iNPH scale [Neurosurgery Wiki]

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====== iNPH scale ======


Examples of reported scales are the Black, Stein and Langfitt, Boon, Mori, and Krauss scales.

The iNPH scale developed by Hellström et al. measures symptoms and signs in 4 different domains: gait,
cognition, continence, and balance
((Hellström P, Klinge P, Tans J, Wikkelsø C. A new scale for assessment of
severity and outcome in iNPH. Acta Neurol Scand. 2012 Oct;126(4):229-37. doi:
10.1111/j.1600-0404.2012.01677.x. Epub 2012 May 16. PubMed PMID: 22587624.)).

**Gait disorders**

Bedridden or can not walk 5

You can walk with support 4

Walk unaided but unstable with frequent falls 3

stable but abnormal gait 2

Average 1

**cognitive impairment**

vegetative 5

severe dementia 4

serious changes in memory and behavior 3

Memory impairment as patient or family 2

Mild cognitive problems 1

**sphincters**

urinary and fecal incontinence 5

Continuous urinary incontinence 4

urinary incontinence sporadic 3

urinary urgency 2

normal 1