Skip to main content
Erschienen in: Acta Neurochirurgica 12/2015

01.12.2015 | Experimental research - Brain Injury

Thoracic shock wave injury causes behavioral abnormalities in mice

verfasst von: Hiromi Miyazaki, Hiroki Miyawaki, Yasushi Satoh, Takami Saiki, Satoko Kawauchi, Shunichi Sato, Daizoh Saitoh

Erschienen in: Acta Neurochirurgica | Ausgabe 12/2015

Einloggen, um Zugang zu erhalten

Abstract

Background

Mild traumatic brain injury (mTBI) is caused by complex mechanisms of systemic, local and cerebral responses to blast exposure. However, the molecular mechanisms of cognitive impairment after exposure to blast waves are not clearly known. We tested the hypothesis that thoracic injury induced functional and morphological impairment in the brain, leading to behavioral abnormalities.

Methods

Mice were exposed to laser-induced shock waves (LISWs) impacting the thorax and assessed for behavioral outcome at 7 and 28 days post injury. Hippocampus and lung were collected for histopathological analysis and gene expression profiling after injury.

Results

Thoracic injury transiently decreased the heart rate, blood pressure, peripheral oxyhemoglobin saturation and cerebral blood flow immediately after LISW exposure. Although LISWs exposure caused pulmonary contusions, hemorrhage was not apparent in the brain. At 7 and 28 days after, the injured mice exhibited impaired short-term memory and depression-like behavior compared with controls. Histological assessments showed an increase in neuronal cell death after shock wave exposure, especially in the CA3 region of the hippocampus. Moreover, shock wave exposure altered the expression of functionally relevant genes in the hippocampus at 1 h and 1 day post injury.

