Mr. Delbigio et al., MAGNETIC-RESONANCE-IMAGING AND BEHAVIORAL-ANALYSIS OF IMMATURE RATS WITH KAOLIN-INDUCED HYDROCEPHALUS - PREHUNTING AND POSTSHUNTING OBSERVATIONS, Experimental neurology, 148(1), 1997, pp. 256-264
The motor and cognitive dysfunction associated with hydrocephalus rema
ins a clinical problem in children. We hypothesized that young rats wi
th hydrocephalus should exhibit similar dysfunction and that the dysfu
nction should be reversible by shunting. Hydrocephalus was induced in
3-week-old rats by injection of kaolin into the cisterna magna. Rats w
ere assessed by Ta-weighted images obtained with a 7-T magnetic resona
nce device and by repeated behavioral testing including ability to tra
verse a narrow beam and ability to find a hidden platform in a water p
ool. Some of the rats underwent a shunting procedure 1 or 4 weeks afte
r kaolin injection. Magnetic resonance images were used to measure ven
tricle size. They clearly demonstrated increased signal in periventric
ular white matter, which corresponded to increased brain water content
. A how-void phenomenon was observed in the cerebral aqueduct. Ability
to traverse the beam did not correlate with the degree of ventriculom
egaly. Ability to swim to the hidden platform demonstrated a progressi
ve impairment of learning function which may have been accentuated by
motor disability. When rats were shunted after 1 week, the behavioral
dysfunction was prevented. Late shunting after 4 weeks was associated
with gradual recovery of the behavioral disability which was not compl
ete after 4 weeks. We conclude that early shunting is superior to late
shunting with regard to behavioral dysfunction. High-resolution MR im
aging shows features in hydrocephalic rats similar to those found in h
ydrocephalic humans. (C) 1997 Academic Press.