Traumatic cerebral vascular injury: The effects of concussive brain injury on the cerebral vasculature

被引:129
作者
Dewitt, DS [1 ]
Prough, DS
机构
[1] Univ Texas, Med Branch, Charles R Allen Res Labs, Galveston, TX 77550 USA
[2] Univ Texas, Med Branch, Dept Anesthesiol, Galveston, TX 77550 USA
关键词
cerebral blood flow; cerebral vasculature; fluid percussion injury; review; traumatic brain injury;
D O I
10.1089/089771503322385755
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
In terms of human suffering, medical expenses, and lost productivity, head injury is one of the major health care problems in the United States, and inadequate cerebral blood How is an important contributor to mortality and morbidity after traumatic brain injury. Despite the importance of cerebral vascular dysfunction in the pathophysiology of traumatic brain injury, the effects of trauma on the cerebral circulation have been less well studied than the effects of trauma on the brain. Recent research has led to a better understanding of the physiologic, cellular, and molecular components and causes of traumatic cerebral vascular injury. A more thorough understanding of the direct and indirect effects of trauma on the cerebral vasculature will lead to improvements in current treatments of brain trauma as well as to the development of novel and, hopefully, more effective therapeutic strategies.
引用
收藏
页码:795 / 825
页数:31
相关论文
共 332 条
[1]  
ABDELFATTAH AS, 1994, J NEUROSURG, V80, P301
[2]   Altered release of prostaglandins by opioids contributes to impaired cerebral hemodynamics following brain injury [J].
Al-Turki, A ;
Armstead, WM .
CRITICAL CARE MEDICINE, 1998, 26 (05) :917-925
[3]   Effects of moderate, central fluid percussion traumatic brain injury on nitric oxide synthase activity in rats [J].
Alagarsamy, S ;
DeWitt, DS ;
Johnson, KM .
JOURNAL OF NEUROTRAUMA, 1998, 15 (08) :627-633
[4]   Neuroprotective effects of female gonadal steroids in reproductively senescent female rats [J].
Alkayed, NJ ;
Murphy, SJ ;
Traystman, RJ ;
Hurn, PD .
STROKE, 2000, 31 (01) :161-167
[5]  
[Anonymous], LACTIC MICROFLORA PI
[6]  
[Anonymous], 1993, CEREBRAL BLOOD FLOW
[7]   NOC/oFQ contributes to age-dependent impairment of NMDA-induced cerebrovasodilation after brain injury [J].
Armstead, WM .
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 2000, 279 (05) :H2188-H2195
[8]   Influence of brain injury on vasopressin-induced pial artery vasodilation: Role of superoxide anion [J].
Armstead, WM .
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 1996, 270 (04) :H1272-H1278
[9]   OPIOIDS AND THE PROSTANOID SYSTEM IN THE CONTROL OF CEREBRAL BLOOD-FLOW IN HYPOTENSIVE PIGLETS [J].
ARMSTEAD, WM ;
MIRRO, R ;
BUSIJA, DW ;
LEFFLER, CW .
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 1991, 11 (03) :380-387
[10]   THE ROLE OF OPIOIDS IN NEWBORN PIG-FLUID PERCUSSION BRAIN INJURY [J].
ARMSTEAD, WM ;
KURTH, CD .
BRAIN RESEARCH, 1994, 660 (01) :19-26