Age-related differences in acute physiologic response to focal traumatic brain injury in piglets

被引:28
作者
Durham, SR
Raghupathi, R
Helfaer, MA
Marwaha, S
Duhaime, AC
机构
[1] Univ Penn, Sch Med, Dept Neurosurg, Philadelphia, PA 19104 USA
[2] Childrens Hosp Philadelphia, Div Neurosurg, Philadelphia, PA 19104 USA
[3] Childrens Hosp Philadelphia, Dept Anesthesia Crit Care Med, Philadelphia, PA 19104 USA
关键词
trauma; age-dependent response to TBI; physiology; head injury; pediatric;
D O I
10.1159/000028980
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: The goal of the present study was to determine whether age-related differences in the acute physiologic response to scaled cortical impact injury contribute to differences in vulnerability to traumatic brain injury (TBI), Methods: Heart rate (HR), mean arterial pressure (MAP), brain temperature (BrT) and cerebral blood flow (CBF) were measured in 22 piglets (7 of age 5 days, 8 of age 1 month, 7 of age 4 months) at baseline and for 3 h following scaled cortical impact injury. Results: There were no age-dependent variations from baseline in HR, MAP or BrT following injury, CBF increased in the 5-day-old animals following injury while CBF in the 1- and 4-month-old animals decreased following injury (p = 0.0049), Conclusion: CBF was shown to have a significant age-dependent response to TBI with the youngest animals exhibiting increased CBF following injury. Copyright (C) 2000 S. Karger AG, Basel.
引用
收藏
页码:76 / 82
页数:7
相关论文
共 23 条
[1]  
Adelson PD, 1997, PEDIATR NEUROSURG, V26, P200
[2]   DIFFERENT CEREBRAL HEMODYNAMIC-RESPONSES FOLLOWING FLUID PERCUSSION BRAIN INJURY IN THE NEWBORN AND JUVENILE PIG [J].
ARMSTEAD, WM ;
KURTH, CD .
JOURNAL OF NEUROTRAUMA, 1994, 11 (05) :487-497
[3]   A piglet model for evaluation of cerebral blood flow and brain oxidative metabolism during gradual cerebral perfusion pressure decrease [J].
Bauer, R ;
Walter, B ;
Torossian, A ;
Fritz, H ;
Schlonski, O ;
Jochum, T ;
Hoyer, D ;
Reinhart, K ;
Zwiener, U .
PEDIATRIC NEUROSURGERY, 1999, 30 (02) :62-69
[4]  
Bauer R, 1996, EXP TOXICOL PATHOL, V48, P415
[5]   Interleukin-6 and interleukin-10 in cerebrospinal fluid after severe traumatic brain injury in children [J].
Bell, MJ ;
Kochanek, PM ;
Doughty, LA ;
Carcillo, JA ;
Adelson, PD ;
Clark, RSB ;
Wisniewski, SR ;
Whalen, MJ ;
DeKosky, ST .
JOURNAL OF NEUROTRAUMA, 1997, 14 (07) :451-457
[6]   Posttraumatic hyperemia in immature, mature, and aged rats: Autoradiographic determination of cerebral blood flow [J].
Biagas, KV ;
Grundl, PD ;
Kochanek, PM ;
Schiding, JK ;
Nemoto, EM .
JOURNAL OF NEUROTRAUMA, 1996, 13 (04) :189-200
[7]   DIFFUSE CEREBRAL SWELLING FOLLOWING HEAD-INJURIES IN CHILDREN - THE SYNDROME OF MALIGNANT BRAIN EDEMA [J].
BRUCE, DA ;
ALAVI, A ;
BILANIUK, L ;
DOLINSKAS, C ;
OBRIST, W ;
UZZELL, B .
JOURNAL OF NEUROSURGERY, 1981, 54 (02) :170-178
[8]   Marked age-dependent neuroprotection by brain-derived neurotrophic factor against neonatal hypoxic-ischemic brain injury [J].
Cheng, Y ;
Gidday, JM ;
Yan, Q ;
Shah, AR ;
Holtzman, DM .
ANNALS OF NEUROLOGY, 1997, 41 (04) :521-529
[9]  
CHIRON C, 1992, J NUCL MED, V33, P696
[10]  
DUHAIME A, IN PRESS J NEUROSURG