Mechanisms of ischemic brain injury

被引:137
作者
Janardhan V. [1 ]
Qureshi A.I. [1 ]
机构
[1] Cerebrovascular Program, Dept. of Neurology/Neurosciences, Univ. of Med./Dent. of New Jersey, Newark, NJ 07103
关键词
Cerebral Ischemia; Acute Ischemic Stroke; Abciximab; Focal Cerebral Ischemia; Ischemic Brain Injury;
D O I
10.1007/s11886-004-0009-8
中图分类号
学科分类号
摘要
Stroke is the third leading cause of death and the leading cause of long-term disability in the United States. Approximately 80% of all strokes are ischemic and there are limited therapies approved for the treatment of acute ischemic stroke. Understanding the mechanisms of ischemic brain damage is necessary for the development of innovative treatment strategies. In this review, we discuss the hemodynamic and molecular mechanisms of ischemic brain damage and the potential therapeutic strategies, including reperfusion and primary and secondary neuroprotection, and strategies for recovery of function, such as neural plasticity and stem cell transplantation. The effective treatment of ischemic stroke is likely to result from a combination of therapeutic modalities aimed at different mechanisms of ischemic brain damage and delivered at specific times after acute cerebral ischemia. Copyright © 2004 by Current Science Inc.
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页码:117 / 123
页数:6
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[1]  
2003 Heart and Stroke Statistical Update, (2003)
[2]  
Hickenbottom S.L., Barsan W.G., Acute ischemic stroke therapy, Neurol. Clin., 19, pp. 379-397, (2000)
[3]  
Neumar R.W., Molecular mechanisms of ischemic neuronal injury, Ann. Emerg. Med., 36, pp. 483-506, (2000)
[4]  
Iadecola C., Cerebral circulatory dysregulation in ischemia, Cerebrovascular Diseases, 1, pp. 319-332, (1998)
[5]  
Baron J., Mapping the ischaemic penumbra with PET: Implications for acute stroke treatment, Cerebrovasc. Dis., 9, pp. 193-201, (1999)
[6]  
Symon L., Flow thresholds in brain ischemia and the effects of drugs, Br. J. Anaesth., 57, pp. 34-43, (1985)
[7]  
Garcia J.H., Lassen N.A., Weiller C., Et al., Ischemic stroke and incomplete infarction, Stroke, 27, pp. 761-765, (1996)
[8]  
Tissue plasminogen activator for acute ischemic stroke, N. Engl. J. Med., 333, pp. 1581-1587, (1995)
[9]  
Furlan A.J., Higashida R.T., Wechsler L., Et al., Intra-arterial prourokinase for acute ischemic stroke: The PROACT II study: A randomized controlled trial, JAMA, 282, pp. 2003-2011, (1999)
[10]  
Qureshi A.I., Pande R.U., Kim S.H., Et al., Third generation thrombolytics for the treatment of ischemic stroke, Curr. Opin. Investig. Drugs, 3, pp. 1729-1732, (2002)