Conclusions

Our findings indicate that the LISW-induced thoracic injury with no direct impact on the brain affected the hippocampal gene expression and led to morphological alterations, resulting in behavioral abnormalities. Therefore, body protection may be extremely important in the effective prevention against blast-induced alterations in brain function.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Auer R, Sutherland G (2002) Hypoxia and related conditions. In: Graham D, Lantos P (eds) Greenfield’s neuropathology. Arnold, London, pp 233–280 Auer R, Sutherland G (2002) Hypoxia and related conditions. In: Graham D, Lantos P (eds) Greenfield’s neuropathology. Arnold, London, pp 233–280
2.
Zurück zum Zitat Belanger HG, Kretzmer T, Yoash-Gantz R, Pickett T, Tupler LA (2009) Cognitive sequelae of blast-related versus other mechanisms of brain trauma. J Int Neuropsychol Soc 15:1–8CrossRefPubMed Belanger HG, Kretzmer T, Yoash-Gantz R, Pickett T, Tupler LA (2009) Cognitive sequelae of blast-related versus other mechanisms of brain trauma. J Int Neuropsychol Soc 15:1–8CrossRefPubMed
3.
Zurück zum Zitat Bhattacharjee Y (2008) Shell shock revisited: solving the puzzle of blast trauma. Science 319:406–408CrossRefPubMed Bhattacharjee Y (2008) Shell shock revisited: solving the puzzle of blast trauma. Science 319:406–408CrossRefPubMed
4.
Zurück zum Zitat Bramham CR, Worley PF, Moore MJ, Guzowski JF (2008) The immediate early gene arc/arg3.1: regulation, mechanisms, and function. J Neurosci 28:11760–11767PubMedCentralCrossRefPubMed Bramham CR, Worley PF, Moore MJ, Guzowski JF (2008) The immediate early gene arc/arg3.1: regulation, mechanisms, and function. J Neurosci 28:11760–11767PubMedCentralCrossRefPubMed
6.
Zurück zum Zitat Cernak I, Merkle AC, Koliatsos VE, Bilik JM, Luong QT, Mahota TM, Xu L, Slack N, Windle D, Ahmed FA (2011) The pathobiology of blast injuries and blast-induced neurotrauma as identified using a new experimental model of injury in mice. Neurobiol Dis 41:538–551CrossRefPubMed Cernak I, Merkle AC, Koliatsos VE, Bilik JM, Luong QT, Mahota TM, Xu L, Slack N, Windle D, Ahmed FA (2011) The pathobiology of blast injuries and blast-induced neurotrauma as identified using a new experimental model of injury in mice. Neurobiol Dis 41:538–551CrossRefPubMed
7.
Zurück zum Zitat Cernak I, Noble-Haeusslein LJ (2010) Traumatic brain injury: an overview of pathobiology with emphasis on military populations. J Cereb Blood Flow Metab 30:255–266PubMedCentralCrossRefPubMed Cernak I, Noble-Haeusslein LJ (2010) Traumatic brain injury: an overview of pathobiology with emphasis on military populations. J Cereb Blood Flow Metab 30:255–266PubMedCentralCrossRefPubMed
8.
Zurück zum Zitat Cernak I, Savic J, Malicevic Z, Zunic G, Radosevic P, Ivanovic I, Davidovic L (1996) Involvement of the central nervous system in the general response to pulmonary blast injury. J Trauma 40:S100–S104CrossRefPubMed Cernak I, Savic J, Malicevic Z, Zunic G, Radosevic P, Ivanovic I, Davidovic L (1996) Involvement of the central nervous system in the general response to pulmonary blast injury. J Trauma 40:S100–S104CrossRefPubMed
9.
Zurück zum Zitat Cernak I, Vink R, Zapple DN, Cruz MI, Ahmed F, Chang T, Fricke ST, Faden AI (2004) The pathobiology of moderate diffuse traumatic brain injury as identified using a new experimental model of injury in rats. Neurobiol Dis 17:29–43CrossRefPubMed Cernak I, Vink R, Zapple DN, Cruz MI, Ahmed F, Chang T, Fricke ST, Faden AI (2004) The pathobiology of moderate diffuse traumatic brain injury as identified using a new experimental model of injury in rats. Neurobiol Dis 17:29–43CrossRefPubMed
10.
Zurück zum Zitat Chen DY, Stern SA, Garcia-Osta A, Saunier-Rebori B, Pollonini G, Bambah-Mukku D, Blitzer RD, Alberini CM (2011) A critical role for IGF-II in memory consolidation and enhancement. Nature 469:491–497PubMedCentralCrossRefPubMed Chen DY, Stern SA, Garcia-Osta A, Saunier-Rebori B, Pollonini G, Bambah-Mukku D, Blitzer RD, Alberini CM (2011) A critical role for IGF-II in memory consolidation and enhancement. Nature 469:491–497PubMedCentralCrossRefPubMed
11.
Zurück zum Zitat Courtney AC, Courtney MW (2009) A thoracic mechanism of mild traumatic brain injury due to blast pressure waves. Med Hypotheses 72:76–83CrossRefPubMed Courtney AC, Courtney MW (2009) A thoracic mechanism of mild traumatic brain injury due to blast pressure waves. Med Hypotheses 72:76–83CrossRefPubMed
12.
Zurück zum Zitat Courtney MW, Courtney AC (2011) Working toward exposure thresholds for blast-induced traumatic brain injury: thoracic and acceleration mechanisms. Neuroimage 54(Suppl 1):S55–S61CrossRefPubMed Courtney MW, Courtney AC (2011) Working toward exposure thresholds for blast-induced traumatic brain injury: thoracic and acceleration mechanisms. Neuroimage 54(Suppl 1):S55–S61CrossRefPubMed
