case_images: PMC8492411_01
case_images: 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.
case_images: SNI-12-464-g001.jpg
case_images: PMC8492411_01_SNI-12-464-g001.jpg
case_images: F1
case_images: 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].
case_images: 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.
case_images: SNI-12-464-g002.jpg
case_images: PMC8492411_01_SNI-12-464-g002.jpg
case_images: F2
case_images: Postoperative imaging demonstrated a reduction in the amount of ventricular dilatation [Figure 2].
case_images: Graph of patient one's daily average steps taken by week demonstrating key milestones and benchmarks.
case_images: SNI-12-464-g003.jpg
case_images: PMC8492411_01_SNI-12-464-g003.jpg
case_images: F3
case_images: 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].
case_images: PMC8492411_02
case_images: 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.
case_images: SNI-12-464-g004.jpg
case_images: PMC8492411_02_SNI-12-464-g004.jpg
case_images: F4
case_images: After clinical evaluation and CT imaging, he was found to have INPH and was referred for right VP shunt placement [Figure 4].
case_images: 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.
case_images: SNI-12-464-g005.jpg
case_images: PMC8492411_02_SNI-12-464-g005.jpg
case_images: F5
case_images: The patient underwent an uncomplicated right VP shunt placement with a Strata valve set to 2.0 and tolerated the procedure well [Figure 5].
case_images: Graph of patient two's daily average steps taken by week demonstrating key milestones and benchmarks.
case_images: SNI-12-464-g006.jpg
case_images: PMC8492411_02_SNI-12-464-g006.jpg
case_images: F6
case_images: 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].