Traumatic Brain Injury Current Treatment Strategies and Future Endeavors

Traumatic brain injury (TBI) presents in various forms ranging from mild alterations of consciousness to an unrelenting comatose state and death. In the most severe form of TBI, the entirety of the brain is affected by a diffuse type of injury and swelling. Treatment modalities vary extensively base...

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Published in	Cell transplantation Vol. 26; no. 7; pp. 1118 - 1130
Main Authors	Galgano, Michael, Toshkezi, Gentian, Qiu, Xuecheng, Russell, Thomas, Chin, Lawrence, Zhao, Li-Ru
Format	Journal Article
Language	English
Published	Los Angeles, CA SAGE Publications 01.07.2017
Subjects	Animals Brain Injuries, Traumatic - epidemiology Brain Injuries, Traumatic - physiopathology Brain Injuries, Traumatic - surgery Brain Injuries, Traumatic - therapy Disease Models, Animal Humans Nerve Regeneration Traumatic Brain Injury traumatic brain injury intracranial hypertension treatment strategies management
Online Access	Get full text
ISSN	0963-6897 1555-3892 1555-3892
DOI	10.1177/0963689717714102

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Abstract	Traumatic brain injury (TBI) presents in various forms ranging from mild alterations of consciousness to an unrelenting comatose state and death. In the most severe form of TBI, the entirety of the brain is affected by a diffuse type of injury and swelling. Treatment modalities vary extensively based on the severity of the injury and range from daily cognitive therapy sessions to radical surgery such as bilateral decompressive craniectomies. Guidelines have been set forth regarding the optimal management of TBI, but they must be taken in context of the situation and cannot be used in every individual circumstance. In this review article, we have summarized the current status of treatment for TBI in both clinical practice and basic research. We have put forth a brief overview of the various subtypes of traumatic injuries, optimal medical management, and both the noninvasive and invasive monitoring modalities, in addition to the surgical interventions necessary in particular instances. We have overviewed the main achievements in searching for therapeutic strategies of TBI in basic science. We have also discussed the future direction for developing TBI treatment from an experimental perspective.
AbstractList	Traumatic brain injury (TBI) presents in various forms ranging from mild alterations of consciousness to an unrelenting comatose state and death. In the most severe form of TBI, the entirety of the brain is affected by a diffuse type of injury and swelling. Treatment modalities vary extensively based on the severity of the injury and range from daily cognitive therapy sessions to radical surgery such as bilateral decompressive craniectomies. Guidelines have been set forth regarding the optimal management of TBI, but they must be taken in context of the situation and cannot be used in every individual circumstance. In this review article, we have summarized the current status of treatment for TBI in both clinical practice and basic research. We have put forth a brief overview of the various subtypes of traumatic injuries, optimal medical management, and both the noninvasive and invasive monitoring modalities, in addition to the surgical interventions necessary in particular instances. We have overviewed the main achievements in searching for therapeutic strategies of TBI in basic science. We have also discussed the future direction for developing TBI treatment from an experimental perspective. Traumatic brain injury (TBI) presents in various forms ranging from mild alterations of consciousness to an unrelenting comatose state and death. In the most severe form of TBI, the entirety of the brain is affected by a diffuse type of injury and swelling. Treatment modalities vary extensively based on the severity of the injury and range from daily cognitive therapy sessions to radical surgery such as bilateral decompressive craniectomies. Guidelines have been set forth regarding the optimal management of TBI, but they must be taken in context of the situation and cannot be used in every individual circumstance. In this review article, we have summarized the current status of treatment for TBI in both clinical practice and basic research. We have put forth a brief overview of the various subtypes of traumatic injuries, optimal medical management, and both the noninvasive and invasive monitoring modalities, in addition to the surgical interventions necessary in particular instances. We have overviewed the main achievements in searching for therapeutic strategies of TBI in basic science. We have also discussed the future direction for developing TBI treatment from an experimental perspective.Traumatic brain injury (TBI) presents in various forms ranging from mild alterations of consciousness to an unrelenting comatose state and death. In the most severe form of TBI, the entirety of the brain is affected by a diffuse type of injury and swelling. Treatment modalities vary extensively based on the severity of the injury and range from daily cognitive therapy sessions to radical surgery such as bilateral decompressive craniectomies. Guidelines have been set forth regarding the optimal management of TBI, but they must be taken in context of the situation and cannot be used in every individual circumstance. In this review article, we have summarized the current status of treatment for TBI in both clinical practice and basic research. We have put forth a brief overview of the various subtypes of traumatic injuries, optimal medical management, and both the noninvasive and invasive monitoring modalities, in addition to the surgical interventions necessary in particular instances. We have overviewed the main achievements in searching for therapeutic strategies of TBI in basic science. We have also discussed the future direction for developing TBI treatment from an experimental perspective.
Author	Galgano, Michael Qiu, Xuecheng Chin, Lawrence Russell, Thomas Zhao, Li-Ru Toshkezi, Gentian
AuthorAffiliation	1 Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, NY, USA 2 VA Health Care Upstate New York, Syracuse VA Medical Center, Syracuse, NY, USA
AuthorAffiliation_xml	– name: 1 Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, NY, USA – name: 2 VA Health Care Upstate New York, Syracuse VA Medical Center, Syracuse, NY, USA
Author_xml	– sequence: 1 givenname: Michael surname: Galgano fullname: Galgano, Michael – sequence: 2 givenname: Gentian surname: Toshkezi fullname: Toshkezi, Gentian – sequence: 3 givenname: Xuecheng surname: Qiu fullname: Qiu, Xuecheng – sequence: 4 givenname: Thomas surname: Russell fullname: Russell, Thomas – sequence: 5 givenname: Lawrence surname: Chin fullname: Chin, Lawrence – sequence: 6 givenname: Li-Ru surname: Zhao fullname: Zhao, Li-Ru email: zhaol@upstate.edu
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/28933211$$D View this record in MEDLINE/PubMed
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Snippet	Traumatic brain injury (TBI) presents in various forms ranging from mild alterations of consciousness to an unrelenting comatose state and death. In the most...
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SubjectTerms	Animals Brain Injuries, Traumatic - epidemiology Brain Injuries, Traumatic - physiopathology Brain Injuries, Traumatic - surgery Brain Injuries, Traumatic - therapy Disease Models, Animal Humans Nerve Regeneration Traumatic Brain Injury
Subtitle	Current Treatment Strategies and Future Endeavors
Title	Traumatic Brain Injury
URI	https://journals.sagepub.com/doi/full/10.1177/0963689717714102 https://www.ncbi.nlm.nih.gov/pubmed/28933211 https://www.proquest.com/docview/1941364243 https://pubmed.ncbi.nlm.nih.gov/PMC5657730
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