
Germinal matrix hemorrhages (GMH) and the subsequent posthemorrhagic hydrocephalus are the most common and severe neurological complications of preterm birth that require lifelong complex neurosurgical care. GMH disrupts neuroepithelium/ependyma development, which is a key structure implicated in brain development, homeostasis, and neurogenesis.
Posthemorrhagic brain injuries encompass periventricular edema, neuroinflammation, demyelination, axonal degeneration, impaired axoplasmic transport in the periventricular white matter, cerebral hypoxia, ischemia, and alteration of blood-cerebrospinal fluid barriers. Furthermore, the disruption of the neuroepithelium leads to an alteration in the neurogenic capacity of neural stem cells.
Current treatments primarily focus on surgical intervention to drain excess cerebrospinal fluid and reduce intracranial pressure. However, these treatments do not effectively prevent subsequent complications such as cerebral palsy, sensory deficits, and chronic diseases related to learning and behavior. In recent years, various therapies have been developed to leverage the regenerative and neuro-immunomodulatory capacity of stem cells.
This Methods Collection aims to target a broad range of researchers by focusing on techniques that are of significant interest to the hydrocephalus research community. We will include experimental animal models, in vitro and ex vivo cell cultures, and organotypic culture systems that enable the study of conditions present during posthemorrhagic hydrocephalus, as well as potential therapeutic strategies to treat this pathology. Additionally, the scope of this collection encompasses different methods to evaluate the progression of hydrocephalus.
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Cited by 3
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2025
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Shenandoah Robinson1,2,3,4,5, Timothy Heck3,4, Riddhi Patel3,4, Balaji Vijayakumar3,4, Hawley Helmbrecht3,4, Yuma Kitase3,4, Lauren L. Jantzie1,2,3,4,5
1Division of Pediatric Neurosurgery, Department of Neurosurgery, Johns Hopkins University School of Medicine, 2Department of Neurology, Johns Hopkins University School of Medicine, 3Division of Neonatal-Perinatal Medicine, Johns Hopkins University School of Medicine, 4Neurosciences Intensive Care Nursery, Johns Hopkins Children's Center, 5Kennedy Krieger Institute
Clinical Scoring in a Porcine Model of Acquired Hydrocephalus
Claire Boysen*1,
Jason Moore1,
Michael Talcott1,
Todd Pavek2,
Jayne Crouthamel1,
Angela Lane1,
David Limbrick3,
James Pat McAllister1,
Maria Garcia Bonilla3
1Department of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA,
2Department of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri,
3Department of Neurosurgery, Virginia Commonwealth University, Richmond, VA, USA and Department of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
Optimal induction of post-hemorrhagic hydrocephalus in a neonatal mouse model
Maria Garcia Bonilla*1,
Claire Boysen2,
Owen Limbrick2,
Rajiv Swarup2,
James Pat McAllister II2,
David Limbrick Jr1
1Department of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA and Department of Neurosurgery, Virginia Commonwealth University, Richmond, VA, USA,
2Department of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA