Prolonged Localized Mild Hypothermia Does Not Affect Seizure Activity After Intracerebral Hemorrhage in Rats
| Autor: | Frederick Colbourne, Kristen Dietrich, Clayton T. Dickson, Ana C Klahr |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Ischemia Electroencephalography Critical Care and Intensive Care Medicine Neuroprotection Rats Sprague-Dawley Random Allocation 03 medical and health sciences Epilepsy 0302 clinical medicine Hypothermia Induced Seizures medicine Animals cardiovascular diseases Stroke Cerebral Hemorrhage Intracerebral hemorrhage medicine.diagnostic_test business.industry 030208 emergency & critical care medicine Hypothermia medicine.disease nervous system diseases Surgery Anesthesiology and Pain Medicine Anesthesia medicine.symptom Complication business 030217 neurology & neurosurgery |
| Zdroj: | Therapeutic Hypothermia and Temperature Management. 6:40-47 |
| ISSN: | 2153-7933 2153-7658 |
| DOI: | 10.1089/ther.2015.0028 |
| Popis: | Intracerebral hemorrhage (ICH) is a devastating stroke with high morbidity and mortality. Post-ICH seizures are a common complication, potentially increasing brain injury and the risk of delayed epilepsy. Mild therapeutic hypothermia (HYPO, ∼33°C) is neuroprotective against several brain insults, such as ischemia, while also mitigating seizure incidence and severity in some instances. Therefore, we tested whether brain-selective HYPO reduced electrographic seizure activity after a collagenase-induced striatal ICH in rats. Animals were injected unilaterally with 0.14 U of bacterial collagenase, implanted with a unilateral brain cooling device, and a probe to bilaterally record electroencephalographic (EEG) activity. Cooling began 6 hours after collagenase infusion and was maintained for 48 hours, followed by rewarming over 6 hours. Our protocol did not affect EEG activity in naïve rats, nor did it increase bleeding after ICH (∼50 μL). Epileptiform activity commonly occurred in untreated ICH rats (∼60% of animals), but HYPO did not affect the incidence, timing, total duration of seizures, or the peaks occurring during epileptiform activity. However, longer average duration was detected on the ipsilateral side to stroke in the HYPO group (p 0.05). Cooling did not affect neurological deficits (e.g., circling), measured 7 and 14 days after ICH, or lesion volume (∼35 mm(3)). In addition, there was no relationship among endpoints (e.g., seizures and lesion size). In summary, HYPO failed to reduce seizure activity after ICH, which fits with our separate findings that cooling does not mitigate thrombin and iron-mediated secondary injury mechanisms thought to cause seizures after ICH. Additional research is needed to identify better HYPO protocols and the use of cotreatments to maximize the benefit of HYPO to ICH patients. |
| Databáze: | OpenAIRE |
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