scholarly journals The Shrinking Brain: Cerebral Atrophy Following Traumatic Brain Injury

2018 ◽  
Vol 47 (9) ◽  
pp. 1941-1959 ◽  
Author(s):  
Taylor C. Harris ◽  
Rijk de Rooij ◽  
Ellen Kuhl
Biology ◽  
2020 ◽  
Vol 9 (9) ◽  
pp. 238 ◽  
Author(s):  
Roberta Fusco ◽  
Enrico Gugliandolo ◽  
Rosalba Siracusa ◽  
Maria Scuto ◽  
Marika Cordaro ◽  
...  

Traumatic brain injury (TBI) is a shocking disease frequently followed by behavioral disabilities, including risk of cerebral atrophy and dementia. N-formylpeptide receptor 1 (FPR1) is expressed in cells and neurons in the central nervous system. It is involved in inflammatory processes and during the differentiation process in the neural stem cells. We investigate the effect of the absence of Fpr1 gene expression in mice subjected to TBI from the early stage of acute inflammation to neurogenesis and systematic behavioral testing four weeks after injury. C57BL/6 animals and Fpr1 KO mice were subjected to TBI and sacrificed 24 h or four weeks after injury. Twenty-four hours after injury, TBI Fpr1 KO mice showed reduced histological impairment, tissue damage and acute inflammation (MAPK activation, NF-κB signaling induction, NRLP3 inflammasome pathway activation and oxidative stress increase). Conversely, four weeks after TBI, the Fpr1 KO mice showed reduced survival of the proliferated cells in the Dentate Gyrus compared to the WT group. Behavioral analysis confirmed this trend. Moreover, TBI Fpr1 KO animals displayed reduced neural differentiation (evaluated by beta-III tubulin expression) and upregulation of astrocyte differentiation (evaluated by GFAP expression). Collectively, our study reports that, immediately after TBI, Fpr1 increased acute inflammation, while after four weeks, Fpr1 promoted neurogenesis.


2011 ◽  
Vol 17 (2) ◽  
pp. 308-316 ◽  
Author(s):  
David F. Tate ◽  
Rola Khedraki ◽  
E. Shannon Neeley ◽  
David K. Ryser ◽  
Erin D. Bigler

AbstractTraumatic brain injury (TBI) results in a variable degree of cerebral atrophy that is not always related to cognitive measures across studies. However, the use of different methods for examining atrophy may be a reason why differences exist. The purpose of this manuscript was to examine the predictive utility of seven magnetic resonance imaging (MRI) -derived brain volume or indices of atrophy for a large cohort of TBI patients (n = 65). The seven quantitative MRI (qMRI) measures included uncorrected whole brain volume, brain volume corrected by total intracranial volume, brain volume corrected by the ratio of the individual TICV by group TICV, a ventricle to brain ratio, total ventricular volume, ventricular volume corrected by TICV, and a direct measure of parenchymal volume loss. Results demonstrated that the various qMRI measures were highly interrelated and that corrected measures proved to be the most robust measures related to neuropsychological performance. Similar to an earlier study that examined cerebral atrophy in aging and dementia, these results suggest that a single corrected brain volume measure is all that is necessary in studies examining global MRI indicators of cerebral atrophy in relationship to cognitive function making additional measures of global atrophy redundant and unnecessary. (JINS, 2011, 17, 308–316)


Brain Injury ◽  
2006 ◽  
Vol 20 (7) ◽  
pp. 695-699 ◽  
Author(s):  
Elisabeth A. Wilde ◽  
Erin D. Bigler ◽  
Claudia Pedroza ◽  
David K. Ryser

2012 ◽  
Vol 32 (11) ◽  
pp. 2023-2032 ◽  
Author(s):  
Lian Li ◽  
Michael Chopp ◽  
Guang Liang Ding ◽  
Chang Sheng Qu ◽  
Qing Jiang Li ◽  
...  

Using magnetic resonance imaging (MRI), the present study was undertaken to investigate the therapeutic effect of acute administration of human bone marrow stromal cells (hMSCs) on traumatic brain injury (TBI) and to measure the temporal profile of angiogenesis after the injury with or without cell intervention. Male Wistar rats (300 to 350 g, n = 18) subjected to controlled cortical impact TBI were intravenously injected with 1 mL of saline ( n = 9) or hMSCs in suspension ( n = 9, 3 × 106 hMSCs) 6 hours after TBI. In-vivo MRI acquisitions of T2-weighted imaging, cerebral blood flow (CBF), three-dimensional (3D) gradient echo imaging, and blood-to-brain transfer constant (Ki) of contrast agent were performed on all animals 2 days after injury and weekly for 6 weeks. Sensorimotor function and spatial learning were evaluated. Volumetric changes in the trauma-induced brain lesion and the lateral ventricles were tracked and quantified using T2 maps, and hemodynamic alteration and blood–brain barrier permeability were monitored by CBF and Ki, respectively. Our data show that transplantation of hMSCs 6 hours after TBI leads to reduced cerebral atrophy, early and enhanced cerebral tissue perfusion and improved functional outcome compared with controls. The hMSC treatment increases angiogenesis in the injured brain, which may promote neurologic recovery after TBI.


Brain Injury ◽  
2009 ◽  
Vol 23 (3) ◽  
pp. 228-233 ◽  
Author(s):  
Alokananda Ghosh ◽  
Elisabeth A. Wilde ◽  
Alokananda Ghosh ◽  
Elisabeth A. Wilde ◽  
Jill V. Hunter ◽  
...  

2020 ◽  
Vol 2 (3(September-December)) ◽  
pp. e512020
Author(s):  
Carlos Umberto Pereira ◽  
André Fabiano De Carvalho ◽  
Nicollas Nunes Rabelo ◽  
Gabriela Ferreira Kalkmann ◽  
Letícia Novak Crestani ◽  
...  

Introduction: The white cerebellum sign is a rare radiological finding, seen in severe traumatic brain injury and severe hypoxia. Radiologically, it is characterized by cerebellar hyperdensity, associated with diffuse cerebral hemispheres hypoattenuation. This paper aims to guide the white cerebellum sign diagnosis in traumatic craniocerebral injuries or not in pediatric patients. Patients and Methods: The authors present a series of five cases that showed the white cerebellum sign from the period about 2007 and 2010, associated with a literature review. Results: The white cerebellum sign was present in 5 patients, three of them were male and 2 female. The mean age was 22 months. The causes of which were: traumatic brain injury (3), drowning (1) and metabolic encephalopathy (1). The skull computerized tomography scan was performed in all cases. All patients were submitted to conservative treatment. There were four deaths and one survived with severe neurological sequelae. Conclusion: The white cerebellum sign is associated with irreversible brain damage, and its pathophysiology is controversial. The imaging tests are important to diagnosis. It has a poor prognosis, associated with the development of diffuse cerebral atrophy or cystic encephalomalacia in those who survive.


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