Boismare F, Boquet J, Moore N, Chretien P, Saligaut C, Daoust M
J Auton Nerv Syst. 1985 Jun;13(2):137-47. doi: 10.1016/0165-1838(85)90030-x.
Two days after an experimental whiplash performed on anesthetized Long-Evans female rats, without any direct blow to the head, we observed: (1) a hypotension (in supine position) (P less than 0.01), (2) a disturbance of the postural regulation of cerebral blood flow (P less than 0.01), (3) a disturbance of learning behavior characterized by decreased acquisition and retention (conditioned avoidance response and labyrinth tests), (4) an increase of the dopamine level (whole brain, cerebellum, thalamus + hypothalamus, corpus striatum and rest), (5) a decrease of the noradrenaline level in whole brain (P less than 0.05) and in the medulla oblongata but an increase in thalamus plus hypothalamus, hippocampus and corpus striatum, (6) an increased reactivity of the peripheral alpha and beta receptors, determined by analyzing the hemodynamic consequences of i.v. injection of norepinephrine or isoproterenol, (7) there was no modification of the brain content of water or of serotonin and (8) finally, the injured rats displayed a remarkably aggressive behavior, though this was not quantified. These results are in agreement with the hypothesis that a change in brain amines metabolism could explain the different functional effects of whiplash. We therefore believe that the postconcussion syndrome is not subjective and that the neck injury is primary in the determination of the syndrome.
在对麻醉后的Long-Evans雌性大鼠进行实验性鞭打损伤两天后,且未对其头部进行任何直接打击的情况下,我们观察到:(1) (仰卧位时)出现低血压(P<0.01);(2) 脑血流的姿势调节受到干扰(P<0.01);(3) 学习行为受到干扰,表现为习得和记忆能力下降(条件性回避反应和迷宫试验);(4) 多巴胺水平升高(全脑、小脑、丘脑+下丘脑、纹状体及其他部位);(5) 全脑(P<0.05)和延髓中去甲肾上腺素水平降低,但丘脑加下丘脑、海马体和纹状体中去甲肾上腺素水平升高;(6) 通过分析静脉注射去甲肾上腺素或异丙肾上腺素后的血流动力学后果确定,外周α和β受体反应性增加;(7) 脑内水或5-羟色胺含量无变化;(8) 最后,受伤大鼠表现出明显的攻击行为,不过未对其进行量化。这些结果与脑胺代谢变化可解释鞭打损伤不同功能效应这一假说相符。因此,我们认为脑震荡后综合征并非主观现象,且颈部损伤在该综合征的发生中起主要作用。