Skip to main content
Log in

The morphopathologic substrates of concussion?

  • Original Works
  • Published:
Acta Neuropathologica Aims and scope Submit manuscript

Summary

Neuronal inundation with i.v. infused horseradish peroxidase was studied following concussive brain injury by means of both light and electron microscopy. In animals sustaining mechanical brain injury of insufficient intensity as to elicit either microscopic intraparenchymal hemorrhage or other neuropathological change, yet of sufficient intensity as to provoke a physiological concussive response, vascular peroxidase exudation concomitant with neuronal peroxidase inundation occurred throughout the raphe and reticular core. Initially such inundated neurons were totally flooded with the tracer and as such appeared reminiscent of cells visualized in Golgi preparations. However, over the course of a 24-h period these peroxidase flooded neurons apparently organized the peroxidase into vesicles and vacuoles which assumed a perinuclear position from where the peroxidase ultimately reached both the nucleus und nucleolus. It was remarkable that these events occurred without any evidence of subcellular alteration. We interpret such initial inundation with this protein tracer, its ultimate reorganization, and its nuclear and nucleolar uptake as being consistent with some form of subtle and transient neuronal perturbation. We speculate that as such this neuronal perturbation may constitute a morphological correlate of the concussive episode.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Adams, J. C., Warr, W. B.: Origins of axons in the cat's acoustic striae determined by the injection of horseradish peroxidase into severed tracts. J. Comp. Neurol.170, 107–122 (1976)

    Google Scholar 

  • Adams, J. H., Mitchell, D. E., Graham, D. I., Doyle, D.: Diffuse brain damage of immediate impact type. Its relationship to “primary brain stem damage” in head injury. Brain100, 489–502 (1977)

    Google Scholar 

  • Basbaum, A. I., Clayton, C. H., Fields, H. L.: Opiate and stimulus-produced analgesia: Functional anatomy of a medullospinal pathway. Proc. Natl. Acad. Sci. USA23, 4685–4688 (1976)

    Google Scholar 

  • Bowsher, D., Westman, J.: The gigantocellular reticular region and its spinal afferents. A light and electron microscopic study. J. Anat.106, 23–36 (1970)

    Google Scholar 

  • Bowsher, D., Westman, J.: Ultrastructural characteristics of the caudal and rostral brain stem reticular formation. Brain Res.28, 443–457 (1971)

    Google Scholar 

  • Brown, W. J., Yoshida, N., Canty, T., Verity, M. A.: Experimental concussion. Am. J. Pathol.67, 41–67 (1972)

    Google Scholar 

  • Chason, J. L., Fernando, O. U., Hodgson, V. R.: Experimental brain concussion: Morphogenic findings and a new cytologic hypothesis. J. Trauma 6, 767–779 (1966)

    Google Scholar 

  • Chason, J. L., Hardy, W. G., Webster, J. E., Gurdjian, E. S.: Alterations in cell structure of the brain associated with experimental concussion. J. Neurosurg.15, 135–139 (1958)

    Google Scholar 

  • Denny-Brown, D., Russell, W. R.: Experimental cerebral concussion. Brain64, 93–164 (1941)

    Google Scholar 

  • Friede, R. L.: Experimental concussion acceleration. Arch. Neurol.4, 449–462 (1961)

    Google Scholar 

  • Graham, R. C., Karnovsky, M. J.: The early stages of absorption of injected horseradish peroxidase in the proximal tubules of the mouse kidney: ultrastructural cytochemistry by a new technique. J. Histochem. Cytochem.14, 291–302 (1966)

    Google Scholar 

  • Greenberg, R. P., Becker, D. P., Miller, J. D., Mayer, D. J.: Evaluation of brain function in severe human head trauma with multi-modality evoked potentials. Part II. Localization of brain dysfunction and correlation with post-traumatic neurological conditions. J. Neurosurg.47, 163–177 (1977)

    Google Scholar 

  • Griffiths, J. R., Miller, R.: Vascular permeability to protein and vasogenic edema in experimental concussive injuries to the canine spinal cord. J. Neurol. Sci.22, 291–304 (1974)

    Google Scholar 

  • Groat, R. A., Windle, W. F., Magoun, H. W.: Functional and structural changes in the monkey's brain during and after concussion. J. Neurosurg.2, 26–35 (1944)

