Abstract
Brain edema is a major contributor to poor outcome following ischemic and hemorrhagic stroke. In animal models, edema has historically been quantified as a change in brain water content expressed as a percentage of wet weight (% water content). As described in this communication, this number can be misleading, as “small” changes in percentage of brain water content actually reflect much bigger changes in brain swelling. Using either water content, expressed as grams per gram of dry weight, or a measure of brain swelling better reflect the impact of edema after stroke and brain injury.
References
Adachi M, Feigin I. Cerebral oedema and the water content of normal white matter. J Neurol Neurosurg Psychiatry. 1966;29(5):446–50.
Faas FH, Ommaya AK. Brain tissue electrolytes and water content in experimental concussion in the monkey. J Neurosurg. 1968;28(2):137–44.
Marshall LF, Bruce DA, Graham DI, Langfitt TW. Alterations in behavior, brain electrical activity, cerebral blood flow, and intracranial pressure produced by triethyl tin sulfate induced cerebral edema. Stroke. 1976;7(1):21–5.
Betz AL, Keep RF, Beer ME, Ren XD. Blood–brain barrier permeability and brain concentration of sodium, potassium, and chloride during focal ischemia. J Cereb Blood Flow Metab. 1994;14(1):29–37.
Wagner KR, Xi G, Hua Y, Kleinholz M, de Courten-Myers GM, Myers RE, et al. Lobar intracerebral hemorrhage model in pigs: rapid edema development in perihematomal white matter. Stroke. 1996;27(3):490–7.
Gerriets T, Stolz E, Walberer M, Muller C, Kluge A, Bachmann A, et al. Noninvasive quantification of brain edema and the space-occupying effect in rat stroke models using magnetic resonance imaging. Stroke. 2004;35(2):566–71.
Minamisawa H, Terashi A, Katayama Y, Kanda Y, Shimizu J, Shiratori T, et al. Brain eicosanoid levels in spontaneously hypertensive rats after ischemia with reperfusion: leukotriene C4 as a possible cause of cerebral edema. Stroke. 1988;19(3):372–7.
Shohami E, Novikov M, Mechoulam R. A nonpsychotropic cannabinoid, HU-211, has cerebroprotective effects after closed head injury in the rat. J Neurotrauma. 1993;10(2):109–19.
Zhao F, Hua Y, He Y, Keep RF, Xi G. Minocycline-induced attenuation of iron overload and brain injury after experimental intracerebral hemorrhage. Stroke. 2011;42(12):3587–93.
Tsunoda A, Mitsuoka H, Bandai H, Endo T, Arai H, Sato K. Intracranial cerebrospinal fluid measurement studies in suspected idiopathic normal pressure hydrocephalus, secondary normal pressure hydrocephalus, and brain atrophy. J Neurol Neurosurg Psychiatry. 2002;73(5):552–5.
Acknowledgments
This work was supported by the National Institutes of Health grants NS034709 (RFK), NS039866 (GX), and NS057539 (YH) and a grant from the American Heart Association, 0840016N. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or the AHA.
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Keep, R.F., Hua, Y. & Xi, G. Brain Water Content: a Misunderstood Measurement?. Transl. Stroke Res. 3, 263–265 (2012). https://doi.org/10.1007/s12975-012-0152-2
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DOI: https://doi.org/10.1007/s12975-012-0152-2