Cellular Mechanisms of Brain Injury and Cell Death

Author(s): Armin Schubert, Logan Emory

Journal Name: Current Pharmaceutical Design

Volume 18 , Issue 38 , 2012

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An array of clinical events may lead to perioperative neurological injury. We first review the general cellular mechanisms leading to brain tissue injury and death. The genesis and mechanisms of injury after cerebral aneurysm surgery, traumatic brain injury, postoperative vascular insult in patients with severe cerebrovascular disease are discussed, as are strategies for prevention and treatment. More has become known about the epidemiology, risk factors and potential preventive strategies in postoperative delirium, and, to a lesser extent, postoperative cognitive dysfunction. Finally, emerging concepts in clinical brain protection are discussed, including preconditioning, gene therapy and stem cells.

Keywords: Hypoxic brain injury, aroxic brain injury, calcium-dependent cell death excitotoxicity, apoptosis, oxygen radicals, inflammatory response, IHAST trial, aneurysm surgery, cerebral vasospasan, re-bleeding, traumatic brain injury, hypothermin, cognitive dysfunction preconditioning

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Article Details

Year: 2012
Published on: 29 October, 2012
Page: [6325 - 6330]
Pages: 6
DOI: 10.2174/138161212803832425
Price: $65

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