    Google Scholar 

  • Keefer, D. A.: Horseradish peroxidase as a retrogradely-transported, detailed dendritic marker. Brain Res.140, 15–32 (1978)

    Google Scholar 

  • Klatzo, I., Maguel, J., Ostenasek, R.: The application of fluorescein labelled serum proteins (FLSP) to the study of vascular permeability in the brain. Acta Neuropathol (Berl.)2, 44–160 (1962)

    Google Scholar 

  • LaVail, J. H., LaVail, M. M.: The retrograde intra-axonal transport of horseradish peroxidase in the chick visual system: A light and electron microscopic study. J. Comp. Neurol.157, 303–358 (1974)

    Google Scholar 

  • Nyberg-Hansen, R.: Sites and mode of termination of reticulospinal fibers in cat. An experimental study with silver impregnation methods. J. Comp. Neurol.124, 71–99 (1965)

    Google Scholar 

  • Olsson, Y., Hossmann, K. A.: Fine structural localization of exudated protein tracers in the brain. Acta Neuropathol. (Berl.)16, 103–166 (1970)

    Google Scholar 

  • Ommaya, A. K., Gennarelli, T. A.: Cerebral concussion and traumatic unconsciousness: correlation of experimental and clinical observations on blunt head injuries. Brain97, 633–654 (1974)

    Google Scholar 

  • Persson, L., Hansson, H. A., Sourander, P.: Extravasation, spread and cellular uptake of Evans blue-labelled albumin around a reproducible small stab wound in the rat brain. Acta Neuropathol. (Berl.)34, 125–136 (1976)

    Google Scholar 

  • Povlishock, J. T., Becker, D. P., Kontos, H. A., Jenkins, L. W.: Neural and vascular alterations in brain injury. In: Neural trauma — seminars in neurological surgery (eds. A. J. Popp, R. S. Bourke, L. R. Nelson, H. K. Kimelberg) Vol. IV, New York: Raven Press (in press) 1978a

    Google Scholar 

  • Povlishock, J. T., Becker, D. P., Sullivan, H. G., Miller, J. D.: Vascular permeability alterations to horseradish peroxidase in experimental brain injury. Brain Res.153, 223–239 (1978b)

    Google Scholar 

  • Rinder, L., Olsson, Y.: Studies on vascular permeability changes in experimental brain concussion. I. Distribution of circulating fluorescent indicators in brain and cervical cord after sudden mechanical loading of the brain. Acta Neuropathol. (Berl.)11, 183–208 (1968)

    Google Scholar 

  • Sasaki, S., Schneider, H.: Supravital diffusion of fluorescent Evans blue in brain and spinal cord tissue. Acta Neuropathol. (Berl.)36, 363–368 (1976)

    Google Scholar 

  • Seïte, R., Mei, N., Couineau, S.: Modification quantitative des batonnets intranucléaires des neurones sympathiques sous L'influence de la stimulation électrique. Brain Res.34, 277–290 (1971)

    Google Scholar 

  • Strich, S. J.: Diffuse degeneration of the cerebral white matter in severe dementia following head injury. J. Neurol. Neurosurg. Psychiatry19, 163–185 (1956)

    Google Scholar 

  • Strich, S. J.: Shearing of nerve fibers as a cause of brain damage due to head injury. Lancet2, 443–448 (1961)

    Google Scholar 

  • Sullivan, H. G., Martinez, A. J., Becker, D. P., Miller, J. D., Wist, A., Griffith, R. L.: The fluid percussion model of mechanical brain injury in the cat. J. Neurosurg.45, 520–534 (1976)

    Google Scholar 

  • Turner, P. T., Harris, A. B.: Ultrastructure of exogenous peroxidase in cerebral cortex. Brain Res.74, 305–326 (1974)

    Google Scholar 

  • Vanegas, H., Hollander, H., Distel, H.: Early stages of uptake and transport of horseradish peroxidase by cortical structures, and its use for the study of local neurons and their processes. J. Comp. Neurol.177, 193–212 (1978)

    Google Scholar 

  • Ward, A. A.: The physiology of concussion. In: Head injury conference proceedings (eds. W. F. Caveness, and A. E. Walker). Philadelphia, Toronto: Lippincott 1966

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Povlishock, J.T., Becker, D.P., Miller, J.D. et al. The morphopathologic substrates of concussion?. Acta Neuropathol 47, 1–11 (1979). https://doi.org/10.1007/BF00698266

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00698266

Key words

Navigation