phosphorylated tauamyloid beta 1-42 ratio in ventricular cerebrospinal fluid reflects outcome in idiopathic normal pressure hydrocephalus磷酸化tauamyloidβ1-42比率在特发性室性脑脊液反映结果正常压力脑积水.pdfVIP
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phosphorylated tauamyloid beta 1-42 ratio in ventricular cerebrospinal fluid reflects outcome in idiopathic normal pressure hydrocephalus磷酸化tauamyloidβ1-42比率在特发性室性脑脊液反映结果正常压力脑积水
Patel et al. Fluids and Barriers of the CNS 2012, 9:7
FLUIDS AND BARRIERS
/content/9/1/7
OF THE CNS
RESEARCH Open Access
Phosphorylated tau/amyloid beta 1-42 ratio in
ventricular cerebrospinal fluid reflects outcome in
idiopathic normal pressure hydrocephalus
1 2 3 4 5 6 6
Sunil Patel , Edward B Lee , Sharon X Xie , Anica Law , Eric M Jackson , Steven E Arnold , Christopher M Clark ,
2 5 2 1*
Leslie M Shaw , M Sean Grady , John Q Trojanowski and Roy H Hamilton
Abstract
Background: Idiopathic normal pressure hydrocephalus (iNPH) is a potentially reversible cause of dementia and
gait disturbance that is typically treated by operative placement of a ventriculoperitoneal shunt. The outcome from
shunting is variable, and some evidence suggests that the presence of comorbid Alzheimer’s disease (AD) may
impact shunt outcome. Evidence also suggests that AD biomarkers in cerebrospinal fluid (CSF) may predict the
presence of AD. The aim of this study was to investigate the relationship between the phosphorylated tau/amyloid
beta 1-42 (ptau/Ab 1-42) ratio in ventricular CSF and shunt outcome in patients with iNPH.
Methods: We conducted a prospective trial with a cohort of 39 patients with suspected iNPH. Patients were
clinically and psychometrically assessed prior to and approximately 4 months after ventriculoperitoneal shunting.
Lumbar and ventricular CSF obtained intraoperatively, and
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