Widespread hemodynamic depression and focal platelet accumulation after fluid percussion brain injury: A double-label autoradiographic study in rats

W. Dalton Dietrich, Ofelia Alonso, Raul Busto, Ricardo Prado, Sumit Dewanjee, Mrinal K. Dewanjee, Myron D. Ginsberg

Research output: Contribution to journalArticle

76 Scopus citations

Abstract

Cerebrovascular damage leading to subsequent reductions in local cerebral blood flow (ICBF) may represent an important secondary injury mechanism following traumatic brain injury (TBI). We determined whether patterns of 111indium-labeled platelet accumulation were spatially related to alterations in ICBF determined autoradiographically 30 min after TBI. Sprague-Dawley rats (n = 8), anesthetized with halothane and maintained on a 70:30 (vol/vol) mixture of nitrous oxide/oxygen and 0.5% halothane, underwent parasagittal fluid percussion brain injury (1.7-2.2 atm). 111Indium- tropolone-labeled platelets were injected 30 min prior to TBI while [14C]- iodoantipyrine was infused 30 min after trauma. Sham-operated animals (n = 7) underwent similar surgical procedures but were not injured. In autoradiographic images of the indium-labeled platelets, focal sites of platelet accumulation within the traumatized hemisphere were restricted to the pial surface (five of eight rats), the external capsule underlying the lateral parietal cortex (five of eight rats), and within cerebrospinal fluid (CSF) compartments (six of eight rats). In contrast, mild-to-moderate reductions in ICBF, not restricted to sites of platelet accumulation, were seen throughout the traumatized hemisphere. Flow reductions were most severe in coronal sections underlying the impact site. For example, within the lateral parietal cortex and hippocampus, ICBF was significantly reduced [p < 0.01; analysis of variance (ANOVA)] from 1.71 ± 0.34 (mean ± SD) and 0.78 ± 0.12 ml/g/min, respectively, versus 0.72 ± 0.17 and 0.41 ± 0.06 ml/g/min within the traumatized hemisphere. Significant flow reductions were also seen in remote cortical and subcortical areas, including the right frontal cortex and striatum. These results indicate that focal platelet accumulation and widespread hemodynamic depression are both early consequences of TBI. Therapeutic strategies directed at these early microvascular consequences of TBI may be neuroprotective by attenuating secondary ischemic processes.

Original languageEnglish (US)
Pages (from-to)481-489
Number of pages9
JournalJournal of Cerebral Blood Flow and Metabolism
Volume16
Issue number3
DOIs
StatePublished - Jan 1 1996

Keywords

  • Brain trauma
  • Cerebral blood flow
  • Platelets
  • Vasoactive substances

ASJC Scopus subject areas

  • Endocrinology
  • Neuroscience(all)
  • Endocrinology, Diabetes and Metabolism

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