Evidence map›Paper›PMID 34749745›Full record

ArticleFluids and barriers of the CNS2021

A novel model of acquired hydrocephalus for evaluation of neurosurgical treatments.

James P McAllister, Michael R Talcott, Albert M Isaacs, Sarah H Zwick, Maria Garcia-Bonilla, Leandro Castaneyra-Ruiz, Alexis L Hartman, Ryan N Dilger, Stephen A Fleming, Rebecca K Golden and 3 more

Open access · goldAbstract read
In one paragraph

Article in Fluids and barriers of the CNS, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Evaluation of shunt valve flow dynamics in series.Fluids and barriers of the CNS · 2026
    Article
  6. Molecular hallmarks of hydrocephalus.Science translational medicine · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. A neural stem cell paradigm of pediatric hydrocephalus.Cerebral cortex (New York, N.Y. : 1991) · 2023
    Article
  17. Article
  18. Article
  19. 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

13 authors at 4 institutions in 2 countries.

James P McAllisterDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA. pat.mcallister@wustl.edu.
Michael R TalcottDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Albert M IsaacsDepartment of Surgery, Division of Neurosurgery, University of Calgary School of Medicine, Calgary, AB, T2N 2T9, Canada.
Sarah H ZwickDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Maria Garcia-BonillaDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Leandro Castaneyra-RuizDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Alexis L HartmanDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Ryan N DilgerDepartment of Animal Sciences, Division of Nutritional Sciences, Neuroscience Program, University of Illinois, Champagne-Urbana, Illinois, 61801, USA.
Stephen A FlemingDepartment of Animal Sciences, Division of Nutritional Sciences, Neuroscience Program, University of Illinois, Champagne-Urbana, Illinois, 61801, USA.
Rebecca K GoldenDepartment of Animal Sciences, Division of Nutritional Sciences, Neuroscience Program, University of Illinois, Champagne-Urbana, Illinois, 61801, USA.
Diego M MoralesDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Carolyn A HarrisDepartment of Chemical Engineering and Materials Science, Wayne State University, Detroit, MI, 48202 , USA.
David D LimbrickDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Washington University in St. Louis · USUniversity of Illinois Urbana-Champaign · USUniversity of Calgary · CAWayne State University · US

Funding

Experimental Studies of Endoscopic Third Ventriculostomy and Choroid Plexus Cauterization in HydrocephalusR01NS130103 · NINDS · WASHINGTON UNIVERSITY · PI Maria Garcia Bonilla, David Delmar Limbrick · 2022 to 2026
$3.0M
Experimental endoscopic third ventriculostomy with choroid plexus cauterization and its effects on brain developmentR21NS111249 · NINDS · WASHINGTON UNIVERSITY · PI LIMBRICK, DAVID DELMAR, MCALLISTER, JAMES PATTERSON · 2020 to 2021
$438k
Reducing infections and blockage associated with long-term implantation of ventriculoperitoneal and related shuntsR44NS139774 · NINDS · WYNNVISION, LLC · PI HARRIS, CAROLYN A, MCALLISTER, JAMES PATTERSON · 2025 to 2025
$306k
NINDS NIH HHS 5R21NS111249-02NINDS NIH HHS R01 NS130103NINDS NIH HHS R21 NS111249NINDS NIH HHS R44 NS139774
6 · The paper itself

Abstract

backgroundMany animal models have been used to study the pathophysiology of hydrocephalus; most of these have been rodent models whose lissencephalic cerebral cortex may not respond to ventriculomegaly in the same way as gyrencephalic species and whose size is not amenable to evaluation of clinically relevant neurosurgical treatments. Fewer models of hydrocephalus in gyrencephalic species have been used; thus, we have expanded upon a porcine model of hydrocephalus in juvenile pigs and used it to explore surgical treatment methods.

methodsAcquired hydrocephalus was induced in 33-41-day old pigs by percutaneous intracisternal injections of kaolin (n = 17). Controls consisted of sham saline-injected (n = 6) and intact (n = 4) animals. Magnetic resonance imaging (MRI) was employed to evaluate ventriculomegaly at 11-42 days post-kaolin and to plan the surgical implantation of ventriculoperitoneal shunts at 14-38-days post-kaolin. Behavioral and neurological status were assessed.

resultsBilateral ventriculomegaly occurred post-induction in all regions of the cerebral ventricles, with prominent CSF flow voids in the third ventricle, foramina of Monro, and cerebral aqueduct. Kaolin deposits formed a solid cast in the basal cisterns but the cisterna magna was patent. In 17 untreated hydrocephalic animals. Mean total ventricular volume was 8898 ± 5917 SD mm

conclusionsKaolin induction of acquired hydrocephalus in juvenile pigs produced an in vivo model that is highly translational, allowing systematic studies of the pathophysiology and clinical treatment of hydrocephalus.

Indexed as

Disease Models, AnimalVentriculoperitoneal ShuntAge FactorsAnimalsHydrocephalusKaolinMagnetic Resonance ImagingSwineKaolinAcquired hydrocephalusAnimal modelsCognitionHydrocephalusKaolinShuntVentriculomegaly

Identifiers

PMID34749745
PMCPMC8576945
OpenAlexW3164249942

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.