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Current Methods for Regenerative Treatments for Intraventricular Hemorrhage and Neonatal Hydrocephalus
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Patricia Paez-Gonzalez

Patricia Paez-Gonzalez

University of Malaga, Department of Cell Biology, Genetics and Physiology. Faculty of Sciences; Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND

Patricia Páez-González, PhD, is a Professor of Cell Biology at the University of Malaga. She obtained her PhD in Biology from the University of Malaga in Spain, where she studied the aetiology of congenital hydrocephalus, focusing on the involvement of ependyma. As Research Assistant at Duke University and Duke-Medical Center, she focused on the manipulation of neural stem cells and the role of neural stem cells in traumatic brain injury and neurodegenerative diseases. In 2015 she returned to Spain as a “Ramon y Cajal” distinguished researcher. Since 2015 she has been Co-PI in the Research Group “Research for Hydrocephalus” at the University of Malaga. Her work has provided key insights into the role of ependyma in the aetiology of hydrocephalus and the modulation of the neurogenic niche. Ultimately, she aims to develop regenerative treatments using different stem cells to treat newborns with intraventricular haemorrhage and neonatal hydrocephalus. 

Collection Overview

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.

Articles

Modeling Posthemorrhagic Hydrocephalus of Prematurity in Rats
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Modeling Posthemorrhagic Hydrocephalus of Prematurity in Rats

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Cited by 3

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2025

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Abstracts

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