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Murine Model of Controlled Cortical Impact for the Induction of Traumatic Brain Injury
Published on: August 16, 2019
Quo vadis 2010? - carpe diem: challenges and opportunities in pediatric traumatic brain injury
Patrick M Kochanek1, Michael J Bell, Hülya Bayır
1Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pa., USA. kochanekpm@ccm.upmc.edu
Insights
Pediatric traumatic brain injury (TBI) research is advancing through new imaging, biomarkers, therapies, and neurocritical care. This review highlights key areas to improve diagnosis, treatment, and outcomes for children with TBI.
Area of Science:
- Neuroscience
- Pediatric Medicine
- Public Health
Background:
- Traumatic brain injury (TBI) in children is a significant public health issue with complex challenges in diagnosis, treatment, and prognosis.
- Pediatric TBI research is ongoing through experimental models and clinical studies.
Purpose of the Study:
- To review active research areas in pediatric TBI, building on prior work.
- To address advancements in imaging, biomarkers, neuromonitoring, therapies, modeling, classification, and neurocritical care for pediatric TBI.
Main Methods:
- Review of current investigative efforts in pediatric TBI.
- Synthesis of findings from experimental and clinical studies.
- Focus on novel approaches and emerging areas of research.
Main Results:
- Novel imaging methods are being applied to pediatric TBI.
- Serum and cerebrospinal fluid (CSF) biomarkers show promise for injury detection.
- Advances in neuromonitoring, novel therapies, and TBI modeling are under development.
- New approaches to classifying pediatric TBI are being considered.
- The impact of pediatric and neonatal neurocritical care services on TBI management and outcomes is being assessed.
Conclusions:
- Continued research in these key areas is crucial for improving the understanding and management of pediatric TBI.
- Integration of novel diagnostic and therapeutic strategies holds potential for better patient outcomes.
- The development of specialized neurocritical care services is vital for optimizing the care of critically injured children.
Abstract:
Traumatic brain injury (TBI) in infants and children remains a public health problem of enormous magnitude. It is a complex and heterogeneous condition that presents many diagnostic, therapeutic and prognostic challenges. A number of investigative teams are studying pediatric TBI both in experimental models and in clinical studies at the bedside. This review builds on work presented in a prior supplement to Developmental Neuroscience that was published in 2006, and addresses several active areas of research on this topic, including (1) the application of novel imaging methods, (2) the use of serum and/or CSF biomarkers of injury, (3) advances in neuromonitoring, (4) the development and testing of novel therapies, (5) developments in modeling pediatric TBI, (6) the consideration of a new approach to classification of pediatric TBI, and (7) assessing the potential impact of the development of pediatric and neonatal neurocritical care services on the management and outcome of pediatric TBI.
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