scholarly journals Early and Sustained Alterations in Cerebral Metabolism after Traumatic Brain Injury in Immature Rats

2008 ◽  
Vol 25 (6) ◽  
pp. 603-614 ◽  
Author(s):  
Paula A. Casey ◽  
Mary C. McKenna ◽  
Gary Fiskum ◽  
Manda Saraswati ◽  
Courtney L. Robertson
2006 ◽  
Vol 34 ◽  
pp. A17 ◽  
Author(s):  
Paula Casey ◽  
Mary McKenna ◽  
Manda Saraswati ◽  
Courtney Robertson ◽  
Gary Fiskum

2018 ◽  
Author(s):  
Ryan Martin ◽  
Lara Zimmermann ◽  
Marike Zwienenberg ◽  
Kee D Kim ◽  
Kiarash Shahlaie

The management of traumatic brain injury focuses on the prevention of second insults, which most often occur because of a supply/demand mismatch of the cerebral metabolism. The healthy brain has mechanisms of autoregulation to match the cerebral blood flow to the cerebral metabolic demand. After trauma, these mechanisms are disrupted, leaving the patient susceptible to episodes of hypotension, hypoxemia, and elevated intracranial pressure. Understanding the normal and pathologic states of the cerebral blood flow is critical for understanding the treatment choices for a patient with traumatic brain injury. In this chapter, we discuss the underlying physiologic principles that govern our approach to the treatment of traumatic brain injury. This review contains 3 figures, 1 table and 12 references Key Words: cerebral autoregulation, cerebral blood flow, cerebral metabolic rate, intracranial pressure, ischemia, reactivity, vasoconstriction, vasodilation, viscosity


Author(s):  
Geoffrey T. Manley ◽  
John K. Yue ◽  
Hansen Deng ◽  
Ethan A. Winkler ◽  
John F. Burke ◽  
...  

This chapter provides summative information on the biomechanics, classification, and metabolism of traumatic brain injury (TBI). Impact, impulse, static/quasistatic loading, and related biomechanical sequelae following rotational shear and strain are discussed. Morphological classifications across extradural, acute/chronic subdural, subarachnoid, and intraventricular haemorrhages, as well as cerebral contusions and axonal injuries, are characterized and correlated with injury severity. Management options and implications for penetrating TBI and mild TBI/concussion are described. Cerebral metabolism including pressure/viscosity, CO2 reactivity, and autoregulation are explained in detail to provide for in-depth exploration of a spectrum of secondary injury cascades, encompassing glutamatergic excitotoxicity, autoregulatory loss, and the pressure reactivity index, flow disturbances, elevated intracranial pressure, cortical spreading depression and seizures/epilepsy. Beta-amyloid deposition in response to TBI, and genetic susceptibilities to poor recovery are covered. Current developments to standardize TBI classification systems, establish evidentiary benchmarks for quality of care, and accelerate advances in diagnosis and prognosis are highlighted.


2011 ◽  
Vol 8 (1) ◽  
pp. 147 ◽  
Author(s):  
Edwin B Yan ◽  
Sarah C Hellewell ◽  
Bo-Michael Bellander ◽  
Doreen A Agyapomaa ◽  
M Cristina Morganti-Kossmann

1994 ◽  
Vol 22 (1) ◽  
pp. A171
Author(s):  
Robert Mansfield ◽  
Joanne Schiding ◽  
Ron Hamilton ◽  
Patrick Kochanek

2014 ◽  
Vol 90 (3) ◽  
pp. 206-215 ◽  
Author(s):  
S Ozbal ◽  
U Cankurt ◽  
K Tugyan ◽  
C Pekcetin ◽  
Ar Sisman ◽  
...  

2015 ◽  
Vol 597 ◽  
pp. 137-142 ◽  
Author(s):  
Ataç Sönmez ◽  
Oya Sayın ◽  
Seren Gülşen Gürgen ◽  
Meryem Çalişir

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