ABSTRACT
Accidents are the second reason for mortality and morbidity in Iran. Among them, brain injuries are the most important damage. Clarification of the effects of brain injuries on different body systems will help physicians to prioritize their treatment strategies. In this study, the effect of pure brain trauma on the cardiovascular system and lungs 24 hours post trauma was assessed. Male Wistar rats [n = 32] were divided into sham control and traumatic brain injury [TBI] groups. In TBI animals, under deep anesthesia, a blow to the head was induced by the fall of a 450 g weight from 2 m height. Twenty four hours later, heart electrocardiogram and functional indices, cardiac troponin I, IL-6, TNF-oc, IL-I[3 in tissue and serum, and the histopathology of heart and lung were assessed. The results showed that none of the functional, biochemical, inflammatory, and histopathology indices was statistically different between the two groups at 24 hours post TBI. Indices of impulse conduction velocity in atrium [P wave duration and P-R interval] were significantly longer in the TBI group. Overall, no important functional and histopathologic disturbances were found in heart and lung of TBI group after 24 hours. If the data is reproduced in human studies, the medical team could allocate their priority to treatment of brain disorders of the victim in the first 24 hours of pure TBI and postpone extensive assessment of heart and lung health indices to later time, thus reducing patient and health system expenditures
ABSTRACT
Sex is one of the main recovery parameters after traumatic brain injury [TBI]. During estrus cycle phase, plasma estrogen and progesterone levels are very different. So in this study, we have assessed different effects of these phases in brain edema and neurological outcomes. Adult female Albino-N-MARI rats were divided into 6 groups [14 per group] including metestrus, diestrus, proestrus, estrus, ovarictomized [OVX] rats, and sham group [without TBI and ovary]. In all groups, brain water content for the measurement of brain edema, evans blue content for the measurement of brain vascular permeability, neurological scores, plasma estrogen and progesterone levels were assessed after severe TBI. Brain water content in diestrus, proestrus and estrus groups showed a significant decrease as compared with OVX group [P<0.001] but it was not significant in metestrus group. Evans blue content in proestrus group was lower than estrus and OVX groups [P<0.001]. Also, in diestrus group it was lower than OVX group [P<0.01].Neurological scores showed significant increases in proestrus group 4 hours after severe TBI as compared with metestrus, diestrus and OVX groups [P<0.01]. 24 hours after severe TBI, neurological scores in all groups were higher than OVX [P<0.001]. Brain water content and brain vascular permeability in sham group was lower than OVX, besides neurological scores in sham group were higher than OVX [P<0.001]. This study showed that brain edema, evans blue content and neurological scores after severe TBI are related to estrus cycle different phases. This could be related to differences in female sex hormones in different phases of estrus cycle