The time course of edema development following experimental brain cont
usion was studied by measuring cortex specific gravity 1 and 12 h afte
r the trauma, and thereafter once daily until 7 days after the trauma.
A biphasic development of edema was observed; the specific gravity de
creased to a minimum on day 2 (P < 0.001), increased to an almost norm
al level on day 4 and thereafter decreased again to a second minimum 6
days after the trauma (P < 0.01). Delayed edema formation has been re
cognized in clinical settings, but has not been described in experimen
tal studies. This study, with a prolonged daily follow-up, clearly dem
onstrates that a secondary phase of edema is an experimentally reprodu
cible entity. The model will enable study of the pathogenetic mechanis
ms.