Cited by 186Traumatic Brain Injury and Neurovascular DisturbancesTraumatic Brain Injury ResearchAcute Ischemic Stroke Management

Glial swelling following human cerebral contusion: an ultrastructural study

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Bullock, R, Maxwell, W L, Graham, D I, Teasdale, G M, Adams, J H·1991·Journal of Neurology, Neurosurgery & Psychiatry

Abstract

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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Research works printed but not linked: 9

  1. [4]4. Lindenberg R, Freytag E. Morphology of cortical con- tusions. Arch Pathol 1957;63:23-42.
  2. [5]5. Lindenberg R, Freytag E. The mechanism of cerebral contusion. Arch Pathol 1960;69:440-69.
  3. [7]7. Levin HS, Grossman RG, Rose JE, et al. Longterm neuropsychological outcome in closed head injury. J 433 copyright. on July 9, 2023 at University of Texas Rio Grande Valley. Protected by http://jnnp.bmj.com/ J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.54.5.427 on 1 May 1991. Downloaded from
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  5. [9]9. Bullock R, Teasdale GM, Wyper D, et al. Tomographic mapping of CBF, CBV and BBB changes after focal head injury using SPECT: mechanisms for late deterioration. In: J Hoff, ed. Proc VIIth Int Symposium Intracranial Pressure and Brain Injury. Berlin: Springer-Verlag 1989:637-9.
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  8. [17]17. Dietrich WD, Busto R, Ginsberg MD. Cerebral endothelial microvilli and fenestration following global fore brain ischaemia. J Neuropathol Exp Neurol 1984;43:72-83.
  9. [24]24. Gennarelli TA, Segawa H, Wald U, et al. Physiological response to angular accelaration of the head. In: Gross- mann RG, Gildenberg PL, eds. Head Injury: basic and clinical aspects. New York: Raven Press 1982:129-39.

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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)
OpenAlex
W2066748433
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
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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