About this trial
The research is designed to study the prognostic factors of ventriculoperitoneal (VP) shunt for iNPH by multi-omics research
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 60 years;
Diagnosis of iNPH based on clinical assessment
Participant is able to give written informed consent
Disqualifiers
Combining AD and Parkinson's disease and other nervous system diseases
Participant is not medically available for shunt surgery
Secondary NPH
Trial design
Single group
Treatments tested in this trial
ventriculo-peritoneal shunt
Procedure/SurgeryA ventriculoperitoneal shunt is a tube that drains excess cerebrospinal fluid into abdomen
Treatment groups
Trial outcomes
Primary outcomes
Proteomic pattern of CSF in iNPH patients
Comparing the proteomic pattern differences in CSF between iNPH patients and normal age-matched normal volunteers by the analysis of mass spectrometry. Also, the responsive and non-responsive iNPH patients proteomic pattern were analzed.
Proteomic pattern changes of CSF in iNPH patients after VP shunt
Comparing the proteomic pattern differences in CSF of iNPH patients before surgery and after VP shunt by the analysis of mass spectrometry. Also, the responsive and non-responsive iNPH patients proteomic pattern were analzed.
Secondary outcomes
Gray Matter Density
Using automatic cortical and subcortical segmentation from the 3-dimensional T1weighted images to measure gray matter density in iNPH patients before surgery compared with healthy individual group. Also, the responsive and non-responsive iNPH patients structral MRI were analzed.
Change in the resting state fMRI
Change of BOLD singal intensity in the resting state fMRI in iNPH patients compared with normal healthy group. Also, the responsive and non-responsive iNPH patients functional MRI were analzed.
White matter abnormity
Franctional anisotropy, mean diffusivity and apparent diffusion coefficient were measured by diffusion MRI in region of interest of iNPH patients compared with normal healthy group. Also, the responsive and non-responsive iNPH patients diffusion MRI were analzed.
Kiefer score
A score for iNPH severity; range 0-26; higher indicates higher severity.
Sponsors and contacts
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Second Affiliated Hospital, School of Medicine, Zhejiang University
Lead sponsor
Westlake University
Collaborator