Summary: Head trauma was induced in rats by a weight drop device, falling over the exposed skull over the left hemisphere. The neurological state of the rats was evalu ated by a neurological severity score at 1 h and 18 h post head trauma. At 18 h post head trauma, rats were decapi tated and tissue from the vicinity of the injury and from a corresponding area in the contralateral hemisphere was taken for specific gravity (SO) determination using linear gradient columns. Slices were taken from the same sites for incubation in Krebs-Ringer solution, and the concen trations of prostaglandin (PO)E2, 6-keto-POF1a, and thromboxane B2 accumulated in the medium during 1 h were measured by radioimmunoassay. In one experi mental group, rats were pretreated with intraperitoneal dexamethasone sodium phosphate (4 mg/kg) 18 and 2 h before head trauma, and a third dose was given 8 h post head trauma. Another group was treated with intraperi toneal indomethacin (10 mg/kg) I h before and 7 h after head trauma. Other groups were treated immediately and Various cerebral insults trigger the release of ara chidonic acid from phospholipids of the cell mem branes, and the free acid is further metabolized by both cyclooxygenase and lipoxygenase (Bazan, 1970; Samuelsson et ai., 1979;Wolfe and Coceani, 1979;Wolfe, 1982 A preliminary report of this study was presented at the Israeli Trauma Research Meeting, November 1985.Abbreviations used: PO, prostaglandin; SO, specific gravity; TX, thromboxane.
3958 h after head trauma with 4, 8, 15, or 30 mg/kg of dexa methasone sodium phosphate. Another group of rats was treated with free dexamethasone (10 mg/kg) right after head trauma and 8 h later. Head trauma induced edema, as expressed by decreased SO, in the left hemisphere of all traumatized rats. Neither treatment protocol affected the neurological severity score of the injured rats or the SO of the contused hemisphere. PO synthesis, on the other hand, was significantly reduced following indo methacin or free dexamethasone, both in sham and trau matized rats, but not in dexamethasone sodium phos phate-treated rats. We conclude that pretreatment with indomethacin, dexamethasone sodium phosphate, or dexamathasone, used in the present protocols, does not affect posttraumatic cerebral edema. Thus, the role of POs as mediators of edema formation remains unclear.