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W Acta Neurochirurgica Supplements Editor: H.-J. Steiger Brain Edema XIII Edited by J.T. Hoff, R.F. Keep, G. Xi, and Y. Hua (eds.) Acta Neurochirurgica Supplement 96 SpringerWienNewYork JulianT.Ho¤ RichardF.Keep GuohuaXi YaHua UniversityofMichigan,DepartmentofNeurosurgery,AnnArbor,Michigan,USA Thisworkissubjecttocopyright. Allrightsarereserved,whetherthewholeorpartofthematerialisconcerned,specificallythoseoftranslation,reprinting,re-useof illustrations,broadcasting,reproductionbyphotocopyingmachinesorsimilarmeans,andstorageindatabanks. ProductLiability:Thepublishercangivenoguaranteeforalltheinformationcontainedinthisbook.Thisalsoreferstothatondrugdosage andapplicationthereof.Ineachindividualcasetherespectiveusermustchecktheaccuracyoftheinformationgivenbyconsultingother pharmaceuticalliterature.Theuseofregisterednames,trademarks,etc.inthispublicationdoesnotimply,evenintheabsenceofspecific statement,thatsuchnamesareexemptfromtherelevantprotectivelawsandregulationsandthereforefreeforgeneraluse. 62006Springer-Verlag/Wien PrintedinAustria SpringerWienNewYorkisapartofSpringerScienceþBusinessMedia springeronline.com Typesetting:AscoTypesetters,HongKong PrintingandBinding:DruckereiTheissGmbH,St.Stefan,Austria,www.theiss.at Printedonacid-freeandchlorine-freebleachedpaper SPIN:11594406 LibraryofCongressControlNumber:2005937333 WithpartlycolouredFigures ISSN0065-1419 ISBN-10 3-211-30712-5SpringerWienNewYork ISBN-13 978-3-211-30712-0SpringerWienNewYork Preface TheXIIIInternationalSymposiumonBrainEdema intracerebralhemorrhage,includingtheprimaryevent andTissueInjurywasheldJune1–3,2005,inAnnAr- andthesecondaryinjurythatfollows,promptedaone- bor,Michigan,USA.Thisvolumeincludespaperspre- daysatelliteconferenceonthesubject.Theconference sented at the symposium as well as papers that were was held immediately after the Brain Edema Sympo- presentedatasatelliteIntracerebralHemorrhageCon- sium. Most participants in the Brain Edema Sympo- ferenceonJune4,2005.Inkeepingwiththeoutstand- sium stayed an extra day to learn about the latest de- ingXIISymposiumheldinHakone,Japanin2002,we velopments in intracerebral hemorrhage research, chose to include brain tissue injury as well as brain includingongoingclinicaltrialsandbasicresearchin- edema as the subject matter for this meeting. Brain vestigationfocusingprimarilyonthesecondaryevents edema, in many respects, is a marker of underlying whichdevelopafterthehemorrhage. pathological processes which include tissue injury There was considerable enthusiasm to continue the frommanydiseases. Brain Edema Symposium series at the conclusion of The scientific sessions included invited speakers, the thirteenth meeting. The Advisory Board chose oral presentations, poster sessions, and panel discus- Warsaw,Polandasthenextsiteforthemeetingunder sions. The meeting emphasized scientific excellence in the direction of Professor Zbigniew Czernicki and his a congenial atmosphere focusing on both basic and colleagues. Symposium attendees look forward to a clinicalscience. successfulmeetinginthatcityin2008. Thesymposiumfeaturedbasicscienceresearchpre- The editors wish to thank Ms. Kathleen