Biomarkers Associated With Diffuse Traumatic Axonal Injury: Exploring Pathogenesis, Early Diagnosis, and Prognosis
Autor: | Xue-Yuan Li, Dong-Fu Feng, Dong-Chao Pan, Jia Li |
---|---|
Rok vydání: | 2010 |
Předmět: |
medicine.medical_specialty
Traumatic brain injury business.industry Spectrin Diffuse Axonal Injury Myelin Basic Protein tau Proteins Prognosis Critical Care and Intensive Care Medicine medicine.disease Pathogenesis Early Diagnosis Neurofilament Proteins Predictive Value of Tests Feature (computer vision) medicine Humans Surgery Intensive care medicine business Biomarkers |
Zdroj: | Journal of Trauma: Injury, Infection & Critical Care. 69:1610-1618 |
ISSN: | 0022-5282 |
Popis: | Diffuse traumatic axonal injury (dTAI) is a significant pathologic feature of traumatic brain injury and is associated with substantial mortality and morbidity. It is still a challenge for clinicians to make an early diagnosis of dTAI and generate accurate prognosis and direct therapeutic decisions because most patients rapidly progress to coma after trauma and because specific neurologic symptoms and focal lesions detectable with current routine imaging techniques are absent. To address these issues, many investigations have sought to identify biomarkers of dTAI.This article is a review of the pertinent medical literature.From the perspective of the pathophysiology of dTAI, we reviewed several biomarkers that are associated with structural damage and biochemical cascades in the secondary injury or repair response to traumatic brain injury. Although some biomarkers are not specific to dTAI, they are nevertheless useful in elucidating its pathogenesis, making early diagnosis possible, predicting outcomes, and providing candidate targets for novel therapeutic strategies.The availability of biomarker data, clinical case histories, and radiologic information can improve our current ability to diagnose and monitor pathogenic conditions and predict outcomes in patients with dTAI. |
Databáze: | OpenAIRE |
Externí odkaz: |