Mechanisms of brain contusion foci progression
Abstract
One of the most severe types of head injury (HI) is brain contusion, representing itself as focus of morphologically destroyed brain tissue accompanied by hemorrhages, perifocal edema and cerebral ischemia. The important features of brain contusion foci are the changing of their sizes and structure over time. There are two possible types of such changes: regression of contusion focus or its progression (evolution). This article presents in details two current concepts, explaining the evolution of traumatic brain contusion foci as well as describes the risk factors for progression of brain contusion foci.
About the Authors
Ju. V. Puras
НИИ скорой помощи им. Н.В. Склифосовского
Russian Federation
Russian Federation
A. Ju. Kordonsky
НИИ скорой помощи им. Н.В. Склифосовского
Russian Federation
Russian Federation
A. E. Talypov
НИИ скорой помощи им. Н.В. Склифосовского
Russian Federation
Russian Federation
References
1. Бэр М. Нейропротекция. Модели, механизмы, терапия. / Пер. с англ. Ю.В. Хоменко - М.: Бином. Лаборатория знаний, 2011 - 429 с.
2. Зотов Ю.В., Касумов Р.Д., Исмаил Тауфик. Очаги размозжения головного мозга. - С-Пб.: Изд-во РНХИ им. проф. А.Л. Поленова, 1996 - 256 с.
3. Клиническое руководство по черепно-мозговой травме / Под ред. Коновалова А.Н., Лихтермана Л.Б., Потапова А.А. - М. «Антидор», 2001. - Том 2.- 675 с.
4. Лекции по черепно-мозговой травме: Учебное пособие / Под ред. В.В. Крылова. - М.: ОАО «Издательство «Медицина», 2010. - 320 с.
5. Пурас Ю.В., Талыпов А.Э., Петриков С.С., Крылов В.В. Факторы вторичного ишемического повреждения головного мозга при черепно-мозговой травме. Часть 1. Внутричерепные и внечерепные факторы вторичного повреждения мозга // Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь». - 2012. - № 1. - С. 56-65.
6. Сингур Н.А. Ушибы мозга. - М.: Медицина, 1970. - 224 с.
7. Талыпов А.Э., Николаев А.Г., Пурас Ю.В. Возраст как фактор риска хирургического лечения черепно-мозговой травмы // Нейрохирургия - 2012. - № 1. - С. 24-31.
8. Aarabi B., Hesdorffer D.C., Simard J.M. et al. Comparative study of decompressive craniectomy after mass lesion evacuation in severe head injury // Neurosurgery. - 2009. - Vol. 64(5). - Р. 927-939.
9. Alahmadi H., Vachhrajani S., Cusimano M.D. The natural history of brain contusion: an analysis of radiological and clinical progression // J Neurosurg - 2010 - Vol. 112 (5). - Р. 1139-1145.
10. Allard C.B., Scarpelini S., Rhind S.G. et al. Abnormal coagulation tests are associated with progression of traumatic intracranial hemorrhage // J Trauma. - 2009. - Vol. 67(5). - Р. 959-967.
11. Astrup T. Assay and content of tissue thromboplastin in different organs // Thromb Diath Haemorrh.- 1965. - Vol. 15; 14(3-4). - Р. 401-416.
12. Brohi K., Cohen M.J., Ganter M.T. et al. Acute Traumatic Coagulopathy: Initiated by Hypoperfusion // Ann Surg. 2007 May; 245(5): 812-818.
13. Chang E.F., Meeker M., Holland M.C. Acute traumatic intrapa renchymal hemorrhage: risk factors for progression in the early post-injury period // Neurosurgery. - 2006. - Vol. 58(4). - Р. 647-656.
14. Chieregato A., Fainardi E., Morselli-Labate A.M. et al. Factors associated with neurological outcome and lesion progression in traumatic subarachnoid hemorrhage patients // Neurosurgery. - 2005. - Vol. 56(4). - Р. 671-680.
15. Daboussi A., Minville V., Leclerc-Foucras S. et al. Cerebral hemodynamic changes in severe head injury patients undergoing decompressive craniectomy // J Neurosurg Anesthesiol. - 2009. - Vol. 21 (4). - Р. 339-345.
