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Despite its high prevalence estimated at 6% among the elderlies, iNPH remains underdiagnosed and undertreated due to the lack of iNPH\u2010specific diagnostic markers and limited understanding of pathophysiological mechanisms. INPH diagnosis is also complicated by the frequent occurrence of comorbidities, the most common one being Alzheimer's disease (AD). Here we investigate the resting\u2010state functional magnetic resonance imaging dynamics of 26 iNPH patients before and after a CSF tap test, and of 48 normal older adults. Alzheimer's pathology was evaluated by CSF biomarkers. We show that the interactions between the default mode, and the executive\u2010control, salience and attention networks are impaired in iNPH, explain gait and executive disturbances in patients, and are not driven by AD\u2010pathology. In particular, AD molecular biomarkers are associated with functional changes distinct from iNPH functional alterations. Finally, we demonstrate a partial normalization of brain dynamics 24\u2009hr after a CSF tap test, indicating functional plasticity mechanisms. We conclude that functional changes involving the default mode cross\u2010network interactions reflect iNPH pathophysiological mechanisms and track treatment response, possibly contributing to iNPH differential diagnosis and better clinical management.<\/jats:p>","DOI":"10.1002\/hbm.25308","type":"journal-article","created":{"date-parts":[[2020,12,10]],"date-time":"2020-12-10T13:45:36Z","timestamp":1607607936000},"page":"1485-1502","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Dynamic functional networks in idiopathic normal pressure hydrocephalus: Alterations and reversibility by\n                    <scp>CSF<\/scp>\n                    tap test"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1923-1653","authenticated-orcid":false,"given":"Alessandra","family":"Griffa","sequence":"first","affiliation":[{"name":"Department of Clinical Neurosciences, Division of Neurology Geneva University Hospitals and Faculty of Medicine, University of Geneva Geneva Switzerland"},{"name":"Institute of Bioengineering Center of Neuroprosthetics, \u00c9cole Polytechnique F\u00e9d\u00e9rale De Lausanne (EPFL) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Bommarito","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurosciences, Division of Neurology Geneva University Hospitals and Faculty of Medicine, University of Geneva Geneva Switzerland"},{"name":"Institute of Bioengineering Center of Neuroprosthetics, \u00c9cole Polytechnique F\u00e9d\u00e9rale De Lausanne (EPFL) Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Assal","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurosciences, Division of Neurology Geneva University Hospitals and Faculty of Medicine, University of Geneva Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois R.","family":"Herrmann","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation and Geriatrics Geneva University Hospitals and University of Geneva Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitri","family":"Van De Ville","sequence":"additional","affiliation":[{"name":"Institute of Bioengineering Center of Neuroprosthetics, \u00c9cole Polytechnique F\u00e9d\u00e9rale De Lausanne (EPFL) Geneva Switzerland"},{"name":"Department of Radiology and Medical Informatics University of Geneva Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Allali","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurosciences, Division of Neurology Geneva University Hospitals and Faculty of Medicine, University of Geneva Geneva Switzerland"},{"name":"Department of Neurology, Division of Cognitive &amp; Motor Aging Albert Einstein College of Medicine, Yeshiva University Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurobiolaging.2011.06.007"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neucli.2018.10.004"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.13543"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2017.06.001"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1743-0003-10-117"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-25089-1"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ensci.2017.04.002"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-019-09598-1"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.12360"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1550059418812156"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nicl.2013.10.009"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2010.03242.x"},{"key":"e_1_2_9_14_1","first-page":"26","article-title":"Symmetric diffeomorphic image registration with cross\u2010correlation: Evaluating automated labeling of elderly and neurodegenerative brain. 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