State of the Science and Paths to Effective Treatments for Traumatic Brain Injury

2021 ◽  
Vol 38 (23) ◽  
pp. 3185-3185
Author(s):  
David L. Brody
2013 ◽  
Vol 288 (23) ◽  
pp. 17042-17050 ◽  
Author(s):  
Bridget E. Hawkins ◽  
Shashirekha Krishnamurthy ◽  
Diana L. Castillo-Carranza ◽  
Urmi Sengupta ◽  
Donald S. Prough ◽  
...  

Traumatic brain injury (TBI) is a serious problem that affects millions of people in the United States alone. Multiple concussions or even a single moderate to severe TBI can also predispose individuals to develop a pathologically distinct form of tauopathy-related dementia at an early age. No effective treatments are currently available for TBI or TBI-related dementia; moreover, only recently has insight been gained regarding the mechanisms behind their connection. Here, we used antibodies to detect oligomeric and phosphorylated Tau proteins in a non-transgenic rodent model of parasagittal fluid percussion injury. Oligomeric and phosphorylated Tau proteins were detected 4 and 24 h and 2 weeks post-TBI in injured, but not sham control rats. These findings suggest that diagnostic tools and therapeutics that target only toxic forms of Tau may provide earlier detection and safe, more effective treatments for tauopathies associated with repetitive neurotrauma.


2012 ◽  
Vol 23 (2) ◽  
pp. 186-203
Author(s):  
Patricia A. Blissitt

Despite progress in the management of adults with severe traumatic brain injury, several controversies persist. Among the unresolved issues of greatest concern to neurocritical care clinicians and scientists are the following: (1) the best use of technological advances and the data obtained from multimodality monitoring; (2) the use of mannitol and hypertonic saline in the management of increased intracranial pressure; (3) the use of decompressive craniectomy and barbiturate coma in refractory increased intracranial pressure; (4) therapeutic hypothermia as a neuroprotectant; (5) anemia and the role of blood transfusion; and (6) venous thromboembolism prophylaxis in severe traumatic brain injury. Each of these strategies for managing severe traumatic brain injury, including the postulated mechanism(s) of action and beneficial effects of each intervention, adverse effects, the state of the science, and critical care nursing implications, is discussed.


2014 ◽  
Vol 31 (22) ◽  
pp. 1896-1896
Author(s):  
J. Humberto Tapia Pérez ◽  
Martin Sánchez Aguilar ◽  
Thomas Schneider

Brain Injury ◽  
2021 ◽  
pp. 1-13
Author(s):  
Kayla L. McIntire ◽  
Kelly M. Crawford ◽  
Paul B. Perrin ◽  
Jordan L. Sestak ◽  
Kyle Aman ◽  
...  

2015 ◽  
Vol 33 (1) ◽  
pp. 75-109 ◽  
Author(s):  
Ava M. Puccio ◽  
Sheila Alexander

The long-term effects and significant impact of the full spectrum of traumatic brain injury (TBI) has received increased attention in recent years. Despite increased research efforts, there has been little movement toward improving outcomes for the survivors of TBI. TBI is a heterogeneous condition with a complex biological response, and significant variability in human recovery contributes to the difficulty in identifying therapeutics that improve outcomes. Personalized medicine, identifying the best course of treatment for a given individual based on individual characteristics, has great potential to improve recovery for TBI survivors. The advances in medical genetics and genomics over the past 20 years have increased our understanding of many biological processes. A substantial amount of research has focused on the genomic, transcriptomic, and epigenomic profiles in many health and disease states, including recovery from TBI. The focus of this review chapter is to describe the current state of the science in genomic, transcriptomic, and epigenomic research in the TBI population. There have been some advancements toward understanding the genomic, transcriptomic, and epigenomic processes in humans, but much of this work remains at the preclinical stage. This current evidence does improve our understanding of TBI recovery, but also serves as an excellent platform upon which to build further study toward improved outcomes for this population.


2014 ◽  
Vol 31 (2) ◽  
pp. 135-158 ◽  
Author(s):  
Ramon Diaz-Arrastia ◽  
Patrick M. Kochanek ◽  
Peter Bergold ◽  
Kimbra Kenney ◽  
Christine E. Marx ◽  
...  

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