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A Neurosphere Assay to Evaluate Endogenous Neural Stem Cell Activation in a Mouse Model of Minimal Spinal Cord Injury
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Published on: September 13, 2018

Perioperative neuroprotection.

Klaus Ulrich Klein1, Kristin Engelhard

  • 1Department of Anaesthesiology, University Medical Center of the Johannes Gutenberg-University, Langenbeckstr. 1, 55131 Mainz, Germany. kuklein@uni-mainz.de

Best Practice & Research. Clinical Anaesthesiology
|May 31, 2011
PubMed
Summary
This summary is machine-generated.

Cerebral injuries harm the brain by limiting oxygen and glucose. While many neuroprotective agents show promise in animals, human trials often fail due to complex injury mechanisms and timing issues.

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Last Updated: Jun 1, 2026

A Neurosphere Assay to Evaluate Endogenous Neural Stem Cell Activation in a Mouse Model of Minimal Spinal Cord Injury
09:08

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Published on: September 13, 2018

Remote Limb Ischemic Preconditioning: A Neuroprotective Technique in Rodents
07:52

Remote Limb Ischemic Preconditioning: A Neuroprotective Technique in Rodents

Published on: June 2, 2015

Area of Science:

  • Neuroscience
  • Cerebral Physiology
  • Neuroprotection

Background:

  • Cerebral injuries, including stroke and trauma, result in inadequate oxygen and glucose supply, initiating neuronal death.
  • Numerous neuroprotective agents have been explored, yet few have proven effective in human clinical trials despite success in animal models.

Purpose of the Study:

  • To review essential physiological mechanisms for maintaining adequate brain oxygen and glucose supply.
  • To examine the influence of potential neuroprotective strategies and agents in the perioperative setting.

Main Methods:

  • Review of existing literature on cerebral physiology and homeostasis.
  • Analysis of neuroprotective strategies investigated for cerebral ischemia.
  • Focus on perioperative applications and clinical trial outcomes.

Main Results:

  • Failure of many pharmacological approaches in human trials suggests multiple injury mechanisms and critical timing.
  • Understanding cerebral physiology and homeostasis is crucial for effective neuroprotection.
  • Multiple mechanisms of injury likely necessitate multiple mechanisms of neuroprotection.

Conclusions:

  • Effective neuroprotection requires a deep understanding of brain physiology and the complex, multifactorial nature of ischemic injury.
  • Future strategies may need to target multiple pathways and consider precise timing for optimal outcomes in perioperative settings.