Traumatic subarachnoidal hemorrhage in the developing rat.

The aim of the present study was to utilize an experimental traumatic subarachnoidal hemorrhage model in the developing rat. Diffuse brain injury was produced in intubated and ventilated 21 to 25 days old Sprague-Dawley rats (N = 10) using a modification (1 m/100 g) of the Marmarou-model. Before induction of the injury heparin was administered i.v. and antagonised after injury by protamine. Mean arterial blood pressure and intracranial pressure was measured continuously. Histopathological investigations were performed. The results were compared to readings in adult animals (N = 12) subjected to a 1.5 m/500 g injury. In the developing rat ICP increased immediately following injury from 11.4 +/- 2.1 mm Hg to 55.9 +/- 20.3 mm Hg. It remained elevated till the end of the experiment 1 h after injury. MABP increased from 79.8 +/- 8.7 mm Hg to 100.2 +/- 21.7 mm Hg immediately following injury, returning to 61.3 +/- 28.7 mm Hg at the end of the experiment resulting in a marked decrease of CPP. The mortality rate was 60%. All brains showed a severe subarachnoidal hemorrhage in the basal cisterns. The increase of ICP following injury is attributable to the bleeding similar as in adult animals. The high mortality is due to the marked decrease of CPP. Rat pups are more vulnerable to t-SAH compared to adult rats.