Reducing intracerebral hemorrhage in traumatic brain injury: Therapeutic hypothermia and intranasal insulin.

Background: Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. It consists of a primary insult that leads to secondary damage. Current TBI interventions primarily do not focus on preventive measures to improve the outcome of secondary brain injury, especially in the p...

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Publicado en:Archives of Trauma Research Vol. 15; no. 1; pp. 26 - 33
Autores principales: Mousavi, Shahrokh, Jahromi, Hadi Moatamed, Rafati, Ali, Zolpirani, Ardeshir Nabizadeh, Ghaffari, Mahdi Khorsand
Formato: research tables/charts Journal Article
Publicado: Kashan University of Medical Sciences Spring2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Spring2026
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      pub: Kashan University of Medical Sciences
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        10.48307/atr.2026.484241.1167
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        atl: Reducing intracerebral hemorrhage in traumatic brain injury: Therapeutic hypothermia and intranasal insulin.
      aug:
        au:
          Mousavi, Shahrokh
          Jahromi, Hadi Moatamed
          Rafati, Ali
          Zolpirani, Ardeshir Nabizadeh
          Ghaffari, Mahdi Khorsand
        affil: Histomorphometry and Stereology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
      sug:
        subj:
          Brain Injuries Therapy
          Cerebral Hemorrhage Prevention and Control
          Hypothermia, Induced Methods
          Insulin Therapeutic Use
          Administration, Intranasal
          Treatment Outcomes
          Animal Studies
          Models, Biological
          Rats
          Random Assignment
          Descriptive Statistics
          Comparative Studies
          Histological Techniques
          Programming Languages
          Brain Physiology
          Tissue Analysis
          Brain Injuries Complications
          Analysis of Variance
          Kruskal-Wallis Test
          Mann-Whitney U Test
          Two-Way Analysis of Variance
          Repeated Measures
          Data Analysis Software
          Quantitative Studies
          Funding Source
      ab: Background: Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. It consists of a primary insult that leads to secondary damage. Current TBI interventions primarily do not focus on preventive measures to improve the outcome of secondary brain injury, especially in the prehospital setting. Objectives: This study aimed to investigate the potential of therapeutic hypothermia and intranasal insulin to reduce secondary damage and prevent cerebral hemorrhage following TBI. Methods: Rats were randomly assigned to five groups: sham, TBI, TBI with insulin treatment, TBI with hypothermia treatment, and TBI with combined hypothermia and insulin treatment. Brain tissues were analyzed using histomorphological and stereological methods. Statistical analysis was conducted using the Python programming language. Results: Histomorphological analysis of brain tissue revealed no significant differences in ventricular volumes among groups. However, hemorrhages were observed, with the TBI group showing the highest hemorrhage volume. The hypothermia group showed a higher intracerebral hemorrhage compared to the sham and combined treatment groups, while the insulin group had significantly more hemorrhage than the sham group. Conclusion: Therapeutic hypothermia and intranasal insulin showed potential in reducing intracerebral hemorrhage volume post-TBI. Further research, including human clinical trials, is needed to validate these findings. This study underscores the potential benefits of therapeutic hypothermia and intranasal insulin in managing TBI-related hemorrhage and warrants further investigation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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