{"id":37982,"date":"2025-01-15T15:33:03","date_gmt":"2025-01-15T20:33:03","guid":{"rendered":"https:\/\/www.hydroassoc.org\/?page_id=37982"},"modified":"2025-10-24T10:18:55","modified_gmt":"2025-10-24T14:18:55","slug":"neuropsychological-cognitive-priorities","status":"publish","type":"page","link":"https:\/\/www.hydroassoc.org\/neuropsychological-cognitive-priorities\/","title":{"rendered":"Research Priorities to Improve Cognitive and Neuropsychological Outcomes in Hydrocephalus"},"content":{"rendered":"\r\n<h1>Research Priorities to Improve Neuropsychological and Cognitive Outcomes in Hydrocephalus<\/h1>\r\n<p><img loading=\"lazy\" decoding=\"async\" title=\"Screenshot 2025-01-15 at 2.55.56\u202fPM\" src=\"https:\/\/www.hydroassoc.org\/wp-content\/uploads\/2025\/01\/Screenshot-2025-01-15-at-2.55.56\u202fPM.png\" alt=\"Screenshot 2025-01-15 at 2.55.56\u202fPM\" width=\"1928\" height=\"238\" \/> <a href=\"https:\/\/fluidsbarrierscns.biomedcentral.com\/articles\/10.1186\/s12987-024-00602-z\" target=\"_blank\" rel=\"noopener\"> <img loading=\"lazy\" decoding=\"async\" title=\"Untitled design (1)\" src=\"https:\/\/www.hydroassoc.org\/wp-content\/uploads\/2025\/01\/Untitled-design-1.png\" alt=\"Neuropsycholog\" width=\"300\" height=\"388\" \/> <\/a> <a href=\"https:\/\/fluidsbarrierscns.biomedcentral.com\/articles\/10.1186\/s12987-024-00602-z\" target=\"_blank\" rel=\"noopener\"> Read Study Here <\/a><\/p>\r\n<p>Hydrocephalus affects cognitive and emotional well-being across the lifespan. Challenges with attention, memory, learning, problem-solving, stress, anxiety, and depression are common and often overlooked. <strong>Neuropsychology<\/strong> is a branch of psychology that focuses on how the brain and nervous system work to influence behavior and thinking (cognition).<\/p>\r\n<p>In response to these challenges, we collaborated with neuropsychologists, neuroscientists, medical professionals, caregivers, and those living with hydrocephalus to create research priorities to steer the research in this field. <a href=\"https:\/\/fluidsbarrierscns.biomedcentral.com\/articles\/10.1186\/s12987-024-00602-z\" target=\"_blank\" rel=\"noopener\">These priorities have been published in the scientific journal, <i>Fluids and Barriers of the CNS<\/i>.<\/a> This underscores our commitment to call upon experts to address one of the most pressing concerns of the hydrocephalus community: <strong>improving the quality of life for individuals living with this condition.<\/strong><\/p>\r\n<h2>The research priorities include:<\/h2>\r\n<p><img loading=\"lazy\" decoding=\"async\" title=\"New website layout - 600x399px (1)\" src=\"https:\/\/www.hydroassoc.org\/wp-content\/uploads\/2025\/01\/New-website-layout-600x399px-1.png\" alt=\"Neuropsychology\" width=\"600\" height=\"399\" \/><\/p>\r\n<h3>To understand the neuropsychological characteristics of hydrocephalus across the lifespan<\/h3>\r\n<p>Develop tools to assess and track impairments and find ways to predict cognitive outcomes.<\/p>\r\n<p><a id=\"fl-accordion--label-0\" tabindex=\"0\" href=\"#\" aria-controls=\"fl-accordion--panel-0\">See Priorities<\/a> <a id=\"fl-accordion--icon-0\" tabindex=\"-1\" href=\"#\"><i title=\"Expand\">Expand<\/i><\/a><\/p>\r\n<p><b>Identify cognitive and neuropsychological tests that can:<\/b>\u00a0<\/p>\r\n<p>1. Be used throughout life and for different types of hydrocephalus.\u00a0<\/p>\r\n<p>2. Determine if cognitive characteristics are due to hydrocephalus or other common conditions.\u00a0<\/p>\r\n<p>3. Better assess neonates and infants and monitor changes over time.\u00a0<\/p>\r\n<p>4. Evaluate cognitive deficits and abilities in hydrocephalus patients over long periods of time.\u00a0<\/p>\r\n<p><b>Advance Brain Imaging and Analyze Fluids<\/b>\u00a0<\/p>\r\n<p>5. Identify how changes in the brain can be used to predict neuropsychological outcomes.\u00a0<\/p>\r\n<p>6. Identify markers found in bodily fluids (e.g. cerebrospinal fluid [CSF] or blood) that can predict cognitive outcomes.\u00a0<\/p>\r\n<p><b>Predict Developmental and Long-Term Outcomes<\/b>\u00a0<\/p>\r\n<p>7. Evaluate if neuropsychological tests performed during childhood and adolescence can predict long-term functional outcomes.\u00a0<\/p>\r\n<p>8. Evaluate adults that have large ventricles but no symptoms to understand their cognitive development.\u00a0<\/p>\r\n<p><img loading=\"lazy\" decoding=\"async\" title=\"5\" src=\"https:\/\/www.hydroassoc.org\/wp-content\/uploads\/2025\/01\/5.png\" alt=\"5\" width=\"600\" height=\"399\" \/><\/p>\r\n<h3>To improve lifelong<br \/>care<\/h3>\r\n<p>Establish care pathways to support individuals from childhood through adulthood, to ensure that they are equipped to manage the demands of schooling, employment, and independent living.