13.
Zurück zum Zitat Dellu F, Contarino A, Simon H, Koob GF, Gold LH (2000) Genetic differences in response to novelty and spatial memory using a two-trial recognition task in mice. Neurobiol Learn Mem 73:31–48CrossRefPubMed Dellu F, Contarino A, Simon H, Koob GF, Gold LH (2000) Genetic differences in response to novelty and spatial memory using a two-trial recognition task in mice. Neurobiol Learn Mem 73:31–48CrossRefPubMed
14.
Zurück zum Zitat Effgen GB, Vogel EW 3rd, Lynch KA, Lobel A, Hue CD, Meaney DF, Bass CR, Morrison B 3rd (2014) Isolated primary blast alters neuronal function with minimal cell death in organotypic hippocampal slice cultures. J Neurotrauma 31:1202–1210CrossRefPubMed Effgen GB, Vogel EW 3rd, Lynch KA, Lobel A, Hue CD, Meaney DF, Bass CR, Morrison B 3rd (2014) Isolated primary blast alters neuronal function with minimal cell death in organotypic hippocampal slice cultures. J Neurotrauma 31:1202–1210CrossRefPubMed
15.
Zurück zum Zitat Feng JF, Zhao X, Gurkoff GG, Van KC, Shahlaie K, Lyeth BG (2012) Post-traumatic hypoxia exacerbates neuronal cell death in the hippocampus. J Neurotrauma 29:1167–1179PubMedCentralCrossRefPubMed Feng JF, Zhao X, Gurkoff GG, Van KC, Shahlaie K, Lyeth BG (2012) Post-traumatic hypoxia exacerbates neuronal cell death in the hippocampus. J Neurotrauma 29:1167–1179PubMedCentralCrossRefPubMed
16.
Zurück zum Zitat Gonzalez AM, Podvin S, Lin SY, Miller MC, Botfield H, Leadbeater WE, Roberton A, Dang X, Knowling SE, Cardenas-Galindo E, Donahue JE, Stopa EG, Johanson CE, Coimbra R, Eliceiri BP, Baird A (2011) Ecrg4 expression and its product augurin in the choroid plexus: impact on fetal brain development, cerebrospinal fluid homeostasis and neuroprogenitor cell response to CNS injury. Fluids Barriers CNS 8:6PubMedCentralCrossRefPubMed Gonzalez AM, Podvin S, Lin SY, Miller MC, Botfield H, Leadbeater WE, Roberton A, Dang X, Knowling SE, Cardenas-Galindo E, Donahue JE, Stopa EG, Johanson CE, Coimbra R, Eliceiri BP, Baird A (2011) Ecrg4 expression and its product augurin in the choroid plexus: impact on fetal brain development, cerebrospinal fluid homeostasis and neuroprogenitor cell response to CNS injury. Fluids Barriers CNS 8:6PubMedCentralCrossRefPubMed
17.
Zurück zum Zitat Gotze S, Feldhaus V, Traska T, Wolter M, Reifenberger G, Tannapfel A, Kuhnen C, Martin D, Muller O, Sievers S (2009) ECRG4 is a candidate tumor suppressor gene frequently hypermethylated in colorectal carcinoma and glioma. BMC Cancer 9:447PubMedCentralCrossRefPubMed Gotze S, Feldhaus V, Traska T, Wolter M, Reifenberger G, Tannapfel A, Kuhnen C, Martin D, Muller O, Sievers S (2009) ECRG4 is a candidate tumor suppressor gene frequently hypermethylated in colorectal carcinoma and glioma. BMC Cancer 9:447PubMedCentralCrossRefPubMed
18.
Zurück zum Zitat Hoge CW, McGurk D, Thomas JL, Cox AL, Engel CC, Castro CA (2008) Mild traumatic brain injury in U.S. Soldiers returning from Iraq. N Engl J Med 358:453–463CrossRefPubMed Hoge CW, McGurk D, Thomas JL, Cox AL, Engel CC, Castro CA (2008) Mild traumatic brain injury in U.S. Soldiers returning from Iraq. N Engl J Med 358:453–463CrossRefPubMed
19.
Zurück zum Zitat Kamnaksh A, Kovesdi E, Kwon SK, Wingo D, Ahmed F, Grunberg NE, Long J, Agoston DV (2011) Factors affecting blast traumatic brain injury. J Neurotrauma 28:2145–2153CrossRefPubMed Kamnaksh A, Kovesdi E, Kwon SK, Wingo D, Ahmed F, Grunberg NE, Long J, Agoston DV (2011) Factors affecting blast traumatic brain injury. J Neurotrauma 28:2145–2153CrossRefPubMed
20.
Zurück zum Zitat Kreisman NR, Soliman S, Gozal D (2000) Regional differences in hypoxic depolarization and swelling in hippocampal slices. J Neurophysiol 83:1031–1038PubMed Kreisman NR, Soliman S, Gozal D (2000) Regional differences in hypoxic depolarization and swelling in hippocampal slices. J Neurophysiol 83:1031–1038PubMed
21.
Zurück zum Zitat Kujuro Y, Suzuki N, Kondo T (2010) Esophageal cancer-related gene 4 is a secreted inducer of cell senescence expressed by aged CNS precursor cells. Proc Natl Acad Sci U S A 107:8259–8264PubMedCentralCrossRefPubMed Kujuro Y, Suzuki N, Kondo T (2010) Esophageal cancer-related gene 4 is a secreted inducer of cell senescence expressed by aged CNS precursor cells. Proc Natl Acad Sci U S A 107:8259–8264PubMedCentralCrossRefPubMed
22.