Donahoe, sentations as well as clinical observations in a variety Ms. Holly Wagner, and the sta¤ of Springer-Verlag of categories, including traumatic brain injury, cere- for the commitment and editorial skills necessary to bral hemorrhage, cerebral ischemia, hydrocephalus, preparethisvolumeforpublication. intracranialpressure,waterchannels,andblood-brain barrier disruption. The recent increase of interest in JulianT.Ho¤,RichardKeep,GuohuaXi,andYaHua Acknowledgments The Editors would like to express their sincere J.R.Carhuapoma thankstothosewhomadetheBrainEdemaXIIISym- D.F.Hanley posium and the satellite Intracerebral Hemorrhage S.A.Mayer Conference possible. Thanks are due especially to the A.D.Mendelow International and Local Advisory Boards for both S.Nagao meetings: R.J.Traystman K.R.Wagner M.Zuccarello BrainEdemaXIII LocalOrganizingCommittee InternationalAdvisoryBoard J.T.Ho¤(Chair) A.Baethmann W.G.Barsan Z.Czernicki R.F.Keep U.Ito L.B.Morgenstern Y.Katayama Y.Hua T.Kuroiwa G.Xi A.Marmarou A.D.Mendelow The meeting would not have been possible without thehardworkofKathleenDonahoeandHeidiZayan LocalOrganizingCommittee asSecretariat,PamelaStatonandmembersofUniver- sity of Michigan Conference Management Services, J.T.Ho¤(Chair) Drs. Yangdong He, Shuijiang Song, and Wenquan R.F.Keep Liu (Department of Neurosurgery, University of Y.Hua Michigan)fortheirexpertisewiththeaudio/visualpre- G.Xi sentations,andDrs.JohnCowanandJean-Christophe Leveque(DepartmentofNeurosurgery,Universityof IntracerebralHemorrhageConference Michigan) for design and maintenance of the Brain Edema2005website. WewouldalsoliketothanktheNationalInstitutes InternationalAdvisoryBoard ofHeathandNovoNordiskforprovidingeducational J.Aronowski grantsinsupportofthemeeting. K.J.Becker Contents HumanBrainInjury Kawamata,T.,Katayama,Y.: Surgicalmanagementofearlymassiveedemacausedbycerebralcontusioninheadtraumapatients...... 3 Chambers,I.R.,Barnes,J.,Piper,I.,Citerio,G.,Enblad,P.,Howells,T.,Kiening,K.,Mattern,J., Nilsson,P.,Ragauskas,A.,Sahuquillo,J.andYau,Y.H.fortheBrainITGroup: BrainIT:atrans-nationalheadinjurymonitoringresearchnetwork........................................ 7 Timofeev,I.,Kirkpatrick,P.J.,Corteen,E.,Hiler,M.,Czosnyka,M.,Menon,D.K.,Pickard,J.D., Hutchinson,P.J.: Decompressivecraniectomyintraumaticbraininjury:outcomefollowingprotocol-driventherapy....... 11 Hutchinson,P.J.,Corteen,E.,Czosnyka,M.,Mendelow,A.D.,Menon,D.K.,Mitchell,P.,Murray,G., Pickard,J.D.,Rickels,E.,Sahuquillo,J.,Servadei,F.,Teasdale,G.M.,Timofeev,I.,Unterberg,A., Kirkpatrick,P.J.: Decompressivecraniectomyintraumaticbraininjury:therandomizedmulticenterRESCUEicpstudy (www.RESCUEicp.com) ................................................................................... 17 Ng,S.C.P.,Poon,W.S.,Chan,M.T.V.: Cerebralhemisphereasymmetryincerebrovascularregulationinventilatedtraumaticbraininjury....... 21 Marmarou,A.,Signoretti,S.,Aygok,G.,Fatouros,P.,Portella,G.: Traumaticbrainedemaindi¤useandfocalinjury:cellularorvasogenic?.................................. 24 Beaumont,A.,Gennarelli,T.: CTpredictionofcontusionevolutionafterclosedheadinjury:theroleofpericontusionaledema......... 