The objective of this study was to describe a new experimental model of hemispherotomy performed on laboratory animals.
Twenty-six male young adult Wistar rats were distributed into two groups (surgery and control). The nonfluorescent anterograde neurotracer biotinylated dextran amine (BDA; 10,000 MW) was microinjected into the motor cortex area (M1) according to The Rat Brain in Stereotaxic Coordinates atlas to identify pathways and fibers disconnected after the experimental hemispherectomy. SPECT tomographic images of 99mTc hexamethylpropyleneamine oxime were obtained to verify perfusion in functioning areas of the disconnected and intact brain. A reproducible and validated surgical procedure is described in detail, including exact measurements and anatomical relationships. An additional 30 rodents (n = 10 rats per group) were divided into naïve, sham, and hemispherotomy groups and underwent the rotarod test.
Cortico-cortical neural pathways were identified crossing the midline and contacting neuronal perikarya in the contralateral brain hemisphere in controls, but not in animals undergoing hemispherotomy. There was an absence of perfusion in the left side of the brain of the animals undergoing hemispherotomy. Motor performance was significantly affected by brain injuries, increasing the number of attempts to maintain balance on the moving cylinder in the rotarod test at 10 and 30 days after the hemispherotomy, with a tendency to minimize the motor performance deficit over time.
The present findings show that the technique reproduced neural disconnection with minimal resection of brain parenchyma in young adult rats, thereby duplicating the hemispherotomy procedures in human patients.
Correspondence Norberto Cysne Coimbra: Ribeirão Preto Medical School of the University of São Paulo, Brazil. firstname.lastname@example.org.
INCLUDE WHEN CITING Published online June 8, 2018; DOI: 10.3171/2017.12.JNS171150.
Disclosures Dr. Matias reports a financial relationship with Conselho Nacional de Desenvolvimento Cientifico e Tecnológico (CNPq; National Council for Scientific and Technological Development), Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP; São Paulo Research Foundation), and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES; Coordination for the Improvement of Higher Education Personnel).
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