Emerging therapies in traumatic brain injury.

Abstract:

:Despite decades of basic and clinical research, treatments to improve outcomes after traumatic brain injury (TBI) are limited. However, based on the recent recognition of the prevalence of mild TBI, and its potential link to neurodegenerative disease, many new and exciting secondary injury mechanisms have been identified and several new therapies are being evaluated targeting both classic and novel paradigms. This includes a robust increase in both preclinical and clinical investigations. Using a mechanism-based approach the authors define the targets and emerging therapies for TBI. They address putative new therapies for TBI across both the spectrum of injury severity and the continuum of care, from the field to rehabilitation. They discussTBI therapy using 11 categories, namely, (1) excitotoxicity and neuronal death, (2) brain edema, (3) mitochondria and oxidative stress, (4) axonal injury, (5) inflammation, (6) ischemia and cerebral blood flow dysregulation, (7) cognitive enhancement, (8) augmentation of endogenous neuroprotection, (9) cellular therapies, (10) combination therapy, and (11) TBI resuscitation. The current golden age of TBI research represents a special opportunity for the development of breakthroughs in the field.

journal_name

Semin Neurol

journal_title

Seminars in neurology

authors

Kochanek PM,Jackson TC,Ferguson NM,Carlson SW,Simon DW,Brockman EC,Ji J,Bayır H,Poloyac SM,Wagner AK,Kline AE,Empey PE,Clark RS,Jackson EK,Dixon CE

doi

10.1055/s-0035-1544237

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

83-100

issue

1

eissn

0271-8235

issn

1098-9021

journal_volume

35

pub_type

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