Integrating Clinical Judgment and Objective Measures in Normal Pressure Hydrocephalus: Key Predictors of Shunt Referral

Although this study employed a clinically grounded approach based on clinical judgment rather than fixed thresholds, the findings align with prior literature identifying gait and balance as robust indicators. This study reinforces the need to shift from rigid threshold-based criteria toward individualized, clinically grounded decision-making models that can better capture the heterogeneity of iNPH presentations.