Evidence map›Paper›PMID 41578884›Full record

ArticleCNS neuroscience & therapeutics2026

Therapeutic Hypothermia Alleviates Hydrocephalus and Neurological Dysfunction Post Intraventricular Hemorrhage by Enhancing Drainage of Glymphatic-Meningeal Lymphatic-Deep Cervical Lymphatic System.

Yijian Yang, Qian Ouyang, Yaxin Sun, Aijun Liang, Junqiang Wang, Kaiyue Wang, Yexin Yuan, Zhikun Liu, Jun Huang, Zhiping Zhang and 7 more

Abstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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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

9 citing papers in PubMed.

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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

17 authors.

Yijian YangDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Qian OuyangDepartment of Neurosurgery, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, Hunan, China.ORCID 0009-0002-5231-7512
Yaxin SunDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Aijun LiangDepartment of Neurosurgery, Xiangya Hospital (Jiangxi), National Regional Center for Neurological Diseases, Central South University, Nanchang, Jiangxi, China.
Junqiang WangDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Kaiyue WangDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yexin YuanDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Zhikun LiuDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Jun HuangDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID 0000-0002-1942-6787
Zhiping ZhangDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Libin WangDepartment of Neurosurgery, Shenzhen Nanshan People's Hospital, Shenzhen, Guangdong, China.ORCID 0000-0002-7861-1560
Yang YuanDepartment of Neurosurgery, The Second Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Cheng WangDepartment of Neurosurgery, Changsha Hospital of Traditional Chinese Medicine (Changsha Eighth Hospital), Changsha, Hunan, China.
Zhangjie SuDepartment of Neurosurgery, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Qinghua ZhangDepartment of Neurosurgery, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China.
Liyang ZhangNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Gelei XiaoDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID 0000-0001-9234-0595

Funding

National Natural Science Foundation of China 82171347National Natural Science Foundation of China 82371362the Students Innovations in Central South University of China S202510533455the Students Innovations in Central South University of China S202510533551the Students Innovations in Central South University of China S202510533552
6 · The paper itself

Abstract

aimsIntraventricular hemorrhage (IVH) has a high mortality and disability rate and poses significant clinical challenges, which often leads to hydrocephalus and neurological dysfunction. Emerging evidence implicates dysfunction of the glymphatic-meningeal lymphatic-deep cervical lymphatic system in the pathogenesis of post-IVH hydrocephalus. Therapeutic hypothermia (TH) holds promise for mitigating these sequelae. This study investigates the potential of TH to ameliorate IVH-induced hydrocephalus and neurological dysfunction, while elucidating its underlying mechanisms.

methodsRat models of IVH are established by intraventricular injection of autologous blood. TH, deep cervical lymph nodes (dCLNs) ligation, and intraperitoneal injection of AMPK inhibitor are used to intervene.

resultsIn rat models of IVH, TH alleviates neurological dysfunction and attenuates hydrocephalus and pathology damage. TH protects physiological function and maintains normal structure of the glymphatic system. TH improves function and structure of the meningeal lymphatic system and promotes drainage of the deep cervical lymphatic system. TH upregulates RTN3, facilitates phosphorylation of AMPK, and suppresses ERS. All the above effects are reversed by ligation of dCLNs and AMPK inhibitor.

conclusionTH alleviates hydrocephalus and neurological dysfunction post IVH by enhancing drainage of the glymphatic-meningeal lymphatic-deep cervical lymphatic system. The RTN3/AMPK/ERS pathway may be the proposed mechanism mediating this effect. TH is expected to become a novel therapeutic strategy for IVH.

Indexed as

Cerebral Intraventricular HemorrhageGlymphatic SystemHydrocephalusHypothermia, InducedLymphatic SystemNervous System DiseasesAnimalsMaleRatsRats, Sprague-Dawleycerebrospinal fluid homeostasisglymphatic‐meningeal lymphatic system‐deep cervical lymphatic systemhematoma clearancehydrocephalus post intraventricular hemorrhageneurological dysfunctionneurovascular unitRTN3/AMPK/ERStherapeutic hypothermia

Identifiers

PMID41578884
PMCPMC12831171

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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.