Zurück zum Zitat Lisowski P, Wieczorek M, Goscik J, Juszczak GR, Stankiewicz AM, Zwierzchowski L, Swiergiel AH (2013) Effects of chronic stress on prefrontal cortex transcriptome in mice displaying different genetic backgrounds. J Mol Neurosci 50:33–57PubMedCentralCrossRefPubMed Lisowski P, Wieczorek M, Goscik J, Juszczak GR, Stankiewicz AM, Zwierzchowski L, Swiergiel AH (2013) Effects of chronic stress on prefrontal cortex transcriptome in mice displaying different genetic backgrounds. J Mol Neurosci 50:33–57PubMedCentralCrossRefPubMed
23.
Zurück zum Zitat Mao H, Elkin BS, Genthikatti VV, Morrison B 3rd, Yang KH (2013) Why is CA3 more vulnerable than CA1 in experimental models of controlled cortical impact-induced brain injury? J Neurotrauma 30:1521–1530PubMedCentralCrossRefPubMed Mao H, Elkin BS, Genthikatti VV, Morrison B 3rd, Yang KH (2013) Why is CA3 more vulnerable than CA1 in experimental models of controlled cortical impact-induced brain injury? J Neurotrauma 30:1521–1530PubMedCentralCrossRefPubMed
24.
Zurück zum Zitat Miller AP, Shah AS, Aperi BV, Budde MD, Pintar FA, Tarima S, Kurpad SN, Stemper BD, Glavaski-Joksimovic A (2015) Effects of blast overpressure on neurons and glial cells in rat organotypic hippocampal slice cultures. Front Neurol 6:20PubMedCentralPubMed Miller AP, Shah AS, Aperi BV, Budde MD, Pintar FA, Tarima S, Kurpad SN, Stemper BD, Glavaski-Joksimovic A (2015) Effects of blast overpressure on neurons and glial cells in rat organotypic hippocampal slice cultures. Front Neurol 6:20PubMedCentralPubMed
25.
Zurück zum Zitat Pedros I, Petrov D, Allgaier M, Sureda F, Barroso E, Beas-Zarate C, Auladell C, Pallas M, Vazquez-Carrera M, Casadesus G, Folch J, Camins A (2014) Early alterations in energy metabolism in the hippocampus of APPswe/PS1dE9 mouse model of Alzheimer’s disease. Biochim Biophys Acta 1842:1556–1566CrossRefPubMed Pedros I, Petrov D, Allgaier M, Sureda F, Barroso E, Beas-Zarate C, Auladell C, Pallas M, Vazquez-Carrera M, Casadesus G, Folch J, Camins A (2014) Early alterations in energy metabolism in the hippocampus of APPswe/PS1dE9 mouse model of Alzheimer’s disease. Biochim Biophys Acta 1842:1556–1566CrossRefPubMed
26.
Zurück zum Zitat Podvin S, Gonzalez AM, Miller MC, Dang X, Botfield H, Donahue JE, Kurabi A, Boissaud-Cooke M, Rossi R, Leadbeater WE, Johanson CE, Coimbra R, Stopa EG, Eliceiri BP, Baird A (2011) Esophageal cancer related gene-4 is a choroid plexus-derived injury response gene: evidence for a biphasic response in early and late brain injury. PLoS One 6, e24609PubMedCentralCrossRefPubMed Podvin S, Gonzalez AM, Miller MC, Dang X, Botfield H, Donahue JE, Kurabi A, Boissaud-Cooke M, Rossi R, Leadbeater WE, Johanson CE, Coimbra R, Stopa EG, Eliceiri BP, Baird A (2011) Esophageal cancer related gene-4 is a choroid plexus-derived injury response gene: evidence for a biphasic response in early and late brain injury. PLoS One 6, e24609PubMedCentralCrossRefPubMed
27.
Zurück zum Zitat Sajja VS, Galloway M, Ghoddoussi F, Kepsel A, VandeVord P (2013) Effects of blast-induced neurotrauma on the nucleus accumbens. J Neurosci Res 91:593–601CrossRefPubMed Sajja VS, Galloway M, Ghoddoussi F, Kepsel A, VandeVord P (2013) Effects of blast-induced neurotrauma on the nucleus accumbens. J Neurosci Res 91:593–601CrossRefPubMed
28.
Zurück zum Zitat Sajja VS, Galloway MP, Ghoddoussi F, Thiruthalinathan D, Kepsel A, Hay K, Bir CA, VandeVord PJ (2012) Blast-induced neurotrauma leads to neurochemical changes and neuronal degeneration in the rat hippocampus. NMR Biomed 25:1331–1339CrossRefPubMed Sajja VS, Galloway MP, Ghoddoussi F, Thiruthalinathan D, Kepsel A, Hay K, Bir CA, VandeVord PJ (2012) Blast-induced neurotrauma leads to neurochemical changes and neuronal degeneration in the rat hippocampus. NMR Biomed 25:1331–1339CrossRefPubMed
29.
Zurück zum Zitat Sarnyai Z, Sibille EL, Pavlides C, Fenster RJ, McEwen BS, Toth M (2000) Impaired hippocampal-dependent learning and functional abnormalities in the hippocampus in mice lacking serotonin(1A) receptors. Proc Natl Acad Sci U S A 97:14731–14736PubMedCentralCrossRefPubMed Sarnyai Z, Sibille EL, Pavlides C, Fenster RJ, McEwen BS, Toth M (2000) Impaired hippocampal-dependent learning and functional abnormalities in the hippocampus in mice lacking serotonin(1A) receptors. Proc Natl Acad Sci U S A 97:14731–14736PubMedCentralCrossRefPubMed
30.
Zurück zum Zitat Sato S, Kawauchi S, Okuda W, Nishidate I, Nawashiro H, Tsumatori G (2014) Real-time optical diagnosis of the rat brain exposed to a laser-induced shock wave: observation of spreading depolarization, vasoconstriction and hypoxemia-oligemia. PLoS One 9, e82891PubMedCentralCrossRefPubMed Sato S, Kawauchi S, Okuda W, Nishidate I, Nawashiro H, Tsumatori G (2014) Real-time optical diagnosis of the rat brain exposed to a laser-induced shock wave: observation of spreading depolarization, vasoconstriction and hypoxemia-oligemia. PLoS One 9, e82891PubMedCentralCrossRefPubMed
