The Molecular Pathophysiology of Concussive Brain Injury - an Update

被引:136
作者
Barkhoudarian, Garni [1 ]
Hovda, David A. [2 ,3 ]
Giza, Christopher C. [4 ,5 ]
机构
[1] Providence St Johns Hlth Ctr, John Wayne Canc Inst, Pacific Pituitary Disorders Ctr, 2200 Santa Monica Blvd, Santa Monica, CA 90404 USA
[2] Univ Calif Los Angeles, David Geffen Sch Med, UCLA Brain Injury Res Ctr, Dept Neurosurg,Interdept Program Neurosci,Semel I, Room 18-228A,10833 Le Conte Blvd, Los Angeles, CA 90095 USA
[3] Univ Calif Los Angeles, David Geffen Sch Med, UCLA Brain Injury Res Ctr,Semel Inst, Interdept Program Neurosci,Dept Med & Mol Pharmac, Room 18-228A,10833 Le Conte Blvd, Los Angeles, CA 90095 USA
[4] Univ Calif Los Angeles, David Geffen Sch Med, UCLA Brain Injury Res Ctr,Semel Inst,Mattel Child, Interdept Programs Neurosci & Biomed Engn,Dept Ne, Room 18-218B,10833 Le Conte Blvd, Los Angeles, CA 90095 USA
[5] Univ Calif Los Angeles, David Geffen Sch Med,Dept Pediat, UCLA Brain Injury Res Ctr,Semel Inst,Mattel Child, Interdept Programs Neurosci & Biomed Engn,Div Ped, Room 18-218B,10833 Le Conte Blvd, Los Angeles, CA 90095 USA
关键词
Concussion; Traumatic brain injury; Pathophysiology; Molecular mechanisms; CHRONIC TRAUMATIC ENCEPHALOPATHY; FLUID PERCUSSION INJURY; LONG-TERM POTENTIATION; CORTICAL IMPACT INJURY; REPETITIVE HEAD-INJURY; TEMPORAL WINDOW; MITOCHONDRIAL DYSFUNCTION; RECURRENT CONCUSSION; COGNITIVE IMPAIRMENT; GLUCOSE-UTILIZATION;
D O I
10.1016/j.pmr.2016.01.003
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Concussion, or mild traumatic brain injury (TBI), affects millions of patients worldwide. Understanding the pathophysiology of TBI can help manage its repercussions. The brain is significantly altered immediately following mild TBI because of metabolic, hemodynamic, structural, and electrophysiologic changes. This process affects cognition and behavior and can leave the brain vulnerable for worse injury in the setting of repeat insult. This article is an update of our previously published review, reporting relevant and current studies from the bench to the bedside of mild TBI. Understanding the pathobiology can help prevent and treat mild TBI.
引用
收藏
页码:373 / +
页数:22
相关论文
共 159 条
[1]   Anterior pituitary dysfunction in survivors of traumatic brain injury [J].
Agha, A ;
Rogers, B ;
Sherlock, M ;
O'Kelly, P ;
Tormey, W ;
Phillips, J ;
Thompson, CJ .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2004, 89 (10) :4929-4936
[2]   Residual pituitary function after brain injury-induced hypopituitarism:: A prospective 12-month study [J].
Aimaretti, G ;
Ambrosio, MR ;
Di Somma, C ;
Gasperi, M ;
Cannavò, S ;
Scaroni, C ;
Fusco, A ;
Del Monte, P ;
De Menis, E ;
Faustini-Fustini, M ;
Grimaldi, F ;
Logoluso, F ;
Razzore, P ;
Rovere, S ;
Benvenga, S ;
degli Uberti, E ;
De Marinis, L ;
Lombardi, G ;
Mantero, F ;
Martino, E ;
Giordano, G ;
Ghigo, E .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2005, 90 (11) :6085-6092
[3]   Traumatic brain injury and subarachnoid haemorrhage are conditions at high risk for hypopituitarism:: screening study at 3 months after the brain injury [J].
Aimaretti, G ;
Ambrosio, MR ;
Di Somma, C ;
Fusco, A ;
Cannavò, S ;
Gasperi, M ;
Scaroni, C ;
De Marinis, L ;
Benvenga, S ;
degli Uberti, E ;
Lombardi, G ;
Mantero, F ;
Martino, E ;
Giordano, G ;
Ghigo, E .
CLINICAL ENDOCRINOLOGY, 2004, 61 (03) :320-326
[4]   POSTTRAUMATIC SELECTIVE STIMULATION OF GLYCOLYSIS [J].
ANDERSEN, BJ ;
MARMAROU, A .
BRAIN RESEARCH, 1992, 585 (1-2) :184-189
[5]   The Effects of a Ketogenic Diet on Behavioral Outcome after Controlled Cortical Impact Injury in the Juvenile and Adult Rat [J].
Appelberg, K. Sofia ;
Hovda, David A. ;
Prins, Mayumi L. .
JOURNAL OF NEUROTRAUMA, 2009, 26 (04) :497-506
[6]   Metabolic Acetate Therapy for the Treatment of Traumatic Brain Injury [J].
Arun, Peethambaran ;
Ariyannur, Prasanth S. ;
Moffett, John R. ;
Xing, Guoqiang ;
Hamilton, Kristen ;
Grunberg, Neil E. ;
Ives, John A. ;
Namboodiri, Aryan M. A. .
JOURNAL OF NEUROTRAUMA, 2010, 27 (01) :293-298
[7]   The Molecular Pathophysiology of Concussive Brain Injury [J].
Barkhoudarian, Garni ;
Hovda, David A. ;
Giza, Christopher C. .
CLINICS IN SPORTS MEDICINE, 2011, 30 (01) :33-+
[8]   Sensitivity and specificity of standardized neurocognitive testing immediately following sports concussion [J].
Barr, WB ;
McCrea, M .
JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2001, 7 (06) :693-702
[9]   Impaired Neurovascular Unit Function Contributes to Persistent Symptoms after Concussion: A Pilot Study [J].
Bartnik-Olson, Brenda L. ;
Holshouser, Barbara ;
Wang, Harrison ;
Grube, Matthew ;
Tong, Karen ;
Wong, Valarie ;
Ashwal, Stephen .
JOURNAL OF NEUROTRAUMA, 2014, 31 (17) :1497-1506
[10]   Chronic hypopituitarism after traumatic brain injury: Risk assessment and relationship to outcome [J].
Bavisetty, Sumati ;
McArthur, David L. ;
Dusick, Joshua R. ;
Wang, Christina ;
Cohan, Pejman ;
Boscardin, W. John ;
Swerdloff, Ronald ;
Levin, Harvey ;
Chang, Dongwoo J. ;
Muizelaar, Jan P. ;
Kelly, Daniel F. .
NEUROSURGERY, 2008, 62 (05) :1080-1093