Mathematical Modeling of CSF Changes in Communicating Hydrocephalus

Communicating hydrocephalus (CH) occurs frequently in both children and adults, but research on this important type of hydrocephalus has been impeded by the lack of a suitable animal model. Several attempts have been made in the past 20 years to induce CH in dogs and rats, but the methods used do not produce the disorder consistently and the site of obstruction has not been determined unequivocally. While congenital models of CH exist in mice, these animals are too small for comprehensive investigations that employ diagnostic imaging and cerebrospinal fluid (CSF) shunting. Therefore, we intend to perfect a rat model of CH that will be reliable, clearly impair CSF absorption at the arachnoid granulations, and cost effective. Furthermore, we propose to share this model with Dr. Egnor’s group in order to test his pioneering work on the Windkessel Effect and its importance in hydrocephalus.

Our plan comprises two phases. First, in Dr. McAllister’s laboratory at the Wayne State University School of Medicine we will develop the appropriate methodology for creating CH in adult rats. We will test the efficacy of several substances (kaolin, silicone oil, and methyl-methacrylate) to induce CH via microsurgical infusions into the subarachnoid space overlying the cerebral hemispheres. CH will be confirmed preliminarily using anatomic magnetic resonance imaging. Second, after shipping animals with CH to Dr. Egnor’s laboratory at the State University of New York at Stony Brook, comprehensive CSF flow and pressure studies will be performed using MRI.

Once the model has been developed successfully, we anticipate at least 18 months of experimental manipulations to completely test Dr. Egnor’s mathematical modeling, including studies of shunt malfunction. Therefore, a two-year budget has been proposed.