Hypothermic Neuroprotection Is Associated With Recovery of Spectral Edge Frequency After Asphyxia in Preterm Fetal Sheep

Autor: Robert D. Barrett, Alistair J. Gunn, Joanne O. Davidson, Guido Wassink, Laura Bennet, Robert Galinsky, Mike Dragunow
Rok vydání: 2015
Předmět:
Zdroj: Stroke. 46:585-587
ISSN: 1524-4628
0039-2499
DOI: 10.1161/strokeaha.114.008484
Popis: Background and Purpose— Electroencephalographic recovery is predictive of outcome after perinatal hypoxia–ischemia, but it is unknown whether early changes in electroencephalographic can predict the response to therapeutic hypothermia in the preterm brain. Methods— 0.7 gestation fetal sheep received umbilical cord occlusion or sham occlusion for 25 minutes, followed by sham hypothermia or whole-body cooling started either 30 minutes or 5 hours after occlusion and continued for 72 hours. Results— Early but not delayed hypothermia reduced neuronal loss and microglial induction in the striatum, with faster recovery of spectral edge frequency, reduced seizure burden, and less suppression of electroencephalographic amplitude ( P Conclusions— Recovery of higher electroencephalographic frequencies may be a biomarker of effective hypothermic neuroprotection in the preterm-equivalent brain.
Databáze: OpenAIRE