30 Utagawa,A.,Sakurai,A.,Kinoshita,K.,Moriya,T.,Okuno,K.,Tanjoh,K.: Organdysfunctionassessmentscoreforsevereheadinjurypatientsduringbrainhypothermia............ 33 Kinoshita,K.,Sakurai,A.,Utagawa,A.,Ebihara,T.,Furukawa,M.,Moriya,T.,Okuno,K., Yoshitake,A.,Noda,E.,Tanjoh,K.: Importanceofcerebralperfusionpressuremanagementusingcerebrospinaldrainageinseveretraumatic braininjury.................................................................................................. 37 Mori,T.,Katayama,Y.,Kawamata,T.: Acutehemisphericswellingassociatedwiththinsubduralhematomas:pathophysiologyofrepetitivehead injuryinsports.............................................................................................. 40 Kinoshita,K.,Utagawa,A.,Ebihara,T.,Furukawa,M.,Sakurai,A.,Noda,A.,Moriya,T.,Tanjoh,K.: Rewarmingfollowingaccidentalhypothermiainpatientswithacutesubduralhematoma:casereport.... 44 X Contents Furukawa,M.,Kinoshita,K.,Ebihara,T.,Sakurai,A.,Noda,A.,Kitahata,Y.,Utagawa,A.,Moriya,T., Okuno,K.,Tanjoh,K.: Clinicalcharacteristicsofpostoperativecontralateralintracranialhematomaaftertraumaticbraininjury 48 HumanIntracranialHemorrhage Compagnone,C.,Tagliaferri,F.,Fainardi,E.,Tanfani,A.,Pascarella,R.,Ravaldini,M.,Targa,L., Chieregato,A.: Diagnosticimpactofthespectrumofischemiccerebralbloodflowthresholdsinsedatedsubarachnoid hemorrhagepatients......................................................................................... 53 Dohi,K.,Jimbo,H.,Ikeda,Y.,Fujita,S.,Ohtaki,H.,Shioda,S.,Abe,T.,Aruga,T.: Pharmacologicalbraincoolingwithindomethacininacutehemorrhagicstroke:antiinflammatory cytokinesandantioxidativee¤ects.......................................................................... 57 Prasad,K.S.M.,Gregson,B.A.,Bhattathiri,P.S.,Mitchell,P.,Mendelow,A.D.: ThesignificanceofcrossoversafterrandomizationintheSTICHtrial ..................................... 61 Bhattathiri,P.S.,Gregson,B.,Prasad,K.S.M.,Mendelow,A.D.: Intraventricularhemorrhageandhydrocephalusafterspontaneousintracerebralhemorrhage:results fromtheSTICHtrial........................................................................................ 65 Ebihara,T.,Kinoshita,K.,Utagawa,A.,Sakurai,A.,Furukawa,M.,Kitahata,Y.,Tominaga,Y., Chiba,N.,Moriya,T.,Nagao,K.,Tanjoh,K.: Changesincoagulativeandfibrinolyticactivitiesinpatientswithintracranialhemorrhage................ 69 Okuda,M.,Suzuki,R.,Moriya,M.,Fujimoto,M.,Chang,C.W.,Fujimoto,T.: Thee¤ectofhematomaremovalforreducingthedevelopmentofbrainedemaincasesofputaminal hemorrhage ................................................................................................. 74 Wu,G.,Xi,G.,Huang,F.: Spontaneousintracerebralhemorrhageinhumans:hematomaenlargement,clotlysis,andbrainedema.. 78 Fainardi,E.,Borrelli,M.,Saletti,A.,Schivalocchi,R.,Russo,M.,Azzini,C.,Cavallo,M.,Ceruti,S., Tamarozzi,R.,Chieregato,A.: Evaluationofacuteperihematomalregionalapparentdi¤usioncoe‰cientabnormalitiesbydi¤usion- weightedimaging............................................................................................ 81 Tagliaferri,F.,Compagnone,C.,Fainardi,E.,Tanfani,A.,Pascarella,R.,Sarpieri,F.,Targa,L., Chieregato,A.: Reperfusionoflowattenuationareascomplicatingsubarachnoidhemorrhage............................. 