Elevated intraspinal pressure in traumatic spinal cord injury is a promising therapeutic target

Autor: Chao-Hua Yang, Zheng-Xue Quan, Gao-Ju Wang, Tao He, Zhi-Yu Chen, Qiao-Chu Li, Jin Yang, Qing Wang
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Neural Regeneration Research, Vol 17, Iss 8, Pp 1703-1710 (2022)
Druh dokumentu: article
ISSN: 1673-5374
DOI: 10.4103/1673-5374.332203
Popis: The currently recommended management for acute traumatic spinal cord injury aims to reduce the incidence of secondary injury and promote functional recovery. Elevated intraspinal pressure (ISP) likely plays an important role in the processes involved in secondary spinal cord injury, and should not be overlooked. However, the factors and detailed time course contributing to elevated ISP and its impact on pathophysiology after traumatic spinal cord injury have not been reviewed in the literature. Here, we review the etiology and progression of elevated ISP, as well as potential therapeutic measures that target elevated ISP. Elevated ISP is a time-dependent process that is mainly caused by hemorrhage, edema, and blood-spinal cord barrier destruction and peaks at 3 days after traumatic spinal cord injury. Duraplasty and hypertonic saline may be promising treatments for reducing ISP within this time window. Other potential treatments such as decompression, spinal cord incision, hemostasis, and methylprednisolone treatment require further validation.
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