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Related Concept Videos

Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Bacterial Meningitis II: Pathophysiology01:26

Bacterial Meningitis II: Pathophysiology

Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Chronic Inflammation: Introduction01:12

Chronic Inflammation: Introduction

Chronic inflammation is a prolonged, dysregulated immune response that persists for weeks to years when the inciting stimulus is difficult to eradicate or when self‑antigens drive ongoing reactivity. Morphologically, it is defined by mononuclear cell infiltration, progressive tissue destruction, and concurrent attempts at healing via angiogenesis and fibrosis. Compared with acute inflammation, edema is less prominent while cellular infiltration predominates; triggers include persistent...
Acute Inflammation III: Local and Systemic Effects01:25

Acute Inflammation III: Local and Systemic Effects

Acute inflammation produces a coordinated set of local and systemic changes that limit injury, eliminate pathogens, and initiate repair. These responses arise within minutes of infection, trauma, or chemical insult and are driven by vascular alterations and leukocyte-derived mediators. When the stimulus resolves, the reaction typically abates within days.Local EffectsAt the site of injury, arteriolar vasodilation increases blood flow, resulting in redness and warmth. Simultaneously, increased...
Cerebral Edema ll: Pathophysiology01:22

Cerebral Edema ll: Pathophysiology

Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...

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Related Experiment Video

Updated: May 28, 2026

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
09:14

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model

Published on: June 18, 2021

Inflammation as a Key Driver for Chronic Subdural Hematomas.

Jane Khalife1,2, Manisha Koneru1, Ajith J Thomas1,2

  • 1Cooper Neurological Institute, Cooper University Health Care, Camden, NJ (J.K., M.K., A.J.T.).

Stroke
|May 27, 2026
PubMed
Summary
This summary is machine-generated.

Chronic subdural hematomas (cSDHs) are increasingly common, particularly in the elderly. This review explores the inflammatory processes driving cSDH development and recurrence, suggesting new therapeutic targets beyond current surgical options.

Keywords:
anti-inflammatory agentscerebrovascular disordershematoma, subdural, chronicinflammationstroke

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Last Updated: May 28, 2026

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A Preclinical Controlled Cortical Impact Model for Traumatic Hemorrhage Contusion and Neuroinflammation

Published on: June 10, 2020

Area of Science:

  • Neurosurgery
  • Inflammation Biology
  • Translational Medicine

Background:

  • Chronic subdural hematomas (cSDHs) incidence is rising, especially in older adults, and are projected to become the most common neurosurgical condition.
  • Current surgical treatments for cSDHs have high recurrence rates and often fail to address the underlying inflammatory pathology.
  • cSDHs involve a self-perpetuating inflammatory cycle driven by trauma, neoangiogenesis, and rebleeding.

Purpose of the Study:

  • To review the inflammatory mechanisms implicated in the development and progression of chronic subdural hematomas.
  • To highlight key biomarkers and cellular pathways involved in cSDH pathogenesis.
  • To discuss the translational clinical implications and potential future therapeutic targets for cSDHs.

Main Methods:

  • Literature review focusing on inflammatory processes in cSDHs.
  • Analysis of key biomarkers and cellular pathways.
  • Discussion of current treatment limitations and future therapeutic avenues.

Main Results:

  • Inflammation, neoangiogenesis, and rebleeding are central to cSDH development and recurrence.
  • Specific inflammatory biomarkers and cellular pathways are identified as critical drivers.
  • Existing treatments do not effectively target these core inflammatory mechanisms.

Conclusions:

  • Understanding the inflammatory cascade in cSDHs is crucial for developing more effective treatments.
  • Targeting inflammatory pathways offers promising opportunities to reduce cSDH recurrence.
  • Further research into these pathways could lead to novel therapeutic strategies for this growing neurosurgical condition.