Normobaric oxygen worsens outcome after a moderate traumatic brain injury

作者: Lora Talley Watts , Justin Alexander Long , Venkata Hemanth Manga , Shiliang Huang , Qiang Shen

DOI: 10.1038/JCBFM.2015.18

关键词: Poison controlAnesthesiaMagnetic resonance imagingNeuroprotectionNissl bodySomatosensory systemOxygenationCause of deathTraumatic brain injuryMedicine

摘要: Traumatic brain injury (TBI) is a multifaceted and leading cause of death in children, young adults, increasingly Veterans. However, there are no neuroprotective agents clinically available to counteract damage or promote repair after trauma. This study investigated the effects normobaric oxygen (NBO) controlled cortical impact rats. The central hypothesis was that NBO treatment would reduce lesion volume functional deficits compared with air-treated animals TBI by increasing oxygenation thereby minimizing ischemic injury. In randomized double-blinded design, received either (n=8) normal air TBI. Magnetic resonance imaging (MRI) performed 0 3 hours, 1, 2, 7, 14 days an primary forelimb somatosensory cortex. Behavioral assessments were before induction MRI scans on 14. Nissl staining day corroborate detected from MRI. Contrary our hypothesis, we found increased rat model moderate had positive effect behavioral measures. Our results do not acute use patients

参考文章(38)
Toshihiko Kuroiwa, T. Nagaoka, N. Miyasaka, H. Akimoto, F. Zhao, I. Yamada, M. Ueki, S. Ichinose, Time course of trace of diffusion tensor [Trace(D)] and histology in brain edema. Acta Neurochirurgica. ,vol. 76, pp. 191- 194 ,(2000) , 10.1007/978-3-7091-6346-7_38
Tillman F. Bardt, A. W. Unterberg, R. Härtl, K. L. Kiening, G. H. Schneider, W. R. Lanksch, Monitoring of brain tissue PO2 in traumatic brain injury: effect of cerebral hypoxia on outcome. Acta Neurochirurgica. ,vol. 71, pp. 153- 156 ,(1998) , 10.1007/978-3-7091-6475-4_45
M. Rappaport, K. Hopkins, K. M. Hall, D. N. Cope, T. Belleza, Disability rating scale for severe head trauma: coma to community. Archives of Physical Medicine and Rehabilitation. ,vol. 63, pp. 118- 123 ,(1982)
Bon Verweij, Paul Muizelaar, Federico Vinas, Patti Peterson, Ye Xiong, C.P. Lee, Mitochondrial dysfunction after experimental and human brain injury and its possible reversal with a selective N-type calcium channel antagonist (SNX-111). Neurological Research. ,vol. 19, pp. 334- 339 ,(1997) , 10.1080/01616412.1997.11740821
Eilam Palzur, Eugene Vlodavsky, Hani Mulla, Ran Arieli, Moshe Feinsod, Jean F. Soustiel, Hyperbaric Oxygen Therapy for Reduction of Secondary Brain Damage in Head Injury: An Animal Model of Brain Contusion Journal of Neurotrauma. ,vol. 21, pp. 41- 48 ,(2004) , 10.1089/089771504772695931
Gerrit J. Bouma, J. Paul Muizelaar, Warren A. Stringer, Sung C. Choi, Panos Fatouros, Harold F. Young, Ultra-early evaluation of regional cerebral blood flow in severely head-injured patients using xenon-enhanced computerized tomography Journal of Neurosurgery. ,vol. 77, pp. 360- 368 ,(1992) , 10.3171/JNS.1992.77.3.0360
Qiang Shen, Hongxia Ren, Haiying Cheng, Marc Fisher, Timothy Q Duong, Functional, perfusion and diffusion MRI of acute focal ischemic brain injury Journal of Cerebral Blood Flow and Metabolism. ,vol. 25, pp. 1265- 1279 ,(2005) , 10.1038/SJ.JCBFM.9600132
Patrizia Mecocci, M. Flint Beal, Roberta Cecchetti, Maria Cristina Polidori, Antonio Cherubini, Fausto Chionne, Luca Avellini, Giustina Romano, Umberto Senin, Mitochondrial membrane fluidity and oxidative damage to mitochondrial DNA in aged and AD human brain. Molecular and Chemical Neuropathology. ,vol. 31, pp. 53- 64 ,(1997) , 10.1007/BF02815160
Marvin Bergsneider, David A. Hovda, David L. McArthur, Maria Etchepare, Sung-Cheng Huang, Nouzhan Sehati, Paul Satz, Michael E. Phelps, Donald P. Becker, Metabolic Recovery Following Human Traumatic Brain Injury Based on FDG-PET: Time Course and Relationship to Neurological Disability Journal of Head Trauma Rehabilitation. ,vol. 16, pp. 135- 148 ,(2001) , 10.1097/00001199-200104000-00004