Advanced Search
Current and Breaking News for Professionals, Consumers and Media

Click here to learn how to advertise on this site and for ad rates.

Drugs Author: Staff Editor Last Updated: Sep 7, 2017 - 10:06:33 PM

Spare the Surgery: Drugs May Combat Hydrocephalus

By Staff Editor
Jul 18, 2017 - 9:04:29 AM

Email Newsletter icon, E-mail Newsletter icon, Email List icon, E-mail List icon Sign up for our Ezine
For Email Marketing you can trust

Email this article
 Printer friendly page

( - New Haven, Conn.—Clinically available drugs may help combat a potentially lethal form of hydrocephalus now treated mainly by brain surgery, a new Yale-led study has found.

Post-hemorrhagic hydrocephalus (PHH), characterized by a buildup of cerebrospinal fluid (CSF) following hemorrhage of blood vessels in the brain, affects one in a thousand children and is currently treated almost exclusively by the surgical insertion of shunts in the brain.

“Shunts, like any hardware implant, are particularly susceptible to malfunction and infection, and therefore often require patients over the course of their lives to go back to the operating room numerous times,” said Dr. Kristopher T. Kahle, assistant professor of neurosurgery, pediatrics, and cellular & molecular physiology and senior author of the study published July 10 the journal Nature Medicine. “This is really a devastating problem for kids and their families so there is a great need for a pharmacological solution for a condition historically treated only by invasive neurosurgery.”

The most common explanation for this form of hydrocephalus is a failure of the brain to reabsorb cerebrospinal fluid due to clotting of blood or scarring of tissue. However, this model was based on little experimental evidence and new research shows that blood buildup triggers inflammation of the choroid plexus, a group of cells that produce CSF, and can cause an increase in CSF secretion. This can result in an increase in both CSF volume and intracranial pressure.

In work with an animal model of PHH, the Yale team — led by Kahle, also the director of Developmental Anomaly Neurosurgery at Yale-New Haven Hospital, and student Jason Karimy — showed that an approved diuretic and another drug originally designed to treat sepsis can mitigate this immune system response and reduce the secretion of CSF in the brain.

Researchers plan to pursue further pre-clinical studies and then launch a small clinical trial to see if a drug regimen can help reduce need for surgical interventions in patients with PHH due to brain bleeding after aneurysm rupture.

The National Institutes of Health and the Hydrocephalus Association provided primary funding for the research.


Top of Page

Latest Headlines

+ Brain Scans May Reveal Most Effective Anti-Drug Messages
+ Anti-Malaria Drug Shows Promise as Zika Virus Treatment
+ The Right Way to Address Drug Addiction
+ New Drug Combination Therapy for Cystic Fibrosis Shows Promise
+ CDC Reports Rising Rates of Drug Overdose Deaths in Rural Areas
+ Study Suggests Psychedelic Drugs Could Reduce Criminal Behavior
+ Moving Toward a Pay-for-Value Model of Prescription Drug Pricing
+ CDC Launches Campaign to Help States Fight Prescription Opioid Epidemic
+ New Program to Address Opioid Crisis
+ Dangerous Drug Use Trend Among High School Seniors

Contact Us | Job Listings | Help | Site Map | About Us
Advertising Information | HND Press Release | Submit Information | Disclaimer

Site hosted by Sanchez Productions