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Secure an anesthetized mouse pup abdomen-up under a dissection microscope.
Make an incision in the neck.
Retract the adipose tissue to expose the unilateral right carotid artery.
Ligate the artery to restrict blood flow to the right brain hemisphere, simulating an ischemic condition.
Close the incision and transfer the pup to a hypoxic chamber.
Once the pup regains consciousness, close the chamber and lower the oxygen levels to establish a hypoxic condition.
Decreased blood supply and oxygen levels in the brain result in excitatory neurotransmitter release.
These neurotransmitters induce neuronal hyperexcitability, calcium influx, and calcium-dependent damage to neuronal membranes, cellular proteins, and DNA, leading to neuronal death.
In response, microglia become activated and release pro-inflammatory cytokines, worsening the brain damage.
Allow the pup to recover and grow for a week.
Anesthetize the pup, position it abdomen-down, and make a scalp incision.
Visualize the brain lesion in the right hemisphere through the semi-transparent skull to detect the hypoxic-ischemic injury.
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