<\/p>\r\n<p><a id=\"fl-accordion--label-0\" tabindex=\"0\" href=\"#\" aria-controls=\"fl-accordion--panel-0\">See Priorities<\/a> <a id=\"fl-accordion--icon-0\" tabindex=\"-1\" href=\"#\"><i title=\"Expand\">Expand<\/i><\/a><\/p>\r\n<p>1. Develop pediatric-to-adult transition of care pathways to support independence. \u00a0<\/p>\r\n<p>2. Evaluate if multidisciplinary clinics that include neuropsychology for adults with hydrocephalus are effective for diagnosis, treatment, and long-term monitoring.\u00a0<\/p>\r\n<p><img loading=\"lazy\" decoding=\"async\" title=\"4\" src=\"https:\/\/www.hydroassoc.org\/wp-content\/uploads\/2025\/01\/4-1.png\" alt=\"4\" width=\"600\" height=\"399\" \/><\/p>\r\n<h3>To advance preclinical<br \/>research<\/h3>\r\n<p>Explore animal models to further our understanding.<\/p>\r\n<p><a id=\"fl-accordion--label-0\" tabindex=\"0\" href=\"#\" aria-controls=\"fl-accordion--panel-0\">See Priorities<\/a> <a id=\"fl-accordion--icon-0\" tabindex=\"-1\" href=\"#\"><i title=\"Expand\">Expand<\/i><\/a><\/p>\r\n<p>1. Evaluate current animal models of hydrocephalus.\u00a0<\/p>\r\n<p>2. Develop in vitro (cell) models to test brain development markers identified in animal models.\u00a0<\/p>\r\n<p>3. In animal models, test whether treatments to repair any disrupted brain development can improve cognition. \u00a0<\/p>\r\n<p>4. Evaluate markers found in bodily fluids (e.g. blood or CSF) to determine their role in neuropsychological outcomes.\u00a0<\/p>\r\n<p>5. Test drug therapies in animal models to improve long-term cognitive outcomes.\u00a0<\/p>\r\n<p>6. Develop cognitive and behavioral tests that can be used in animal models of hydrocephalus.\u00a0<\/p>\r\n<p>7. Develop large animal models of hydrocephalus to assess surgical treatments and outcomes.\u00a0<\/p>\r\n<p>8. Create behavioral tests that can be used to study the long-term effects of treated vs. untreated hydrocephalus in large animal models.\u00a0<\/p>\r\n<p><img loading=\"lazy\" decoding=\"async\" title=\"3\" src=\"https:\/\/www.hydroassoc.org\/wp-content\/uploads\/2025\/01\/3-1.png\" alt=\"3\" width=\"600\" height=\"399\" \/><\/p>\r\n<h3>To understand how treatment can affect neuropsychological outcomes<\/h3>\r\n<p>Evaluate how surgical and other interventions affect outcomes.<\/p>\r\n<p><a id=\"fl-accordion--label-0\" tabindex=\"0\" href=\"#\" aria-controls=\"fl-accordion--panel-0\">See Priorities<\/a> <a id=\"fl-accordion--icon-0\" tabindex=\"-1\" href=\"#\"><i title=\"Expand\">Expand<\/i><\/a><\/p>\r\n<p>1. Evaluate how the timing and type of surgery affects long-term cognitive and neuropsychological outcomes in children.\u00a0<\/p>\r\n<p>2. Identify neuropsychological criteria to help decide if hydrocephalus surgery is worth the risks or if monitoring is better.\u00a0<\/p>\r\n<p>3. Develop or use existing cognitive assessment tests to identify if surgery is needed.\u00a0<\/p>\r\n<p>4. Identify brain imaging and fluid markers that can predict if patients will benefit from surgery.\u00a0<\/p>\r\n<p>5. Include long-term cognitive and neuropsychological outcomes in clinical trials of hydrocephalus therapies.<\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><a href=\"https:\/\/fluidsbarrierscns.biomedcentral.com\/articles\/10.1186\/s12987-024-00602-z\" target=\"_blank\" rel=\"noreferrer noopener\" data-feathr-click-track=\"true\" data-feathr-link-aids=\"5e8f8cf0d4f6e391de55d8ee\">For the more detailed priorities, see the publication \u2192<\/a><\/p>\r\n<h2>Why This Matters<\/h2>\r\n<p>This initiative marks a significant expansion of the Hydrocephalus Association&#8217;s research network to include neuropsychologists, ensuring that the psychological and cognitive aspects of hydrocephalus are integrated into care and research.\u00a0<\/p>\r\n<p>To learn more about the Hydrocephalus Association&#8217;s overall research priorities, visit our <strong><a href=\"https:\/\/www.hydroassoc.org\/research-priorities\/\" data-feathr-click-track=\"true\" data-feathr-link-aids=\"5e8f8cf0d4f6e391de55d8ee\">Research Priorities page.<\/a><\/strong><\/p>\r\n<p><a href=\"https:\/\/www.hydroassoc.org\/research-priorities\/\" target=\"_self\"> Learn More <\/a><\/p>\r\n\r\n            <div id=\"daexthefup-container\"\r\n                 class=\"daexthefup-container daexthefup-layout-stacked daexthefup-alignment-center\"\r\n                 data-post-id=\"37982\">\r\n\r\n                <div class=\"daexthefup-feedback\">\r\n                    <div class=\"daexthefup-text\">\r\n                        <h3 class=\"daexthefup-title\">Was this resource helpful?<\/h3>\r\n                    <\/div>\r\n                    <div class=\"daexthefup-buttons-container\">\r\n                        <div class=\"daexthefup-buttons\">\r\n\t\t\t\t\t\t\t\r\n            <div class=\"daexthefup-yes daexthefup-button daexthefup-button-type-text\" data-value=\"1\">\r\n                <div class=\"daexthefup-button-text\">Yes<\/div>\r\n            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