Observational Study on Multiple Sclerosis and Normal Pressure Hydrocephalus in Human Subjects
A study involving 36 patients with multiple sclerosis (MS) and normal pressure hydrocephalus (NPH) found that gait disorders were common, with 83% experiencing bladder dysfunction and 67% cognitive dysfunction. Following ventriculoperitoneal shunt surgery, 58% showed gait improvement post-high-volume tap test, and 83% improved post-surgery.
- Tags
- #MSResearch
- Most relevant to
- —
- Human efficacy
- Not yet assessed
- Mechanism
- Not yet assessed
- Evidence strength
- Not yet assessed
- Outcome
- Not yet assessed
Why it matters
These findings highlight a significant overlap between MS and NPH, emphasizing the need for careful diagnosis and the potential for surgical interventions in affected patients.
What this does not prove
The retrospective nature of the study limits the ability to establish causation, and the small sample size may affect the generalizability of the results.
Next milestone
No next milestone was established from the available source.
Study facts
- Study design
- Observational
- Participants / samples
- 36 · basis not reported
- Randomised
- Not reported
- Controlled
- Not reported
- Primary endpoint met
- Not reported
- Relevant MS type
- RRMS, SPMS, PPMS
- Publication date
- 2026-10-08
- Evidence reviewed
- Abstract only
- Regulatory approval
- Not reported
- Research areas
- Not classified
Original sources
- Primary evidenceNormal pressure hydrocephalus in people with multiple sclerosis. ↗DOI: 10.1016/j.msard.2026.107959
Supporting passages (9)
study designRetrospective Mayo Clinic database review of "MS" and "NPH" and "Gait disorder" 1996-2025.
subjectsThirty-six pwMS and INPH were included.
sample sizeThirty-six pwMS and INPH were included.
peer reviewedJournal: Multiple sclerosis and related disorders
relevant ms typesNineteen (53%) had secondary progressive MS; 10 (28%), relapsing-remitting and 7 (19%), primary progressive MS.
publication datePublication date: 2026-10-08
interventionINPH was defined as possible (≥2 INPH triad and ventriculomegaly), probable (possible INPH with Disproportionately Enlarged Sub-arachnoid space Hydrocephalus [DESH] or positive high-volume tap test [HVTT]) and definite (gait improvement following ventriculoperitoneal [VP] shunt).
findingsAll had INPH gait disorder, 30 (83%) bladder dysfunction, 24 (67%) cognitive dysfunction and 20 (56%) with full INPH triad.
limitationsTitle: Normal pressure hydrocephalus in people with multiple sclerosis.
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