Review Article

Biologic Effect of Hydrogen Sulfide and Its Role in Traumatic Brain Injury

Table 1

Characteristics of different degrees of TBI in different species.

Species

HumanMild TBI
(1) Any period of loss of consciousness up to 30 min
(2) Posttraumatic amnesia not exceeding 24 h
(3) Any period of confusion or disorientation
(4) Transient neurological abnormalities
(5) A GCS score of 13–15
(6) Normal structural imaging
(7) Postconcussion symptoms may resolve during 12 weeks
Moderate TBI
(1) A possible loss of consciousness lasting up to a few hours
(2) Confusion lasting from days to weeks
(3) Physical, cognitive, and/or behavioral impairments lasting for months
(1) Abnormal structural imaging
(2) A GCS score of 9–12
Severe TBI
(1) Sustained loss of consciousness (>24 h)
(2) Surviving patients exhibiting chronic physical and emotional disabilities
(3) Abnormal structural imaging
(4) A GCS score of less than 9

MouseMild TBI
(1) CCI: depth: 0.1–1.0 mm; velocity: 3.0–6.0 m/s
(2) Tissue loss: lesions confined to the cortical layer
(3) Cortical depression <0.5 mm, velocities <4.0 m/s
Moderate TBI
(1) CCI: depth: 0.5–3.0 mm; velocity: 1.5–6.0 m/s
(2) Tissue loss: considerable cortical tissue loss with little to no overt hippocampal loss
(3) Cortical depression 1.0–1.5 mm, velocities 4.0–5.0 m/s
Severe TBI
(1) CCI: depth: 0.5–2.0 mm; velocity: 3.0–6.0 m/s
(2) Tissue loss: extensive overt hippocampal lesions along with cortical tissue loss
(3) Cortical depression >2.0 mm, velocities >5.0 m/s

Note: TBI: traumatic brain injury; CCI: controlled cortical impact; GCS: the Glasgow Coma Scale.