Unusual case of idiopathic normal pressure hydrocephalus initially presenting as Parinaud’s syndrome?

Reply to the comments on “Unusual case of idiopathic normal pressure hydrocephalus initially presenting as Parinaud’s syndrome?”

“…We are grateful to Dr Onder for the comments on our case report, “Unusual case of idiopathic normal pressure hydrocephalus initially presenting as Parinaud’s syndrome.” Below are our responses to the comments.…”

“…Characteristic neuro‐ophthalmological findings in PS consist of vertical gaze palsy, especially upward rather than downward; pupillary light‐near dissociation; convergence‐retraction nystagmus; and lid retraction. However, as aforementioned in the letter of Dr Onder, it was found that the classical triad of PS was only present in 65% of cases in a recent crucial review . Pollak et al defined PS as showing one or more of the following signs: limitation of upgaze, pupillary light‐near dissociation or convergence‐retraction nystagmus .…”