatial statistics study

Variables

Baseline

Post-operative

df

p valuea

A. Shunt responders (SR, n = 20)

 TUG, mean (SD)

  Time to complete (s)

14.7 (4.1)

11.2 (4.3)

19

<0.001

  Number of steps

21.9 (7.0)

18.1 (7.2)

19

0.001

 iNPHGS, median (range)

  Gait disturbance

2.0 (2–3)

1.0 (0–3)

 

<0.001

  Cognitive disturbance

3.0 (0–3)

2.0 (0–3)

 

0.001

  Urinary disturbance

1.5 (0–3)

0.0 (0–2)

 

0.004

  Total

6.5 (2–9)

3.0 (1–7)

 

<0.001

  MMSE, mean (SD)

21.5 (4.6)

24.0 (4.3)

19

0.008

  FAB, mean (SD)

10.7 (2.3)

12.9 (3.1)

19

0.002

  Left VV/ICV ratio (%), mean (SD)

8.29 (1.99)

6.59 (2.03)

19

<0.001

  Left hemispheric FA, mean (SD)

0.386 (0.022)

0.382 (0.026)

19

NS

  Left hemispheric MD (×10−3 mm2/s), mean (SD)

0.813 (0.036)

0.816 (0.035)

19

NS

  Mean FA of the left corona radiata, mean (SD)

0.624 (0.041)

0.592 (0.048)

19

<0.001

B. Shunt non-responders (SNR, n = 8)

 TUG, mean (SD)

  Time to complete (s)

15.6 (3.1)

14.2 (3.5)

7

NS

  Number of steps

22.6 (4.0)

20.5 (5.0)

7

NS

 iNPHGS, median (range)

  Gait disturbance

2.0 (1–4)

2.0 (1–4)

 

NS

  Cognitive disturbance

2.5 (1–3)

2.0 (1–3)

 

NS

  Urinary disturbance

2.0 (0–4)

2.0 (0–4)

 

NS

  Total

7.0 (4–9)

7.0 (4–9)

 

NS

  MMSE, mean (SD)

22.3 (5.0)

22.3 (5.0)

7

NS

  FAB, mean (SD)

11.0 (3.8)

11.0 (3.7)

7

NS

  Left VV/ICV ratio (%), mean (SD)

7.19 (1.99)

6.40 (1.79)

7

0.005

  Left Hemispheric FA, mean (SD)

0.380 (0.024)

0.375 (0.030)

7

NS

  Left Hemispheric MD (×10−3 mm2/s), mean (SD)

0.829 (0.068)

0.876 (0.099)

7

NS

  Mean FA of the left corona radiata, mean (SD)

0.612 (0.043)

0.607 (0.044)

7

NS

  1. DTI diffusion tensor imaging, INPH idiopathic normal pressure hydrocephalus, iNPHGS idiopathic normal pressure hydrocephalus grading scale, TUG Timed “Up and GO” test, MMSE Mini-Mental State Examination, FAB frontal assessment battery, Left VV/ICV ratio the volume of the left lateral ventricle + the cerebral aqueduct + the left side region of the third and fourth ventricles/the left half volume of the intracranial space, FA fractional anisotropy, MD mean diffusivity, SD standard deviation, df degrees of freedom, NS not significant
  2. aPaired Student’s t test was used except for iNPHGS (Wilcoxon signed rank test)