European Study of Prodromal iNPH

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorJohan Virhammar

About this trial

To investigate if progression from prodromal into symptomatic NPH can be predicted from advanced neuroimaging, biomarkers in cerebrospinal fluid (CSF) and plasma and investigate the unknown mechanisms causing deterioration by investigating longitudinal changes in the above-mentioned variables. Three different cohorts with both asymptomatic and symptomatic patients as well as healthy controls will be investigated over time, both without intervention and before and after shunt surgery.

Eligibility criteria

Qualifiers

Group 1 - prodromal iNPH

Evans index > 0.3

Disproportionately enlarged subarachnoid space hydrocephalus (DESH) - defined as: enlarged ventricles, dilated sylvian fissures and tight sulci at the high convexity.

Normal gait pattern, or slight disturbance of the gait pattern that is not considered to be caused by a disease in the central nervous system (CNS).

Disqualifiers

Group 1 - prodromal iNPH

Contraindication for MRI

Other serious disease with expected survival less than three years

non-communicating hydrocephalus

Trial design

Treatments tested in this trial

  • Shunt surgery

Treatment groups

140 Participants
are divided into 3 treatment groups

Sponsors and collaborators

Johan Virhammar

Lead sponsor

Uppsala University Hospital

Sponsor institution

Swedish Society for Medical Research

Collaborator