85 HumanCerebralIschemia Nanda,A.,Vannemreddy,P.,Willis,B.,Kelley,R.: Strokeintheyoung:relationshipofactivecocaineusewithstrokemechanismandoutcome.............. 91 Sakurai,A.,Kinoshita,K.,Inada,K.,Furukawa,M.,Ebihara,T.,Moriya,T.,Utagawa,A.,Kitahata,Y., Okuno,K.,Tanjoh,K.: Brainoxygenmetabolismmayrelatetothetemperaturegradientbetweenthejugularveinand pulmonaryarteryaftercardiopulmonaryresuscitation..................................................... 97 Contents XI Imaging/Monitoring Daley,M.L.,Le¿er,C.W.,Czosnyka,M.,Pickard,J.D.: Intracranialpressuremonitoring:modelingcerebrovascularpressuretransmission........................ 103 Guendling,K.,Smielewski,P.,Czosnyka,M.,Lewis,P.,Nortje,J.,Timofeev,I.,Hutchinson,P.J., Pickard,J.D.: UseofICMþsoftwareforon-lineanalysisofintracranialandarterialpressuresinhead-injuredpatients. 108 Czosnyka,M.,Hutchinson,P.J.,Balestreri,M.,Hiler,M.,Smielewski,P.,Pickard,J.D.: Monitoringandinterpretationofintracranialpressureafterheadinjury................................... 114 ExperimentalBrainInjury O’Connor,C.A.,Cernak,I.,Vink,R.: Thetemporalprofileofedemaformationdi¤ersbetweenmaleandfemaleratsfollowingdi¤use traumaticbraininjury....................................................................................... 121 James,H.E.: Thee¤ectofintravenousfluidreplacementontheresponsetomannitolinexperimentalcerebraledema: ananalysisofintracranialpressure,serumosmolality,serumelectrolytes,andbrainwatercontent ....... 125 Shigemori,Y.,Katayama,Y.,Mori,T.,Maeda,T.,Kawamata,T.: Matrixmetalloproteinase-9isassociatedwithblood-brainbarrieropeningandbrainedemaformation aftercorticalcontusioninrats .............................................................................. 130 Nakamura,T.,Miyamoto,O.,Yamashita,S.,Keep,R.F.,Itano,T.,Nagao,S.: Delayedprecursorcellmarkerresponseinhippocampusfollowingcoldinjury-inducedbrainedema...... 134 Sakowitz,O.W.,Schardt,C.,Neher,M.,Stover,J.F.,Unterberg,A.W.,Kiening,K.L.: Granulocytecolony-stimulatingfactordoesnota¤ectcontusionsize,brainedemaorcerebrospinalfluid glutamateconcentrationsinratsfollowingcontrolledcorticalimpact...................................... 139 Li,S.,Kuroiwa,T.,Katsumata,N.,Ishibashi,S.,Sun,L.,Endo,S.,Ohno,K.: Unilateralspatialneglectandmemorydeficitassociatedwithabnormalb-amyloidprecursorprotein accumulationafterlateralfluidpercussioninjuryinMongoliangerbils.................................... 144 Ohsumi,A.,Nawashiro,H.,Otani,N.,Ooigawa,H.,Toyooka,T.,Yano,A.,Nomura,N.,Shima,K.: Alterationofgapjunctionproteins(connexins)followinglateralfluidpercussioninjuryinrats ........... 148 Vannemreddy,P.,Ray,A.K.,Patnaik,R.,Patnaik,S.,Mohanty,S.,Sharma,H.S.: ZincprotoporphyrinIXattenuatesclosedheadinjury-inducededemaformation,blood-brainbarrier disruption,andserotoninlevelsintherat................................................................... 151 Uchino,H.,Morota,S.,Takahashi,T.,Ikeda,Y.,Kudo,Y.,Ishii,N.,Siesjo¨,B.K., Shibasaki,F.: AnovelneuroprotectivecompoundFR901459withdualinhibitionofcalcineurinandcyclophilins....... 157 Ishikawa,Y.,Uchino,H.,Morota,S.,Li,C.,Takahashi,T.,Ikeda,Y.,Ishii,N.,Shibasaki,F.: Searchfornovelgenemarkersoftraumaticbraininjurybytimedi¤erentialmicroarrayanalysis ......... 