The callosal angle (CA) is a useful tool in idiopathic normal pressure hydrocephalus (iNPH) for diagnosis and patient selection for shunt surgery. We evaluated for (1) differences in a novel splenial angle (SA) in iNPH compared to healthy controls (HC), and (2) temporal changes in SA, CA and Evan’s index in shunted and non-shunted iNPH patients. Significant differences (p<0.0001) existed in the EI, CA and SA between iNPH and HC. Amongst iNPH patients with or without shunting, significant temporal changes were also found in in all indices on follow-up MRI scans compared to baseline measurements.
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