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Decompressive craniectomy protects against hippocampal edema and behavioral deficits at an early stage of a moderately controlled cortical impact brain injury model in adult male rats

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机构: [a]Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical University, Beijing, 100050, PR China [b]China National Clinical Research Center for Neurological Diseases, Beijing, 100050, PR China [c]Beijing Key Laboratory of Central Nervous System Injury, Beijing, 100050, PR China [d]Department of Diagnostics, Clinical College, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, PR China [e]Department of Neurosurgery, Baoan District Central Hospital, Shenzhen, 518102, PR China [f]Department of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230000, PR China [g]Neurotrauma Laboratory, Beijing Neurosurgical Institute, Capital Medical University, Beijing, 100050, PR China [h]Nerve Injury and Repair Center of Beijing Institute for Brain Disorders, Beijing, 100050, PR China
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关键词: Brain edema Behavioral deficit Decompressive craniectomy Neuroprotection Traumatic brain injury

摘要:
A decompressive craniectomy (DC) has been shown to be a life-saving therapeutic treatment for traumatic brain injury (TBI) patients, which also might result in post-operative behavioral dysfunction. However, there is still no definite conclusion about whether the behavioral dysfunction already existed at an early stage after the DC operation or is just a long-term post-operation complication. Therefore, the aim of the present study was to analyze whether DC treatment was beneficial to behavioral function at an early stage post TBI. In this study, we established a controlled cortical impact injury rat model to evaluate the therapeutic effect of DC treatment on behavioral deficits at 1 d, 2 d, 3 d and 7 d after TBI, Our results showed that rats suffered significant behavioral and mood deficits after TBI compared to the control group, while decompressive craniectomy treatment could normalize MMP-9 expression levels and reduce hippocampal edema formation, stabilize the expression of Synapsin I, which was a potential indicator of maintaining the hippocampal synaptic function, thus counteracting behavioral but not mood decay in rats subjected to TBI. In conclusion, decompressive craniectomy, excepting for its life-saving effect, could also play a potential beneficial neuroprotective role on behavioral but not mood deficits at an early stage of moderate traumatic brain injury in rats.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 3 区 行为科学 3 区 神经科学
最新[2023]版:
大类 | 3 区 心理学
小类 | 4 区 行为科学 4 区 神经科学
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出版当年[2016]版:
Q2 BEHAVIORAL SCIENCES Q2 NEUROSCIENCES
最新[2023]版:
Q2 BEHAVIORAL SCIENCES Q3 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [a]Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical University, Beijing, 100050, PR China [b]China National Clinical Research Center for Neurological Diseases, Beijing, 100050, PR China [c]Beijing Key Laboratory of Central Nervous System Injury, Beijing, 100050, PR China
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通讯作者:
通讯机构: [a]Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical University, Beijing, 100050, PR China [b]China National Clinical Research Center for Neurological Diseases, Beijing, 100050, PR China [c]Beijing Key Laboratory of Central Nervous System Injury, Beijing, 100050, PR China [e]Department of Neurosurgery, Baoan District Central Hospital, Shenzhen, 518102, PR China [g]Neurotrauma Laboratory, Beijing Neurosurgical Institute, Capital Medical University, Beijing, 100050, PR China [h]Nerve Injury and Repair Center of Beijing Institute for Brain Disorders, Beijing, 100050, PR China [*1]Neurotrauma Laboratory, Beijing Neurosurgical Institute, and Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Tiantan Xili 6, Dongcheng District, Beijing, 100050, PR China. [*2]Department of Neurosurgery, Baoan District Central Hospital, Xiyuan Street 6, Baoan District, Shenzhen, 518102, PR China.
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