PMC8492411_01
Preoperative T1-weighted non-contrast axial magnetic resonance imaging (a) and non-contrast axial computed tomography (b) demonstrating prominent lateral ventricles out of proportion to degree of cortical sulcal markings suggestive of hydrocephalus.
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F1
Computed tomography (CT) and magnetic resonance imaging were performed which demonstrated prominent lateral ventricles out of proportion to the degree of cortical sulcal markings [Figure 1].
Postoperative non-contrast axial computed tomography demonstrating the placement of a right parietal approach ventriculoperitoneal shunt with a reduction in hydrocephalus as compared to prior scan.
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F2
Postoperative imaging demonstrated a reduction in the amount of ventricular dilatation [Figure 2].
Graph of patient one's daily average steps taken by week demonstrating key milestones and benchmarks.
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F3
A timeline of the distance and steps walked by the patient over the span of 1 year preoperatively to 1 year postoperatively demonstrated a progressive decline in activity which continued following surgical intervention [Figure 3].
PMC8492411_02
Preoperative non-contrast axial computed tomography demonstrating enlargement of the ventricles out of proportion to the sulcal prominence. There is crowding of the sulci near the vertex as well as an acute callosal angle.
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F4
After clinical evaluation and CT imaging, he was found to have INPH and was referred for right VP shunt placement [Figure 4].
Postoperative non-contrast axial computed tomography demonstrating a right parietal ventriculoperitoneal shunt placement and a mild decrease in the dilatation of the temporal horns as well as the lateral ventricles.
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F5
The patient underwent an uncomplicated right VP shunt placement with a Strata valve set to 2.0 and tolerated the procedure well [Figure 5].
Graph of patient two's daily average steps taken by week demonstrating key milestones and benchmarks.
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F6
A timeline of the distance and steps walked by the patient over the span of 1 year preoperatively to 1 year postoperatively demonstrated a transient, but significant improvement in activity following surgery which was sustained until approximately week 47, after which patient experienced progressive activity decline [Figure 6].