163 Zhao,F.Y.,Kuroiwa,T.,Miyasakai,N.,Tanabe,F.,Nagaoka,T.,Akimoto,H.,Ohno,K.,Tamura,A.: Di¤usiontensorfeatureinvasogenicbrainedemaincats .................................................. 168 XII Contents Beaumont,A.,Fatouros,P.,Gennarelli,T.,Corwin,F.,Marmarou,A.: BolustracerdeliverymeasuredbyMRIconfirmsedemawithoutblood-brainbarrierpermeabilityin di¤usetraumaticbraininjury ............................................................................... 171 ExperimentalIntracranialHemorrhage Wagner,K.R.,Beiler,S.,Beiler,C.,Kirkman,J.,Casey,K.,Robinson,T.,Larnard,D.,deCourten- Myers,G.M.,Linke,M.J.,Zuccarello,M.: Delayedprofoundlocalbrainhypothermiamarkedlyreducesinterleukin-1bgeneexpressionand vasogenicedemadevelopmentinaporcinemodelofintracerebralhemorrhage............................ 177 Shao,J.,Xi,G.,Hua,Y.,Schallert,T.,Felt,B.T.: Alterationsinintracerebralhemorrhage-inducedbraininjuryintheirondeficientrat ..................... 183 Ostrowski,R.P.,Colohan,A.R.T.,Zhang,J.H.: Neuroprotectivee¤ectofhyperbaricoxygeninaratmodelofsubarachnoidhemorrhage ................. 188 Nakamura,T.,Keep,R.F.,Hua,Y.,Nagao,S.,Ho¤,J.T.,Xi,G.: Iron-inducedoxidativebraininjuryafterexperimentalintracerebralhemorrhage.......................... 194 Wan,S.,Hua,Y.,Keep,R.F.,Ho¤,J.T.,Xi,G.: DeferoxaminereducesCSFfreeironlevelsfollowingintracerebralhemorrhage........................... 199 Yang,S.,Hua,Y.,Nakamura,T.,Keep,R.F.,Xi,G.: Up-regulationofbrainceruloplasmininthrombinpreconditioning........................................ 203 Lodhia,K.R.,Shakui,P.,Keep,R.F.: Hydrocephalusinaratmodelofintraventricularhemorrhage ............................................. 207 Kawai,N.,Nakamura,T.,Nagao,S.: EarlyhemostatictherapyusingrecombinantfactorVIIaincollagenase-inducedintracerebral hemorrhagemodelinrats................................................................................... 212 Nakamura,T.,Xi,G.,Keep,R.F.,Wang,M.,Nagao,S.,Ho¤,J.T.,Hua,Y.: E¤ectsofendogenousandexogenousestrogenonintracerebralhemorrhage-inducedbraindamagein rats.......................................................................................................... 218 Cannon,J.R.,Nakamura,T.,Keep,R.F.,Richardson,R.J.,Hua,Y.,Xi,G.: Dopaminechangesinaratmodelofintracerebralhemorrhage ............................................ 222 Yang,S.,Nakamura,T.,Hua,Y.,Keep,R.F.,Younger,J.G.,Ho¤,J.T.,Xi,G.: IntracerebralhemorrhageincomplementC3-deficientmice................................................ 227 Gong,Y.,Tian,H.,Xi,G.,Keep,R.F.,Ho¤,J.T.,Hua,Y.: Systemiczincprotoporphyrinadministrationreducesintracerebralhemorrhage-inducedbraininjury..... 232 ExperimentalCerebralIschemia Ito,U.,Kawakami,E.,Nagasao,J.,Kuroiwa,T.,Nakano,I.,Oyanagi,K.: Restitutionofischemicinjuriesinpenumbraofcerebralcortexaftertemporaryischemia ................. 239 Luo,J.,Chen,H.,Kintner,D.B.,Shull,G.E.,Sun,D.: InhibitionofNaþ/Hþ exchangerisoform1attenuatesmitochondrialcytochromeCreleaseincortical neuronsfollowinginvitroischemia......................................................................... 244

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