{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,16]],"date-time":"2023-12-16T00:47:24Z","timestamp":1702687644153},"reference-count":15,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nPatients with idiopathic normal pressure hydrocephalus (iNPH) may be more prone to all fracture types due to falls. Vertebral compression fractures (VCFs) are a global burden that temporarily or permanently affects millions of elderly people. This study aimed to investigate the prevalence of iNPH in patients with VCFs.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nWe retrospectively reviewed 128 patients aged 60\u2013102 years who underwent balloon kyphoplasty (BKP) for VCFs between November 1, 2017, and March 31, 2020. We also assessed the presence of the iNPH triad (i.e., gait disturbance, cognitive impairment, and urinary incontinence). Patients with Evans\u2019 index (EI) >0.3 and the iNPH triad were defined as having possible iNPH, those with clinical improvement after a cerebrospinal fluid tap test were defined as having probable iNPH, and those with clinical improvement after a shunt surgery were defined as having definite iNPH.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nOf the 128 patients, seven were excluded due to a history of intracranial disease that could cause ventricular enlargement or gait disturbance. Another 70 patients who did not undergo head computed tomography or magnetic resonance imaging one year before or after BKP were excluded from the study. Finally, 51 patients with a mean age of 78.9 years were enrolled. The mean EI value of these 51 patients was 0.28, with 18 patients showing EI >0.3. Moreover, 18 had possible iNPH, one had probable iNPH, and one had definite iNPH.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nScreening for iNPH in elderly patients with VCFs can allow early diagnosis of iNPH and benefit them more from surgical treatment.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_818_2023","type":"journal-article","created":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T11:22:43Z","timestamp":1702639363000},"page":"429","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of idiopathic normal pressure hydrocephalus in patients with vertebral compression fractures"],"prefix":"10.25259","volume":"14","author":[{"given":"Tatsuya","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, International University of Health and Welfare, School of Medicine, Narita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Iwashita","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Imari Arita Kyoritsu Hospital, Arita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shiroishi Kyoritsu Hospital, Shiroishi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuaki","family":"Momozaki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Imari Arita Kyoritsu Hospital, Arita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiichiro","family":"Honda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shiroishi Kyoritsu Hospital, Shiroishi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Matsuno","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, International University of Health and Welfare, School of Medicine, Narita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadatsugu","family":"Morimoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,12,15]]},"reference":[{"key":"10.25259\/SNI_818_2023\/ref-1","doi-asserted-by":"crossref","first-page":"e0217705","DOI":"10.1371\/journal.pone.0217705","article-title":"Prevalence of idiopathic normal pressure hydrocephalus: A prospective, population-based study","volume":"14","author":"Andersson","year":"2019","journal-title":"PLoS One"},{"key":"10.25259\/SNI_818_2023\/ref-2","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1136\/jnnp-2013-306117","article-title":"Natural course of idiopathic normal pressure hydrocephalus","volume":"85","author":"Andr\u00e9n","year":"2014","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"10.25259\/SNI_818_2023\/ref-3","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/0022-510X(65)90016-X","article-title":"The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure. Observations on cerebrospinal fluid hydrodynamics","volume":"2","author":"Hakim","year":"1965","journal-title":"J Neurol Sci"},{"key":"10.25259\/SNI_818_2023\/ref-4","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1007\/s00774-018-0981-5","article-title":"Differences in prevalence and associated factors between mild and severe vertebral fractures in Japanese men and women: The third survey of the ROAD study","volume":"37","author":"Horii","year":"2019","journal-title":"J Bone Miner Metab"},{"key":"10.25259\/SNI_818_2023\/ref-5","doi-asserted-by":"crossref","first-page":"154","DOI":"10.4103\/2319-4170.112544","article-title":"Current concepts of percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures: Evidence-based review","volume":"36","author":"Hsieh","year":"2013","journal-title":"Biomed 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shunt surgery in idiopathic normal pressure hydrocephalus","volume":"172","author":"Nikaido","year":"2018","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_818_2023\/ref-12","doi-asserted-by":"crossref","first-page":"106635","DOI":"10.1016\/j.clineuro.2021.106635","article-title":"Screening for idiopathic normal pressure hydrocephalus in the elderly after falls","volume":"205","author":"Oike","year":"2021","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_818_2023\/ref-13","doi-asserted-by":"crossref","first-page":"e1021","DOI":"10.1212\/WNL.0000000000005168","article-title":"Gait analysis in PSP and NPH: dual-task conditions make the difference","volume":"90","author":"Selge","year":"2018","journal-title":"Neurology"},{"key":"10.25259\/SNI_818_2023\/ref-14","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1159\/000186501","article-title":"Prevalence of possible idiopathic normal-pressure hydrocephalus in Japan: The Osaki-Tajiri 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