31.
Zurück zum Zitat Satoh Y, Endo S, Ikeda T, Yamada K, Ito M, Kuroki M, Hiramoto T, Imamura O, Kobayashi Y, Watanabe Y, Itohara S, Takishima K (2007) Extracellular signal-regulated kinase 2 (ERK2) knockdown mice show deficits in long-term memory; ERK2 has a specific function in learning and memory. J Neurosci 27:10765–10776CrossRefPubMed Satoh Y, Endo S, Ikeda T, Yamada K, Ito M, Kuroki M, Hiramoto T, Imamura O, Kobayashi Y, Watanabe Y, Itohara S, Takishima K (2007) Extracellular signal-regulated kinase 2 (ERK2) knockdown mice show deficits in long-term memory; ERK2 has a specific function in learning and memory. J Neurosci 27:10765–10776CrossRefPubMed
32.
Zurück zum Zitat Satoh Y, Sato S, Saitoh D, Tokuno S, Hatano B, Shimokawaji T, Kobayashi H, Takishima K (2010) Pulmonary blast injury in mice: a novel model for studying blast injury in the laboratory using laser-induced stress waves. Lasers Surg Med 42:313–318CrossRefPubMed Satoh Y, Sato S, Saitoh D, Tokuno S, Hatano B, Shimokawaji T, Kobayashi H, Takishima K (2010) Pulmonary blast injury in mice: a novel model for studying blast injury in the laboratory using laser-induced stress waves. Lasers Surg Med 42:313–318CrossRefPubMed
33.
Zurück zum Zitat Simard JM, Pampori A, Keledjian K, Tosun C, Schwartzbauer G, Ivanova S, Gerzanich V (2014) Exposure of the thorax to a sublethal blast wave causes a hydrodynamic pulse that leads to perivenular inflammation in the brain. J Neurotrauma 31:1292–1304PubMedCentralCrossRefPubMed Simard JM, Pampori A, Keledjian K, Tosun C, Schwartzbauer G, Ivanova S, Gerzanich V (2014) Exposure of the thorax to a sublethal blast wave causes a hydrodynamic pulse that leads to perivenular inflammation in the brain. J Neurotrauma 31:1292–1304PubMedCentralCrossRefPubMed
34.
Zurück zum Zitat Takeo C, Ikeda K, Horie-Inoue K, Inoue S (2009) Identification of Igf2, Igfbp2 and Enpp2 as estrogen-responsive genes in rat hippocampus. Endocr J 56:113–120CrossRefPubMed Takeo C, Ikeda K, Horie-Inoue K, Inoue S (2009) Identification of Igf2, Igfbp2 and Enpp2 as estrogen-responsive genes in rat hippocampus. Endocr J 56:113–120CrossRefPubMed
35.
Zurück zum Zitat Takeuchi S, Nawashiro H, Sato S, Kawauchi S, Nagatani K, Kobayashi H, Otani N, Osada H, Wada K, Shima K (2013) A better mild traumatic brain injury model in the rat. Acta Neurochir Suppl 118:99–101PubMed Takeuchi S, Nawashiro H, Sato S, Kawauchi S, Nagatani K, Kobayashi H, Otani N, Osada H, Wada K, Shima K (2013) A better mild traumatic brain injury model in the rat. Acta Neurochir Suppl 118:99–101PubMed
36.
Zurück zum Zitat Tomida S, Mamiya T, Sakamaki H, Miura M, Aosaki T, Masuda M, Niwa M, Kameyama T, Kobayashi J, Iwaki Y, Imai S, Ishikawa A, Abe K, Yoshimura T, Nabeshima T, Ebihara S (2009) Usp46 is a quantitative trait gene regulating mouse immobile behavior in the tail suspension and forced swimming tests. Nat Genet 41:688–695CrossRefPubMed Tomida S, Mamiya T, Sakamaki H, Miura M, Aosaki T, Masuda M, Niwa M, Kameyama T, Kobayashi J, Iwaki Y, Imai S, Ishikawa A, Abe K, Yoshimura T, Nabeshima T, Ebihara S (2009) Usp46 is a quantitative trait gene regulating mouse immobile behavior in the tail suspension and forced swimming tests. Nat Genet 41:688–695CrossRefPubMed
37.
Zurück zum Zitat Vandevord PJ, Bolander R, Sajja VS, Hay K, Bir CA (2012) Mild neurotrauma indicates a range-specific pressure response to low level shock wave exposure. Ann Biomed Eng 40:227–236CrossRefPubMed Vandevord PJ, Bolander R, Sajja VS, Hay K, Bir CA (2012) Mild neurotrauma indicates a range-specific pressure response to low level shock wave exposure. Ann Biomed Eng 40:227–236CrossRefPubMed
38.
Zurück zum Zitat Whalen MJ, Dalkara T, You Z, Qiu J, Bermpohl D, Mehta N, Suter B, Bhide PG, Lo EH, Ericsson M, Moskowitz MA (2008) Acute plasmalemma permeability and protracted clearance of injured cells after controlled cortical impact in mice. J Cereb Blood Flow Metab 28:490–505PubMedCentralCrossRefPubMed Whalen MJ, Dalkara T, You Z, Qiu J, Bermpohl D, Mehta N, Suter B, Bhide PG, Lo EH, Ericsson M, Moskowitz MA (2008) Acute plasmalemma permeability and protracted clearance of injured cells after controlled cortical impact in mice. J Cereb Blood Flow Metab 28:490–505PubMedCentralCrossRefPubMed
39.
Metadaten
Titel
Thoracic shock wave injury causes behavioral abnormalities in mice
verfasst von
Hiromi Miyazaki
Hiroki Miyawaki
Yasushi Satoh
Takami Saiki
Satoko Kawauchi
Shunichi Sato
Daizoh Saitoh
Publikationsdatum
01.12.2015
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 12/2015
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-015-2613-3

