The aim was to look for the method for getting highly purified population and large amount of Schwann cells from the newborn rats. Sciatic nerves from 1～3 days old SD rats were taken out . The Schwann cells were cultured and purified by modified repeated explanation, and fibroblastic cells were removed by rapid trysinization , differential adhesion and anti mitosis methods. The Schwann cells were identified by indirect immunocytochemistry with mouse anti S 100 protein McAb. The result showed that the purity of Schwann cells was more than 95%, and the cells were in a good state. It is considered that the methods are simple and convenient , and a great number of highly purified Schwann cells can be acquired by them.

To assess the indication, intraoperative monitoring with selective shunting and surgical outcomes of carotid endarterectomy for patients with contralateral carotid occlusion, the clinical manifestations, imaging data, surgical methods and results of 16 patients were analysed retrospectively. It was verified that the surgical risk of these patients was not as high as prediction,satisfactory results coold be achieved with intraoperative monitoring, selective shunting and skilled surgical techniques. It is reasonable to offer the following typical treatment examples: Carotid endarterectomy should be performed for patients with symptomatic carotid stenosis irrespective of the contralateral carotid occlusion, while medical therapy should be maintained for patients with asymptomatic carotid stenosis and contralateral carotid occlusion. maintained. If the asymptomatic stenosis is found to be progressing in noninvasive testing, then a prophylactic endarterectomy should be considered.

Exposure of the distal internal carotid artery is very important and difficult in carotid endarterectomy for patients with high bifurcations or extension of the atherosclerotic plaque into the distal internal carotid artery. Exposure techniques are introduced based on the surgical experiences of 28 cases.

Objective To explore the formation of intravascular microthrombosis in the brain after traumatic brain injury in rat in order to study the potentially causal linkage between thrombosis and post-traumatic cerebral ischemia. Methods Lateral fluid percussion injury (FPI) model was reproduced in the present study to prodace acute brain injury in rats. The rats were sacrificed at 12, 24, 72 hours and 7days after traumatic brain injury. Sham-injured animals received identical craniotomy without FPI. Pathological studies were performed to study the distribution and severity of intravascular microthrombosis in the brain. The difference in the severity of intracerebral thrombosis between groups was evaluated. Results Abundant fibin thrombi were found in all injured rats as compared with the controls (P

Objective To establish a simple and reliable method for primary culture and purification of embryonic dorsal root ganglion neurons. Methods Dorsal root ganglions (DRG) from rat embryos were isolated under microscope and dissociated in trypsin. The dissociated neurons were treated with 5-fluorouracil for purification. Immunocytochemistry was performed by double staining with anti-calcitonin gene-related peptide and anti-NF200 antibodies to evaluate the purification rate of DRG neurons. Results Isolated and cultured DRG neurons survived and grew nicely in the basis medium for neurons, and the purified rate of DRG neurons could reach to around 93%. Conclusion The above method is very useful to obtain dorsal root ganglion neurons and to purify the neuronal population.

Objective To explore the potential mechanism of efficacy of imipramine treatment in the regeneration of hippocampus neuron after traumatic brain injury in rat.Methods Lateral hydraulic battering injury(HBI)was used to induce acute brain injury in rats.Forty male SD rats were randomly assigned to four groups:HBI with imipramine treatment group,HBI without treatment group,sham injury with imipramine treatment group and sham injury without treatment group.Animals of all the four groups were sacrificed for histological evaluation two months after treatment.Proliferating cells and neurons in hippocampus were counted and compared between groups.Results Proliferating cells and neurons were found to be obviously increased in all injured rats compared with sham injured animals(P

Objective To determine whether cyclosporin A(CsA) could exert neuroprotective effects after diffuse axonal injury (DAI) in the rat. Methods Twenty four SD rats were randomly assigned into three groups: non injur group ( n =8); control brain injury group ( n =8), in which normal saline was given; and experimental group ( n =8), the injured rats were treated with CsA. The beam balance test device and Morris water maze were used to test for balance and cognitive performance. Results Control brain injury animals displayed severe defects in balance and cognitive performande after diffuse axonal injury. Compared with control brain injury animals, rats treated with CsA displayed better motor performance in beam balance tests and improved learning ability in the Morris water maze. Conclusions It is demonstrated that CsA exhibits substantial neuroprotective activity in a rat model of DAI. These findings support that CsA is a useful therapeutic agent in the treatment of DAI.

Objective To evaluate the value of the StealthStation neuronavigation in the operation of intracranial lesions. Methods 22 patients with different intracranial lesions, including 14 cases of glioma, 2 cases of meningioma,4 cases of cavernous angioma,1 case of lymphoma and 1 case of metastatic cancer, were operated on with the aid of StealthStation neuronavigational system. The neuronavigational accuracy and surgical effect were analysed. Results All intracranial lesions were found accurately with StealthStation neuronavigational system, the predicted accuracy (PA) value was 2.53?0.73mm, accuracy sphere of intracranial lesions in the neuronavigational system was within 2mm in all patients. 13 cases out of 14 gliomas were totally removed under microscope, in 1 case removal was subtotal. In 2 patients, neurological symptoms became worse immediately after the operation but improved within 3 months after the operation. The other 12 patients recovered very well. In another 8 cases total removal under microscopy was successful, but one lymphoma patient showed exacerbation of neurological symptoms immediately after operation, but improved within 1 week after operation. The other 7 cases recovered very well. Conclusion The StealthStation neuronavigational system is reliable and accurate in neurosurgical operation, thus it is helpful to facilitate total resection of intracranial lesions with less operative complications.

Objecive To reproduce an experimental model of aneurysm more which is simulating intracranial aneurysm pathomorphologically to serve further research on aneurysm. Methods Saccular aneurysms of the carotid artery were reproduced by corrosion of initial segment of the external carotid artery (1mm long) with elastase in 10 SD rats. After 4 weeks, the size of the aneurysms was measured. Then the aneurysms were fixed by intra-arterial perfusion of formalin and were resected. The pathological characteristics were evaluated with hematoxylin-eosin and Van Gieson staining. Results The pathological features of the experimental aneurysms showed that the tunica intima was interrupted, the elastic and muscular layers were disrupted or disappeared, replaced by proliferative collagen fiber, simulating natural aneurysms. After 4 weeks, the size of aneurysms was larger compared with that in the beginning (P

Objective to study the effect of blood pressure on the enlargement of saccular aneurysm and its mechanism. Methods Forty-eight SD rats were divided into 3 groups randomly(A, B and C; n=16 in each group). Saccular aneurysms of the carotid artery were induced by corrosion of the initial segment of the external carotid artery (1mm long) with elastase. In group A, the posterior branches of both renal arteries were ligated in order to produce a marlced blood pressure elevation. In group B, only unilateral renal artery was ligated, and a moderate hypertension was produced. In group C high blood pressure was not produced to serve as the control group. After 2 and 8 weeks, the blood pressure and the size of the aneurysms were measured. Then the aneurysms were fixed by intraarterial perfusion of formalin and were harvested for examinations. The expression of basic fibroblast growth factor (bFGF) in aneurismal wall was determined by immunohistochemical analysis. Results Two weeks after the beginning of the experiment, there was no difference in size of aneurysm among the 3 groups. But after 8 weeks, significant difference in aneurysmal size was found between group A and the other two groups. The expression of bFGF in group A was stronger than that in group B and C. Conclusion The elevation of blood pressure and enhancement of bFGF expression in aneurismal wall play an important role in enlargement of the aneurysm.