Title: |
Alzheimer's Disease CSF Biomarkers as Possible Indicators of Tap-Test Response in Idiopathic Normal Pressure Hydrocephalus. |
Authors: |
Pyrgelis, Efstratios-Stylianos1,2 (AUTHOR) geoprskvs44@gmail.com, Paraskevas, George P.2,3 (AUTHOR) fboufidou@med.uoa.gr, Constantinides, Vasilios C.1,2 (AUTHOR) myrtop@yahoo.com, Boufidou, Fotini2 (AUTHOR), Papaioannou, Myrto2 (AUTHOR), Stefanis, Leonidas1 (AUTHOR) lstefanis@med.uoa.gr, Kapaki, Elisabeth1,2 (AUTHOR) ekapaki@med.uoa.gr |
Source: |
Brain Sciences (2076-3425). Nov2023, Vol. 13 Issue 11, p1593. 11p. |
Subject Terms: |
*ALZHEIMER'S disease, *TAU proteins, *HYDROCEPHALUS, *MINI-Mental State Examination, *NEUROPSYCHOLOGICAL tests |
Abstract: |
The aim of the present study is the evaluation of established Alzheimer's disease (AD) cerebrospinal fluid (CSF) biomarkers in patients with idiopathic normal-pressure hydrocephalus (iNPH), both individually and as a total profile, and the investigation of their use as potential predictors of Tap-test responsiveness. Fifty-three patients with iNPH participated in the study. Aβ42, Aβ40, total Tau and phospho-Tau proteins were measured in duplicate with double-sandwich ELISA assays. Clinical evaluation involved a 10 m timed walk test before an evacuative lumbar puncture (LP) and every 24 h for three consecutive days afterwards. Neuropsychological assessment involved a mini-mental state examination, frontal assessment battery, 5-word test and CLOX drawing test 1 and 2, which were also performed before and 48 h after LP. Response in the Tap-test was defined as a 20% improvement in gait and/or a 10% improvement in neuropsychological tests. The Aβ42/Aβ40 ratio was found to be significantly higher in Tap-test responders than non-responders. Total Tau and phospho-Tau CSF levels also differed significantly between these two groups, with Tap-test responders presenting with lower levels compared to non-responders. Regarding the AD CSF biomarker profile (decreased amyloid and increased Tau proteins levels), patients with a non-AD profile were more likely to have a positive response in the Tap-test than patients with an AD profile. [ABSTRACT FROM AUTHOR] |
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