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Published in: Child's Nervous System 11/2021

01-11-2021 | Hydrocephalus | Annual Issue Paper

Inflammatory hydrocephalus

Authors: Stephanie M. Robert, Benjamin C. Reeves, Arnaud Marlier, Phan Q. Duy, Tyrone DeSpenza, Adam Kundishora, Emre Kiziltug, Amrita Singh, Garrett Allington, Seth L. Alper, Kristopher T. Kahle

Published in: Child's Nervous System | Issue 11/2021

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Abstract

Reparative inflammation is an important protective response that eliminates foreign organisms, damaged cells, and physical irritants. However, inappropriately triggered or sustained inflammation can respectively initiate, propagate, or prolong disease. Post-hemorrhagic (PHH) and post-infectious hydrocephalus (PIH) are the most common forms of hydrocephalus worldwide. They are treated using neurosurgical cerebrospinal fluid (CSF) diversion techniques with high complication and failure rates. Despite their distinct etiologies, clinical studies in human patients have shown PHH and PIH share similar CSF cytokine and immune cell profiles. Here, in light of recent work in model systems, we discuss the concept of “inflammatory hydrocephalus” to emphasize potential shared mechanisms and potential therapeutic vulnerabilities of these disorders. We propose that this change of emphasis could shift our thinking of PHH and PIH from a framework of life-long neurosurgical disorders to that of preventable conditions amenable to immunomodulation.
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Metadata
Title
Inflammatory hydrocephalus
Authors
Stephanie M. Robert
Benjamin C. Reeves
Arnaud Marlier
Phan Q. Duy
Tyrone DeSpenza
Adam Kundishora
Emre Kiziltug
Amrita Singh
Garrett Allington
Seth L. Alper
Kristopher T. Kahle
Publication date
01-11-2021
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 11/2021
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-021-05255-z

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