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Research for early brain injury after subarachnoid hemorrhage about the mechanism of cortical spreading depression and seizure

Research Project

Project/Area Number 18K16583
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 56010:Neurosurgery-related
Research InstitutionOsaka University

Principal Investigator

Kadono Yoshinori  大阪大学, 医学系研究科, 特任研究員 (60770675)

Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2020: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2019: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywordsくも膜下出血 / 早期脳損傷 / てんかん / Early Brain Injury / CSD / AMPA / 脳卒中 / AMPA受容体拮抗薬
Outline of Final Research Achievements

We conducted research on post subarachnoid hemorrhage (SAH) early brain injury (EBI) model rats in this study. Using an interhemispheric autologous blood injection model, we conducted experiments using antiepileptic drugs to clarify the relationship between nerve excitement through glutamate acid and EBI. We could not have a significant result on survival rate or neurological prognosis. As for other indicators of early brain injury, there are data suggesting that the expected nerve excitement such as cortical spreading depression and epileptic wave are associated with worsening of EBI. We are planning to continue the experiment by adjusting the timing or dose of a drug in order to clarify the proceeding data. On the other hand, we are planning clinical research using this data in order to search for clinically applicable treatments.

Academic Significance and Societal Importance of the Research Achievements

本研究の結果は、SAH後のEBIのメカニズム解明につながる脳血流異常と、てんかん性放電を確認でき、これにグルタミン酸系が関与することが明らかになった。重症SAHにおけるEBIは、患者の予後不良因子となるため、今後これに対する薬物治療や外科的介入判断などにも寄与する病態の解明が待たれる。今研究により、抗てんかん薬などによる薬物治療法のさらなる開発の一助となることが期待できる。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (5 results)

All 2021 2020

All Journal Article (3 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 3 results,  Open Access: 2 results) Presentation (2 results)

  • [Journal Article] Repetitive transcranial magnetic stimulation restores altered functional connectivity of central poststroke pain model monkeys2021

    • Author(s)
      Kadono Y, Koguchi K. Okada K, Hosomi K, Hiraishi M, Ueguchi T, KIda I, Shah A, Liu G, Saitoh Y
    • Journal Title

      Scientific Reports

      Volume: 11 Issue: 1 Pages: 6126-6126

    • DOI

      10.1038/s41598-021-85409-w

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] A case of COVID-19 infection presenting with a seizure following severe brain edema2020

    • Author(s)
      Y Kadono, Y Nakamura, Y Ogawa, S Yamamoto, R Kajikawa, Y Nakajima, M Matsumoto, H Kishima
    • Journal Title

      Seizure

      Volume: 80 Pages: 53-55

    • DOI

      10.1016/j.seizure.2020.06.015

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Mechanical thrombectomy in acute ischemic stroke patients with left ventricular assist device2020

    • Author(s)
      Kitano Takaya、Sakaguchi Manabu、Yamagami Hiroshi、Ishikawa Tatsuya、Ishibashi-Ueda Hatsue et al.
    • Journal Title

      Journal of the Neurological Sciences

      Volume: 418 Pages: 117142-117142

    • DOI

      10.1016/j.jns.2020.117142

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] COVID19感染により再燃を繰り返した脳卒中後てんかんの一例2021

    • Author(s)
      角野 喜則, 中村 雄作, 山本 祥太, 梶川 隆一郎, 中島 義和, 松本 昌泰, 貴島 晴彦
    • Organizer
      第46回日本脳卒中学会(Stroke2021)
    • Related Report
      2020 Annual Research Report
  • [Presentation] 頭部外傷後の症候性遅発性脳血管攣縮の2例2020

    • Author(s)
      角野 喜則, 西田 武生, 山本 祥太, 梶川 隆一郎, 中島 義和, 貴島 晴彦
    • Organizer
      第75回日本脳神経外科学会学術総会
    • Related Report
      2020 Annual Research Report

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Published: 2018-04-23   Modified: 2024-01-30  

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