Mild hypothermia in combination with minimally invasive evacuation of hematoma reduces inflammatory damage in patients via the nuclear factor‑κB pathway

Bi,Yanping; Huan,Ying; Cai,Weidong; Wang,Xia; Liang,Zhigang; Liu,Zhaokong; Duan,Ruisheng

doi:10.3892/etm.2014.2012

Mild hypothermia in combination with minimally invasive evacuation of hematoma reduces inflammatory damage in patients via the nuclear factor‑κB pathway

Authors:
- Yanping Bi
- Ying Huan
- Weidong Cai
- Xia Wang
- Zhigang Liang
- Zhaokong Liu
- Ruisheng Duan
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Affiliations: Department of Emergency, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong 250014, P.R. China, Department of Neurology, Shandong Provincial Jiaotong Hospital, Jinan, Shandong 250000, P.R. China, Department of Maternal and Child Health Care, School of Public Health, Shandong University, Jinan, Shandong 250012, P.R. China, Department of Neurology, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China, Department of Neurology, Shandong Provincial Hospital, Jinan, Shandong 250021, P.R. China, Department of Neurology, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, Shandong 250014, P.R. China
Published online on: October 9, 2014 https://doi.org/10.3892/etm.2014.2012
Pages: 1717-1722

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Abstract

The aim of this study was to investigate the effects of mild hypothermia and minimally invasive evacuation of hematoma on the brain function of patients with cerebral hemorrhage. Seventy‑six patients with acute cerebral hemorrhage were divided into the minimally invasive evacuation of hematoma (MIHE) and mild hypothermia and minimally invasive evacuation of hematoma (MHMIHE) groups. National Institutes of Health Stroke Scale (NIHSS) scores on the day of admission of the patient and one, three and seven days after the procedure were recorded. Perihematoma brain tissue morphology was observed using hematoxylin and eosin staining. Nuclear factor‑κB (NF‑κB) expression was determined by immunohistochemistry. The tumor necrosis factor‑α (TNF‑α) level was detected by ELISA. NIHSS scores in the MHMIHE group were significantly lower than those in the MIHE group on days three and seven. TNF‑α and NF‑κB levels peaked on day three, and the MHMIHE group had significantly lower levels of TNF‑α and NF‑κB than the MIHE group. In conclusion, the present study demonstrated that mild hypothermia and minimally invasive evacuation of hematoma can effectively reduce inflammation and improve the brain function of patients.

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