Medical Hypotheses
Volume 75, Issue 4 , Pages 347-349, October 2010

Splenectomy may be a prophylactic treatment for cerebral ischemia?

  • Yusuf Izci

      Affiliations

    • Corresponding Author InformationTel.: +90 312 304 53 18; fax: +90 312 304 53 00.

Department of Neurosurgery, Gulhane Military Medical Academy, 06018 Etlik, Ankara, Turkey

Received 9 March 2010; accepted 17 March 2010. published online 09 April 2010.

Summary 

Cerebral ischemia, a phenomenon of reduction in cerebral blood flow, accounts for approximately 80% of all strokes, the third leading cause of death and the leading cause of adult disability. Cerebral ischemia causes heterogeneous changes in tissue oxygenation and cellular metabolism. Focal brain ischemia induces a profound and long-lasting inflammatory reaction which is dominated by macrophages derived from both resident microglia and circulating monocytic precursors.

Bone marrow and spleen serve as a reservoir for hematopoietic progenitor cells, especially in rodents. Spleen-derived mononuclear cells home to the site of vascular injury and reduced neointima formation. The migration and engraftment of systematically administered spleen-derived mononuclear cells can be visualized in the post-ischemic brain. Therefore, we hypothesise that removal of the spleen may possibly decrease the production of mononuclear cells, and thus hinder or relieve the inflammatory reaction occured after cerebral ischemia/reperfusion injury. So, the splenectomy may be a prophylactic treatment method for cerebral ischemia.

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PII: S0306-9877(10)00131-3

doi:10.1016/j.mehy.2010.03.018

Medical Hypotheses
Volume 75, Issue 4 , Pages 347-349, October 2010