The Surgical Method of Craniectomy Differentially Affects Acute Seizures, Brain Deformation, and Behavior in a Traumatic Brain Injury Animal Model

Traumatic brain injury (TBI) is the leading cause of morbidity and mortality worldwide. Multiple injury models have been developed to study this neurological disorder. One such model is the lateral fluid percussion injury (LFPI) rodent model. The LFPI model can be generated with different surgical p...

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Main Authors: Cesar Santana-Gomez, Gregory Smith, Ava Mousavi, Mohamad Shamas, Neil G. Harris, Richard Staba
Format: Article
Language:English
Published: Mary Ann Liebert 2024-11-01
Series:Neurotrauma Reports
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Online Access:https://www.liebertpub.com/doi/10.1089/neur.2024.0064
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author Cesar Santana-Gomez
Gregory Smith
Ava Mousavi
Mohamad Shamas
Neil G. Harris
Richard Staba
author_facet Cesar Santana-Gomez
Gregory Smith
Ava Mousavi
Mohamad Shamas
Neil G. Harris
Richard Staba
author_sort Cesar Santana-Gomez
collection DOAJ
description Traumatic brain injury (TBI) is the leading cause of morbidity and mortality worldwide. Multiple injury models have been developed to study this neurological disorder. One such model is the lateral fluid percussion injury (LFPI) rodent model. The LFPI model can be generated with different surgical procedures that could affect the injury and be reflected in neurobehavioral dysfunction and acute electroencephalograph (EEG) changes. A craniectomy was performed either with a trephine hand drill or with a trephine electric drill that was centered over the left hemisphere of adult, male Sprague Dawley rats. Sham craniectomy groups were assessed by hand-drilled (ShamHMRI) and electric-drilled (ShamEMRI) to evaluate by magnetic resonance imaging (MRI). Then, TBI was induced in separate groups, (TBIH) and (TBIE), using a fluid-percussion device. Sham-injured rats (ShamH/ShamE) underwent the same surgical procedures as the TBI rats. During the same surgery session, rats were implanted with screw and microwire electrodes positioned in the neocortex and hippocampus and the EEG activity was recorded 24 h for the first 7 days after TBI for assessing the acute EEG seizure and gamma event coupling. The electric drilling craniectomy induced greater tissue damage and sensorimotor deficits compared with the hand drill. Analysis of the EEG revealed acute seizures in at least one animal from each group after the procedure. Both TBI and Sham rats from the electric drill groups had a significant greater total number of seizures than the animals that were craniectomized manually (p < 0.05). Similarly, EEG functional connectivity was lower in ShamE compared with ShamH rats. These results suggest that electrical versus hand-drilling craniectomies produce cortical injury in addition to the LFPI which increases the likelihood for acute post-traumatic seizures. Differences in the surgical approach could be one reason for the variability in the injury that makes it difficult to replicate results between preclinical TBI studies.
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spelling doaj-art-c7f1122ff88546e7bccfcd940493ceef2025-08-20T01:50:52ZengMary Ann LiebertNeurotrauma Reports2689-288X2024-11-015196998110.1089/neur.2024.0064The Surgical Method of Craniectomy Differentially Affects Acute Seizures, Brain Deformation, and Behavior in a Traumatic Brain Injury Animal ModelCesar Santana-Gomez0Gregory Smith1Ava Mousavi2Mohamad Shamas3Neil G. Harris4Richard Staba5Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.Department of Neurosurgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.Department of Neurosurgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.Traumatic brain injury (TBI) is the leading cause of morbidity and mortality worldwide. Multiple injury models have been developed to study this neurological disorder. One such model is the lateral fluid percussion injury (LFPI) rodent model. The LFPI model can be generated with different surgical procedures that could affect the injury and be reflected in neurobehavioral dysfunction and acute electroencephalograph (EEG) changes. A craniectomy was performed either with a trephine hand drill or with a trephine electric drill that was centered over the left hemisphere of adult, male Sprague Dawley rats. Sham craniectomy groups were assessed by hand-drilled (ShamHMRI) and electric-drilled (ShamEMRI) to evaluate by magnetic resonance imaging (MRI). Then, TBI was induced in separate groups, (TBIH) and (TBIE), using a fluid-percussion device. Sham-injured rats (ShamH/ShamE) underwent the same surgical procedures as the TBI rats. During the same surgery session, rats were implanted with screw and microwire electrodes positioned in the neocortex and hippocampus and the EEG activity was recorded 24 h for the first 7 days after TBI for assessing the acute EEG seizure and gamma event coupling. The electric drilling craniectomy induced greater tissue damage and sensorimotor deficits compared with the hand drill. Analysis of the EEG revealed acute seizures in at least one animal from each group after the procedure. Both TBI and Sham rats from the electric drill groups had a significant greater total number of seizures than the animals that were craniectomized manually (p < 0.05). Similarly, EEG functional connectivity was lower in ShamE compared with ShamH rats. These results suggest that electrical versus hand-drilling craniectomies produce cortical injury in addition to the LFPI which increases the likelihood for acute post-traumatic seizures. Differences in the surgical approach could be one reason for the variability in the injury that makes it difficult to replicate results between preclinical TBI studies.https://www.liebertpub.com/doi/10.1089/neur.2024.0064acute seizure activitycraniectomy methodEEGtraumatic brain injury
spellingShingle Cesar Santana-Gomez
Gregory Smith
Ava Mousavi
Mohamad Shamas
Neil G. Harris
Richard Staba
The Surgical Method of Craniectomy Differentially Affects Acute Seizures, Brain Deformation, and Behavior in a Traumatic Brain Injury Animal Model
Neurotrauma Reports
acute seizure activity
craniectomy method
EEG
traumatic brain injury
title The Surgical Method of Craniectomy Differentially Affects Acute Seizures, Brain Deformation, and Behavior in a Traumatic Brain Injury Animal Model
title_full The Surgical Method of Craniectomy Differentially Affects Acute Seizures, Brain Deformation, and Behavior in a Traumatic Brain Injury Animal Model
title_fullStr The Surgical Method of Craniectomy Differentially Affects Acute Seizures, Brain Deformation, and Behavior in a Traumatic Brain Injury Animal Model
title_full_unstemmed The Surgical Method of Craniectomy Differentially Affects Acute Seizures, Brain Deformation, and Behavior in a Traumatic Brain Injury Animal Model
title_short The Surgical Method of Craniectomy Differentially Affects Acute Seizures, Brain Deformation, and Behavior in a Traumatic Brain Injury Animal Model
title_sort surgical method of craniectomy differentially affects acute seizures brain deformation and behavior in a traumatic brain injury animal model
topic acute seizure activity
craniectomy method
EEG
traumatic brain injury
url https://www.liebertpub.com/doi/10.1089/neur.2024.0064
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