Intracranial Pressure Monitoring in Experimental Traumatic Brain Injury: Implications for Clinical Management

Olena Y. Glushakova, Alexander V. Glushakov, Likun Yang, Ronald L. Hayes, Alex B. Valadka

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Traumatic brain injury (TBI) is often associated with long-term disability and chronic neurological sequelae. One common contributor to unfavorable outcomes is secondary brain injury, which is potentially treatable and preventable through appropriate management of patients in the neurosurgical intensive care unit. Intracranial pressure (ICP) is currently the predominant neurological-specific physiological parameter used to direct the care of severe TBI (sTBI) patients. However, recent clinical evidence has called into question the association of ICP monitoring with improved clinical outcome. The detailed cellular and molecular derangements associated with intracranial hypertension (IC-HTN) and their relationship to injury phenotype and neurological outcomes are not completely understood. Various animal models of TBI have been developed, but the clinical applicability of ICP monitoring in the pre-clinical setting has not been well-characterized. Linking basic mechanistic studies in translational TBI models with investigation of ICP monitoring that more faithfully replicates the clinical setting will provide clinical investigators with a more informed understanding of the pathophysiology of IC-HTN, thus facilitating development of improved therapies for sTBI patients.

Original languageEnglish (US)
Pages (from-to)2401-2413
Number of pages13
JournalJournal of neurotrauma
Volume37
Issue number22
DOIs
StatePublished - Nov 15 2020
Externally publishedYes

Keywords

  • animal models
  • clinical studies
  • intracranial pressure
  • traumatic brain injury

ASJC Scopus subject areas

  • Clinical Neurology

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