Abstract
To establish a rabbit model of intracerebral hemorrhage by injecting autologous arterial
blood into the basal ganglia region of rabbits by stereotactic technique, then analyze the evolution of CT values
after injection of blood at different time periods in order to explore the possible mechanism of the formation of
blend sign. Methods: Seventy healthy rabbits were divided into whole blood group (n=50), plasma group (n=
10), and serum group (n=10) according to the different blood components injected into the brain. The whole
blood group was divided into 5 subgroups with 10 rabbits per subgroup according to time interval between
injections: subgroup A (1 h gap), subgroup B (2 h gap), subgroup C (3 h gap), subgroup D (4 h gap), and
subgroup E (5 h gap). After the first injection of autologous arterial blood to form a hematoma, the same
component of blood was injected again at different intervals into the periphery of the hematoma to form a
secondary hematoma; for rabbits in the serum group and plasma group, after hematoma was formed by injection
of whole blood, within the same period of time, serum or plasma was injected at positions contralateral or
ipsilateral to the first hematoma. Head CT scan was performed immediately following generation of model, and
CT value of different cerebral regions was recorded. The CT value of groups injected with different blood
components was compared, and the CT value variation pattern between groups injected with the same
components at different time intervals was assessed. Results: In the whole blood group, injection of blood at
different time intervals resulted in hematoma lesions of different densities. The CT value at the low-density site
was higher than that of brain tissue and cerebrospinal fluid and was similar to the blend sign. The high and low
densities were also formed in the serum and plasma groups, but the low-density sites showed similar CT values
as that of cerebrospinal fluid; it was not easily distinguishable and did not meet the criteria of blend sign.
Conclusion: Secondary hemorrhage may be the cause of brain CT blend sign in intracerebral hemorrhage.
Low-density areas may indicate initial bleeding while high-density areas may be secondary bleeding
Key words
intracerebral hemorrhage
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Preliminary Study on Variation Pattern of CT Values in Rabbits with Cerebral Hemorrhage[J]. Neural Injury and Functional Reconstruction. 2018, 13(5): 217-220
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