Daño cerebral traumático: fallo de la vía intravenosa para la administración de células madre estromales de médula ósea como tratamiento de las secuelas neurológicas crónicas / Traumatic brain injury: failure of the intravenous route for the administration of bone marrow stromal stem cells as treatment of chronic neurological sequels

Objetivo: Estudiar el posible efecto terapéutico de la administración intravenosa de células madre estromales (CME) obtenidas de médula ósea para tratar las secuelas neurológicas en fase crónica tras una lesión cerebral traumática. Material y método: Se realizó un modelo de lesión cerebral traumática en ratas Wistar adultas y se estudió el déficit neurológico inducido en el curso de los dos meses siguientes, por medio del test mNSS y el test Smart. Tras ese tiempo, en fase de secuelas crónicamente establecidas, se administraron intravenosamente 15 x 106 CME (n:10) o suero fisiológico (n:10). En los dos meses siguientes se estudió la posible modificación de las secuelas neurológicas. Resultados: Cuando se compararon los resultados de la valoración funcional entre ambos grupos experimentales, no se observaron diferencias estadísticamente significativas. Conclusión: Nuestros resultados sugieren que el trasplante de CME por vía intravenosa, en una fase de secuelas crónicamente establecidas tras una lesión traumática cerebral grave, no tiene efecto terapéutico (AU)

Objective: We studied the possible therapeutic effect of intravenous administration (noninvasive method) of BMSCs to treat neurological sequels in a chronic stage after TBI. Material and method: A model of TBI in adult Wistar rats was performed and we studied the neurological deficit induced in the course of two months, through the mNSS and Smart tests. After this time, with established sequels, 15 x 106 BMSCs (n = 10) or saline (n = 10) were administered intravenously. Changes in the neurological deficits were studied in two months. Results: Comparison of functional changes between both experimental groups showed no statistically significant differences. Conclusions: Our results suggest that transplantation of BMSCs intravenously, at a stage of established sequels after severe TBI, has no therapeutic effect (AU)

Chronic traumatic brain injury in a dog.

Chronic traumatic brain injury is rare in man and has not been previously documented in dogs. This report describes a 2-year-old female American Staffordshire bull terrier that was referred with forelimb and hindlimb ataxia, decreased vigilance and disorientation following repeated aggression and physical abuse by its owner. A diffuse cortical lesion was suspected. Cerebrospinal fluid analysis revealed neutrophilic pleocytosis and computed tomography showed marked widening of the cerebral sulci with mild bilateral ventriculomegaly. The dog was humanely destroyed in view of the poor prognosis. Necropsy examination revealed narrowing of the cerebral cortical gyri and consequent widening of the sulci without distortion or displacement of the neural parenchyma. These features were consistent with bilateral diffuse cortical atrophy. Microscopically, there were chronic subarachnoid haemorrhages and the cortical subpial layer displayed spongiosis, capillary hyperplasia, astrocytosis, microgliosis and frequent neuronal necrosis occurring in a characteristic laminar pattern. This histopathological pattern of damage was significantly different from that previously described in people suffering from repeated traumatic brain injuries over a long period of time.