Evidence map›Paper›PMID 40228029›Full record

ArticleJournal of visualized experiments : JoVE2025

Modeling Posthemorrhagic Hydrocephalus of Prematurity in Rats.

Shenandoah Robinson, Timothy Heck, Riddhi Patel, Balaji Vijayakumar, Hawley Helmbrecht, Yuma Kitase, Lauren L Jantzie

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In one paragraph

Article in Journal of visualized experiments : JoVE, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shenandoah RobinsonDivision of Pediatric Neurosurgery, Department of Neurosurgery, Johns Hopkins University School of Medicine; Department of Neurology, Johns Hopkins University School of Medicine; Division of Neonatal-Perinatal Medicine, Johns Hopkins University School of Medicine; Neurosciences Intensive Care Nursery, Johns Hopkins Children's Center; Kennedy Krieger Institute; Srobin81@jhmi.edu.
Timothy HeckDivision of Neonatal-Perinatal Medicine, Johns Hopkins University School of Medicine; Neurosciences Intensive Care Nursery, Johns Hopkins Children's Center.
Riddhi PatelDivision of Neonatal-Perinatal Medicine, Johns Hopkins University School of Medicine; Neurosciences Intensive Care Nursery, Johns Hopkins Children's Center.
Balaji VijayakumarDivision of Neonatal-Perinatal Medicine, Johns Hopkins University School of Medicine; Neurosciences Intensive Care Nursery, Johns Hopkins Children's Center.
Hawley HelmbrechtDivision of Neonatal-Perinatal Medicine, Johns Hopkins University School of Medicine; Neurosciences Intensive Care Nursery, Johns Hopkins Children's Center.
Yuma KitaseDivision of Neonatal-Perinatal Medicine, Johns Hopkins University School of Medicine; Neurosciences Intensive Care Nursery, Johns Hopkins Children's Center.
Lauren L JantzieDivision of Pediatric Neurosurgery, Department of Neurosurgery, Johns Hopkins University School of Medicine; Department of Neurology, Johns Hopkins University School of Medicine; Division of Neonatal-Perinatal Medicine, Johns Hopkins University School of Medicine; Neurosciences Intensive Care Nursery, Johns Hopkins Children's Center; Kennedy Krieger Institute; LJantzie@jhmi.edu.

Funding

Placental Mediated Mechanisms of Perinatal Brain InjuryR01HL139492 · NHLBI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI JANTZIE, LAUREN LEIGH COONEY · 2018 to 2021
$1.6M
NHLBI NIH HHS R01 HL139492
6 · The paper itself

Abstract

Posthemorrhagic hydrocephalus of prematurity (PHHP) is a serious sequela of severe intraventricular hemorrhage (IVH) in very preterm infants less than 32 weeks gestational age (GA). PHHP is defined by the accumulation of cerebrospinal fluid (CSF) associated with clinical symptoms of elevated intracranial pressure (ICP). Infants with PHHP suffer lifelong shunt dependence, with half requiring repeat surgery in the first year of life and many requiring multiple additional surgeries throughout the lifespan. Prenatal chorioamnionitis predisposes preterm infants to severe IVH and the need for surgical treatment of PHHP trends with neonatal sepsis. These clinical features suggest that systemic inflammation is an integral component of PHHP pathophysiology. Here, we define an animal model that recapitulates all clinical aspects and essential features of PHHP in rats. The goal of this protocol is to illustrate how in utero chorioamnionitis and postnatal IVH using lysed red blood cells can be combined to yield PHHP. This preclinical approach yields progressive macrocephaly and domed craniums, elevated intracranial pressure, and ventriculomegaly that can be detected via magnetic resonance imaging (MRI) or via microscopy. In addition to sustained disruption in CSF dynamics, rats also have cognitive delay and functional disability into adulthood. Accordingly, this preclinical platform facilitates unique and unparalleled translational studies of PHHP that can incorporate molecular, cellular, biochemical, histologic, imaging, and functional outcome measures. It can also be used for rigorous analysis of the choroid plexus, ependymal motile cilia, and glymphatic system in parallel. Last, it can also be an invaluable preclinical tool for the investigation of novel surgical intervention strategies and non-surgical therapeutic approaches for the treatment of hydrocephalus.

Indexed as

Cerebral HemorrhageDisease Models, AnimalHydrocephalusAnimalsAnimals, NewbornChorioamnionitisFemalePregnancyRatsRats, Sprague-Dawley

Identifiers

PMID40228029
PMCPMC12490937

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.