Weitere Artikel der Ausgabe 12/2015

Acta Neurochirurgica 12/2015 Zur Ausgabe

Letter to the editor - Brain Injury

Subdural effusion in decompressive craniectomy

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Thrombektomie auch bei großen Infarkten von Vorteil

16.05.2024 Ischämischer Schlaganfall Nachrichten

Auch ein sehr ausgedehnter ischämischer Schlaganfall scheint an sich kein Grund zu sein, von einer mechanischen Thrombektomie abzusehen. Dafür spricht die LASTE-Studie, an der Patienten und Patientinnen mit einem ASPECTS von maximal 5 beteiligt waren.

Schwindelursache: Massagepistole lässt Otholiten tanzen

14.05.2024 Benigner Lagerungsschwindel Nachrichten

Wenn jüngere Menschen über ständig rezidivierenden Lagerungsschwindel klagen, könnte eine Massagepistole der Auslöser sein. In JAMA Otolaryngology warnt ein Team vor der Anwendung hochpotenter Geräte im Bereich des Nackens.

Schützt Olivenöl vor dem Tod durch Demenz?

10.05.2024 Morbus Alzheimer Nachrichten

Konsumieren Menschen täglich 7 Gramm Olivenöl, ist ihr Risiko, an einer Demenz zu sterben, um mehr als ein Viertel reduziert – und dies weitgehend unabhängig von ihrer sonstigen Ernährung. Dafür sprechen Auswertungen zweier großer US-Studien.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.