16. Fukamachi A., Nagaseki Y., Kohno K., Wakao T. The incidence and developmental process of delayed traumatic intracerebral haematomas // Acta Neurochir (Wien). - 1985. - Vol. 74 (1-2). - Р. 35-39.
17. Gudeman S.K., Kishore P.R., Miller J.D., et al. The genesis and significance of delayed traumatic intracerebral hematoma // Neurosurgery. - 1979. - Vol. 5(3). - Р. 309-313.
18. Harhangi B.S., Kompanje E.J., Leebeek F.W., Maas A.I. Coagulation disorders after traumatic brain injury // Acta Neurochir (Wien). - 2008. - Vol. 150(2). - Р. 165-175.
19. Lustenberger T., Talving P., Kobayashi L. et al. Time course of coagulopathy in isolated severe traumatic brain injury // Injury. - 2010. - Vol. 41(9). - Р. 924-928.
20. Kroppenstedt S.N., Kern M., Thomale U.W. et al. Effect of cerebral perfusion pressure on contusion volume following impact injury // J Neurosurg. - 1999. - Vol. 90(3). - Р. 520-526.
21. Kurland D., Hong C., Aarabi B. et al. Hemorrhagic progression of a contusion after traumatic brain injury: a review // J Neurotrauma.- 2012 - № 29(1) - Р. 19-31.
22. Narayan R.K., Maas A.I., Marshall L.F. et al. Recombinant factor VIIA in traumatic intracerebral hemorrhage: results of a dose-escalation clinical trial // Neurosurgery. -2008. - Vol. 62(4). - Р. 776-786.
23. Narayan R.K., Maas A.I., Servadei F. et al. Progression of traumatic intracerebral hemorrhage: a prospective observational study H J. Neurotrauma. - 2008. - Vol. 25. - Р. 629-639.
24. Oertel M., Kelly D.F., Mcarthur D. Progressive hemorrhage after head trauma: predictors and consequences of the evolving injury // J Neurosurg - 2002. - Vol. 96. - Р. 109- 116.
25. Patel A.D., Gerzanich V., Geng Z., Simard J.M. Glibenclamide reduces hippocampal injury and preserves rapid spatial learning in a model of traumatic brain injury // J Neuropathol Exp Neurol. - 2010. - Vol. 69(12). - Р. 1177-1190.
26. Roof R.L., Hall E.D. Gender differences in acute CNS trauma and stroke: neuroprotective effects of estrogen and progesterone // J Neurotrauma. - 2000. - Vol. 17. - Р. 367-388.
27. Servadei F., Murray G.D., Penny K. et al. The value of the “worst” computed tomographic scan in clinical studies of moderate and severe head injury. European Brain Injury Consortium // Neurosurgery. - 2000. - Vol. 46(1). - Р. 70-75.
28. Servadei F., Nanni A., Nasi M.T. et al. Evolving brain lesions in the first 12 hours after head injury: analysis of 37 comatose patients // Neurosurgery. - 1995. - Vol. 37(5). - Р. 899- 906.
29. Simard J.M., Kilbourne M., Tsymbalyuk O. et al. Key role of sulfonylurea receptor 1 in progressive secondary hemorrhage after brain contusion // J Neurotrauma. - 2009. - Vol. 26(12). - Р. 2257-2267.
30. Stein S.C., Smith D.H. Coagulopathy in traumatic brain injury // Neurocrit Care. - 2004. - Vol. 1(4). - Р. 479-488.
31. Stein S.C., Spettell C., Young G., Ross S.E. Delayed and progressive brain injury in closed-head trauma: radiological demonstration // J Neurosurgery - 1993. - Vol. 32. - Р. 25-31.
32. Tanaka T., Sakai T., Uemura K. et al. MR imaging as predictor of delayed posttraumatic cerebral hemorrhage // J Neurosurg - 1988. - Vol. 69. - Р. 203-209.
33. Van Beek J.G., Mushkudiani N.A., Steyerberg E.W et al. Prognostic value of admission laboratory parameters in traumatic brain injury: results from the IMPACT study // J Neurotrauma. - 2007. - Vol. 24(2). - Р. 315-328.
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For citations:
Puras J.V., Kordonsky A.J., Talypov A.E. Mechanisms of brain contusion foci progression. Russian journal of neurosurgery. 2013;(4):91-96. (In Russ.)
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