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Cited by 481

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

Pathophysiology and treatment of cerebral edema in traumatic brain injury

Open access
Jha, Ruchira M., Kochanek, Patrick M., Simard, J. Marc·2019·Neuropharmacology

Abstract

Cerebral edema (CE) and resultant intracranial hypertension are associated with unfavorable prognosis in traumatic brain injury (TBI). CE is a leading cause of in-hospital mortality, occurring in >60% of patients with mass lesions, and ∼15% of those with normal initial computed tomography scans. After treatment of mass lesions in severe TBI, an important focus of acute neurocritical care is evaluating and managing the secondary injury process of CE and resultant intracranial hypertension. This review focuses on a contemporary understanding of various pathophysiologic pathways contributing to CE, with a subsequent description of potential targeted therapies. There is a discussion of identified cellular/cytotoxic contributors to CE, as well as mechanisms that influence blood-brain-barrier (BBB) disruption/vasogenic edema, with the caveat that this distinction may be somewhat artificial since molecular processes contributing to these pathways are interrelated. While an exhaustive discussion of all pathways with putative contributions to CE is beyond the scope of this review, the roles of some key contributors are highlighted, and references are provided for further details. Potential future molecular targets for treating CE are presented based on pathophysiologic mechanisms. We thus aim to provide a translational synopsis of present and future strategies targeting CE after TBI in the context of a paradigm shift towards precision medicine. This article is part of the Special Issue entitled "Novel Treatments for Traumatic Brain Injury".

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Metadata

Authors
Jha, R. M., Kochanek, P. M., & Simard, J. M.
Venue
Neuropharmacology
Publisher
Elsevier BV
Published
2019-02
Volume
145
Issue
Pt B
Pages
230-246
ISSN
0028-3908 (ISSN-L)
OpenAlex
W2886166995
Cited by
481
References
7
FWCI
19.56
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Pathophysiology and treatment of cerebral edema in traumatic brain injury. https://app.cochat.ai/papers/10.1016/j.neuropharm.2018.08.004
The paper
Jha, R. M., Kochanek, P. M., & Simard, J. M. (2019). Pathophysiology and treatment of cerebral edema in traumatic brain injury. Neuropharmacology. https://doi.org/10.1016/j.neuropharm.2018.08.004

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.