Effect on Varying the Impact Velocity in the Controlled Cortical Impact Injury Model: Injury Severity and Impact Velocity.

Ji, Yong Cheol; Min, Byung Kook; Park, Seung Won; Hwang, Sung Nam; Hong, Hyun Jong; Suk, Jong Sik

Original Article

Journal of Korean Neurosurgical Society 2005;38(1): 41-46.

Yong Cheol Ji, Byung Kook Min, Seung Won Park, Sung Nam Hwang, Hyun Jong Hong, Jong Sik Suk

Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea. nsbkmin@hanmail.net

ABSTRACT

OBJECTIVE
A study of the histopathologic and neurobehavioral correlates of cortical impact injury produced by increasing impact velocity using the controlled cortical impact(CCI) injury model is studied. METHODS: Twenty-four Sprague-Dawley rats (200~250g) were given CCI injury using a pneumatically driven piston. Effect of impact velocity on a 3mm deformation was assessed at 2.5m/sec (n=6), 3.0m/sec (n=6), 3.5m/sec (n=6), and no injury (n=6). After postoperative 24hours the rats were evaluated using several neurobehavioral tests including the rotarod test, beam-balance performance, and postural reflex test. Contusion volume and histopathologic findings were evaluated for each of the impact velocities. RESULTS: On the rotarod test, all the injured rats exhibited a significant difference compared to the sham-operated rats and increased velocity correlated with increased deficit (P<0.001). Contusion volume increased with increasing impact velocity. For the 2.5, 3.0, and 3.5m/sec groups, injured volumes were 18.8+/-2.3mm3, 26.8+/-3.1mm3, and 32.5+/-3.5mm3, respectively. In addition, neuronal loss in the hippocampal sub-region increased with increasing impact velocity. In the TUNEL staining, all the injured groups exhibited definitely positive cells at pericontusional area. However, there were no significant differences in the number of positive cells among the injured groups. CONCLUSION: Cortical impact velocity is a critical parameter in producing cortical contusion. Severity of cortical injury is proportional to increasing impact velocity of cortical injury.

Key Words: Controlled cortical impact injury; Impact velocity; Pneumatic pressure; Severity; TUNEL staining