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1

Oh, you are Professor Di Rocco, the famous neurosurgeon. I read a lot of your papers.

2

I would like to know more about the research, may I have your e-mail address?

3

Thank you for your important question in my poster presentation.

4

I am from Tokyo, where are you from, Doctor?

5

Thank you for your attention.

6

To put it simply, NPH is a progressive hydrocephalus with normal pressure, while LOVA is that with high pressure.

7

What I want to say is that NPH and LOVA seems to be similar in the clinical feature, but totally different in the pathophysiology.

8

I don't have our previous data with me to answer your question, so I will send it to you by e-mail.

9

Would you agree with my answer?

10

I’m sorry, but I can not agree with you on that, because...

11

I'm sorry, your question is out of my field, and I have no answer.

12

I'm not so sure, but we suppose that the hydrocephalus is pathogenic in this case.

13

“I am sorry, but I didn’t get your point.”

14

If you have any questions, please raise your hand at anytime.

15

“Thank you.”

16

“So, our present case shall be the first reported case, and to conduct a multicenter cooperative study may be a future subject.”

17

“There are only 11 known cases of NPH with Parkinsonism symptoms including our present case.”

18

“In conclusion, it is obvious from this case report that there is one unique hydrocephalus type with NPH and Parkinsonism.”

19

“No data on efficacy of shunt for Parkinsonism in NPH has been reported, so a multicenter cooperative study is necessary in the future.”

20

“Firstly, I would like to discuss the mechanism of Parkinsonism associated with NPH from the pathophysiology of hydrocephalus.”

21

“As you see in this table, our present case is the first one in which only shunt operation successfully improved Parkinsonism associated with NPH.”

22

“There have been 10 previously reported cases of NPH associated with Parkinsonism.”

23

“Based on the above results, I would like to discuss the following 3 points.”

24

“The solid line represents the NPH group and the dotted line indicates the control group.”

25

“The horizontal axis indicates years after the onset of NPH and the vertical axis shows ICP in torr.”

26

“The numbers in the parenthesis are to be multiplied by 106 (ten to the 6th power) equals one million.”

27

“The numerator indicates the total numbers of NPH, while the denominator does so for the numbers of atypical cases."

28

“The numbers in the table were calculated to the third decimal point.”

29

“These three are among 12 NPH cases, that is 25%, so the ratio is 9 to 3.”

30

“In the postoperative outcome, the patient’s Parkinsonism symptoms were improved dramatically.”

31

“I would like to show our results in

32

Third ventriculostomy was performed with rigid-rod endoscope, Oi Handy Pro(R) of Karl-Storz.

33

“The retrospective data was analyzed statistically with the Wilcoxon test.”

34

“All cases presented the triad of NPH Symptoms and underwent prospective analysis by ICP measurement.”

35

“The ICP monitoring definitely revealed a normal range of baseline pressure.”

36

“MRI demonstrated remarkable ventriculomegaly of lateral and third ventricles.”

37

The neurological examination revealed prominent extrapyramidal signs in the patient.

38

The diagnostic criteria for NPH were defined as slowly progressive hydrocephalus with normal range of ICP.

39

We have treated 223 NPH patients at ABC University Hospital in the past 7 years.

40

The NPH case presented here is a 65 year-old woman.

41

“This is the first case, which proved the shunt placement as the effective treatment for Parkinsonism.”

42

Here, we report an extremely rare case of NPH associated with Parkinsonism symptoms.

43

“However, we have sometimes experienced atypical symptoms associated with NPH.”

44

“As we all know, NPH is a common type of hydrocephalus.”

45

NPH is a somewhat confusing term.

46

“In 1965, Hakim and Adams proposed an entity of NPH.”

47

"Thank you, chairperson. Today, I would like to report a unique case of hydrocephalus."

48

“Do I have 3 minutes for presentation and 2 minutes for discussion?”

49

“Excuse me. Are you going to chair this poster session?”

50

What time will the Poster Session B start and end? And until what time do we have to remove our posters?

51

I am Dr. Kanda, ABC University, Tokyo. I am a presenter in the Poster Session B, but will be late half an hour or so because of a traffic jam.

52

Excuse me. How can I get to the reception desk for the Poster Session ?