Glial swelling following human cerebral contusion: an ultrastructural study
Open accessAbstract
The ultrastructural features of cerebral contusion seen three hours to 11 days after head injury were studied in 18 patients undergoing surgery. Massive astrocytic swelling ("cytotoxic" oedema) was seen three hours to three days after injury, maximal in perivascular foot processes, and compressing some of the underlying capillaries. The tight junctions were not disrupted. Neuronal damage was most marked three to 11 days after injury. The pathophysiological mechanisms leading to oedema formation and neuronal degeneration are discussed.
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Astroglial swelling occurs within the first hours after head trauma in humans.
“astroglial swelling, which occurs within the first hours after head trauma in humans (Bullock et al., 1991)”
From Evolution of neuronal and astroglial disruption in the peri-contusional cortex of mice revealed by in vivo two-photon imaging (2013) · cites this paper as Bullock et al., 1991
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- Authors
- Bullock, R., Maxwell, W. L., Graham, D. I., Teasdale, G. M., & Adams, J. H.
- Affiliations
- Southern General Hospital (GB)
- Venue
- Journal of Neurology, Neurosurgery & Psychiatry
- Publisher
- BMJ
- Published
- 1991-05-01
- Volume
- 54
- Issue
- 5
- Pages
- 427-434
- ISSN
- 0022-3050 (ISSN-L)
- PMC
- PMC488543
- OpenAlex
- W2066748433
- Semantic Scholar
- c28e5f645c554c0b2380f20e656d8e782adecc0b
- Cited by
- 186
- References
- 23
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 1 · 2017: 6 · 2016: 5 · 2015: 11 · 2014: 4 · 2013: 7 · 2012: 6
- FWCI
- 5.77
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Neurology Neurosurgery & Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Keywords
- cerebral contusion, glial swelling, astrocytic swelling, cytotoxic edema, neurodegeneration, tight junctions, traumatic brain injury, ultrastructure
- MeSH terms
- Adult, Aged, Astrocytes, Brain Concussion, Brain Edema, Humans, Microscopy, Electron, Middle Aged, Neuroglia, Pinocytosis
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