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Communicating hydrocephalus. Cisternographic and neuropathologic studies.

D L Price, A E James, E Sperber

    Archives of Neurology
    |January 11, 1976
    PubMed
    Summary
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    This study details chronic communicating hydrocephalus in dogs, revealing early pressure increases followed by normal pressures and severe ependymal damage in chronic stages. Findings correlate pathological changes with imaging and cerebrospinal fluid pressure.

    Area of Science:

    • Neurology
    • Pathology
    • Veterinary Medicine

    Background:

    • Hydrocephalus is a condition characterized by abnormal accumulation of cerebrospinal fluid (CSF) within the brain's ventricles.
    • Understanding the pathological progression of hydrocephalus is crucial for developing effective treatments.

    Purpose of the Study:

    • To investigate the pathological changes in the ventricular wall during the development of chronic communicating hydrocephalus.
    • To correlate these pathological findings with diagnostic imaging and cerebrospinal fluid (CSF) pressure measurements.

    Main Methods:

    • Chronic communicating hydrocephalus was induced in adult dogs by injecting silastic into the subarachnoid space.
    • Electron microscopy was employed to examine the cellular and tissue alterations.

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  • Cisternography and CSF pressure monitoring were performed to assess hydrocephalus progression.
  • Main Results:

    • Early hydrocephalus showed increased CSF pressure, ventricular entry, and ependymal stretching with subependymal fluid accumulation.
    • Chronic hydrocephalus presented with normal CSF pressure but persistent ventricular radioactivity on cisternograms.
    • Severe ependymal damage, enlarged extracellular spaces in white matter, and axonal/myelin sheath degeneration were observed in chronic cases.

    Conclusions:

    • The study elucidates the distinct pathological stages of experimental communicating hydrocephalus in dogs.
    • Chronic hydrocephalus is associated with significant structural damage to the ependyma and underlying white matter, even with normalized CSF pressure.