Document Detail


Physiological and histopathological responses following closed rotational head injury depend on direction of head motion.
MedLine Citation:
PMID:  20875409     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Rotational inertial forces are thought to be the underlying mechanism for most severe brain injuries. However, little is known about the effect of head rotation direction on injury outcomes, particularly in the pediatric population. Neonatal piglets were subjected to a single non-impact head rotation in the horizontal, coronal, or sagittal direction, and physiological and histopathological responses were observed. Sagittal rotation produced the longest duration of unconsciousness, highest incidence of apnea, and largest intracranial pressure increase, while coronal rotation produced little change, and horizontal rotation produced intermediate and variable derangements. Significant cerebral blood flow reductions were observed following sagittal but not coronal or horizontal injury compared to sham. Subarachnoid hemorrhage, ischemia, and brainstem pathology were observed in the sagittal and horizontal groups but not in a single coronal animal. Significant axonal injury occurred following both horizontal and sagittal rotations. For both groups, the distribution of injury was greater in the frontal and parietotemporal lobes than in the occipital lobes, frequently occurred in the absence of ischemia, and did not correlate with regional cerebral blood flow reductions. We postulate that these direction-dependent differences in injury outcomes are due to differences in tissue mechanical loading produced during head rotation.
Authors:
Stephanie A Eucker; Colin Smith; Jill Ralston; Stuart H Friess; Susan S Margulies
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-09-25
Journal Detail:
Title:  Experimental neurology     Volume:  227     ISSN:  1090-2430     ISO Abbreviation:  Exp. Neurol.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-10     Completed Date:  2011-02-04     Revised Date:  2012-01-04    
Medline Journal Info:
Nlm Unique ID:  0370712     Medline TA:  Exp Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  79-88     Citation Subset:  IM    
Copyright Information:
2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA 19104, USA.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Animals
Animals, Newborn
Brain / pathology
Cerebrovascular Circulation / physiology*
Diffuse Axonal Injury / etiology
Disease Models, Animal
Head Injuries, Closed / pathology*,  physiopathology
Head Movements / physiology*
Hypoxia-Ischemia, Brain / etiology,  pathology
Motion*
Rotation / adverse effects*
Severity of Illness Index
Subarachnoid Hemorrhage / etiology,  veterinary
Swine
Grant Support
ID/Acronym/Agency:
R01 NS039679-07/NS/NINDS NIH HHS; R01 NS039679-08/NS/NINDS NIH HHS; R01 NS039679-09/NS/NINDS NIH HHS; R01 NS039679-10/NS/NINDS NIH HHS; R01 NS39679/NS/NINDS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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