Abstract. Animal models have played a critical role in elucidating the complex pathogenesis of traumatic brain injury, the major cause of death and disability in young adults in Western countries. This review discusses how different types of animal models are useful for the study of neuropathologic processes in traumatic, blunt, nonmissile head injury.Key words: Animal models; neuropathology; pathogenesis; traumatic brain injury.There are two main reasons for conducting research on traumatic, blunt, nonmissile brain injury. First, traumatic brain injury (TBI) is the leading cause of death and severe disability in people under 45 years of age in Western industrialized countries, affecting the young and adults in the most productive years of their lives and predominantly caused by motor vehicle accidents. For every fatality, there are many survivors with severe brain damage and many more with moderate or mild injury. 30,51,63 Although TBI is a problem of major medical and socioeconomic significance, its pathogenesis is incompletely understood, and it is often difficult to reconstruct the events leading to the primary and secondary lesions of varying severity and regional distribution that constitute TBI. 11,50 In contrast, the mechanical input in animal models is quantifiable and subject to manipulation, and head injuries are produced under controlled experimental conditions. Second, although a host of potential neuroprotective agents have been studied, the few that have shown promise under experimental conditions have failed to provide consistent and significant improvement in human clinical trials. 14,16,29,108 Testing the efficacy of new drugs in animal models will therefore continue to be an essential precursor to their use in humans.TBI is also frequently encountered in veterinary practice as a result of automobile accidents, falls, assaults, bites, and crushing injuries. 19,110 But head injury in animals has generally received scant attention in the veterinary literature, and most of our knowledge is derived from their use as experimental models of human TBI. 34 This review highlights the contribution of different types of animal models to our understanding of the neuropathology of head injury.
Types of Animal ModelsTBI may be produced by the head impacting or coming into contact with an object (contact phenomena) or acceleration/deceleration forces producing vigorous movement of the brain (acceleration/deceleration or inertial phenomena), or varying combinations of these mechanical forces. 11,34,50,51,91 In most models, the mechanical input is controlled and results in injury that is reproducible, quantifiable, and clinically relevant. No single animal model can reliably replicate the full spectrum of human TBI. 40,42,67,68,87,88,90 Animal models of TBI can be broadly classified as • impact acceleration models • inertial (nonimpact) acceleration models • direct brain deformation models.Impact acceleration models involve direct head impacts using a piston, humane stunner or captive bolt pistol, calibrated p...