Experimental modeling of cholinoreactivity in traumatic brain injury: influence on central hemodynamic


  • S.A. Khudoley Medical Center of Modern Addictology MedicoMente, Kyiv, Ukraine
  • S.V. Ziablitsev  Bogomolets National Medical University, Kyiv, Ukraine




traumatic brain injury, central hemodynamics, cholinoreactivity


Background. The primary reaction of the central nervous mediator systems in the acute period of traumatic brain injury (TBI) when the main pathogenetic shifts are formed has greatest importance. The aim of the study was to determine the effect of cholinoreactivity (activation or blockade of the central cholinergic systems; CChS) on mortality, neurological deficit, and the state of central hemodynamics in the acute period of TBI. Material and methods. The trauma was simulated with the free fall of the load onto the fixed head. To activate the CChS, choline alfoscerate (gliatilin; 6 mg/kg) was administered to rats before injury, and biperiden hydrochloride (akinetone; 0.6 mg/kg) was used for blocking. Neurological deficits were assessed using the 100-point Todd scale. Central hemodynamic parameters were determined by tetrapolar impedance chest rheography. Results. The activation of the CChS in the acute period of TBI led to a decrease in mortality and neurological deficits. There was a significant increase in cardiac output and a decrease in vascular resistance (hyperdynamic type). The CChS blockade was accompanied by a significant neurological deficit, a decrease in cardiac output and blood pressure against an increase in vascular resistance (hypodynamic type). Conclusions. The results confirmed the key role of CChS in the realization of the response to TBI and substantiated a possible direction for further research — the use of central cholinomimetics for the relief of neurological disorders. The limitation of CChS activation may be myocardial overload with the formation of post-traumatic myocardial dystrophy.


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Original Researches