Cerebral Edema in Traumatic Brain Injury: Pathophysiology and Prospective Therapeutic Targets

Neurosurg Clin N Am. 2016 Oct;27(4):473-88. doi: 10.1016/j.nec.2016.05.008.

Abstract

Traumatic brain injury is a heterogeneous disorder resulting from an external force applied to the head. The development of cerebral edema plays a central role in the evolution of injury following brain trauma and is closely associated with neurologic outcomes. Recent advances in the understanding of the molecular and cellular pathways contributing to the posttraumatic development of cerebral edema have led to the identification of multiple prospective therapeutic targets. The authors summarize the pathogenic mechanisms underlying cerebral edema and highlight the molecular pathways that may be therapeutically targeted to mitigate cerebral edema and associated sequelae following traumatic brain injury.

Keywords: Blood-brain barrier; Cerebral edema; Pathophysiology; Therapeutic targets; Traumatic brain injury.

Publication types

  • Review

MeSH terms

  • Blood-Brain Barrier / physiopathology*
  • Brain / physiopathology*
  • Brain Edema / drug therapy
  • Brain Edema / etiology*
  • Brain Edema / physiopathology
  • Brain Injuries, Traumatic / complications*
  • Brain Injuries, Traumatic / drug therapy
  • Brain Injuries, Traumatic / physiopathology
  • Humans