Evidence map›Paper›PMID 41866898›Full record

ArticleCroatian medical journal2026

Effects of craniectomy on cerebrospinal fluid pressure gradient in the craniospinal space in different body positions of cats.

Marijan Klarica, Gorislav Erceg, Sergej Mihailovič Marasanov, Milan Radoš, Filip Njavro, Darko Orešković, Ivana Jurjević

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Article in Croatian medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Marijan Klarica
Gorislav Erceg
Sergej Mihailovič MarasanovSergej Mihailovič Marasanov, Department of Neurosurgery, Unit for Functional and Stereotactic Neurosurgery and Radiosurgery, Zagreb University Hospital Center, Kišpatićeva 12, 10000 Zagreb, Croatia, smmarasanov@gmail.com.
Milan Radoš
Filip Njavro
Darko Orešković
Ivana Jurjević

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess whether a cranial defect in anesthetized cats alters cerebrospinal fluid (CSF) pressure distribution across the craniospinal axis in different body positions in the setting of intracranial normotension.

methodsAfter standardized parietal craniectomy, intracranial and lumbar CSF pressures were simultaneously measured in eight adult anesthetized (?-chloralose, i.p. 100 mg/kg) cats in different body positions: horizontal (0°), head-up (45°; 90°), and head-down (225°; 270°). CSF pressure gradient represents the difference between CSF pressure values in the lateral ventricle (LV) and lumbar subarachnoid space (LSS) in each body position.

resultsAt 0°, CSF pressures in the LV and LSS were similar (16.2±0.9 vs 15.8±1.2 cm H2O, respectively). In the 90° head-up position, LV pressure was subatmospheric (?1.5±0.5 cm H2O), while LSS pressure simultaneously increased (31.4±1.0 cm H2O). Conversely, in the head-down 270° position, LSS pressure was negative (?1.7±1.5 cm H2O) and LV pressure increased (30.0?±?1.8 cm H2O). Difference between LV and LSS pressures is strongly correlated with hydrostatic difference between the two recording points in the head-up and the head-down position. LV pressure at 90° in the craniectomy group was significantly higher than previously published in cats with an intact cranium in the same position (P<0.001).

conclusionHydrostatic CSF pressure gradient across the craniospinal axis remained unaltered by craniectomy. The finding that craniectomy in the head-up position of animals without intracranial pathology resulted in an intracranial pressure increase may offer additional explanation for the trephined syndrome pathophysiology.

Indexed as

Cerebrospinal Fluid PressureCraniotomyPostureSubarachnoid SpaceAnimalsCats

Identifiers

PMID41866898
PMCPMC13014296

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