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Related Concept Videos

Amyloid Fibrils03:03

Amyloid Fibrils

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Amyloid fibrils are aggregates of misfolded proteins.  Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils. 
Amyloid deposits were observed as early as 1639 in the liver and the spleen.   In 1854, Rudolph Virchow performed iodine staining,...
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Characterizing Salmonella Typhimurium-induced Septic Peritonitis in Mice
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Characterizing Salmonella Typhimurium-induced Septic Peritonitis in Mice

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Septic Encephalopathy.

Chiara Robba1,2, Ilaria Alice Crippa2,3, Fabio Silvio Taccone4,5

  • 1Anaesthesia and Intensive Care, IRCCS for Oncology, San Martino Policlinico Hospital, Genova, Italy.

Current Neurology and Neuroscience Reports
|October 4, 2018
PubMed
Summary
This summary is machine-generated.

Diagnosing septic encephalopathy is challenging due to non-specific symptoms, especially in sedated patients. Current management focuses on infection treatment, lacking targeted therapies for brain protection.

Keywords:
Cognitive dysfunctionEncephalopathyOutcomeSepsis

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Area of Science:

  • Neuroscience
  • Critical Care Medicine
  • Pathophysiology

Background:

  • Septic encephalopathy is a frequent complication in sepsis, presenting with varied neurological symptoms from confusion to coma.
  • Its diagnosis is complicated by the absence of specific clinical or non-clinical markers, particularly in sedated patients.
  • Pathophysiology involves neurodegenerative and neurovascular injury, leading to potential long-term neurological deficits in survivors.

Purpose of the Study:

  • To review the diagnostic strategies for septic encephalopathy.
  • To highlight the necessity for specialized neuro-monitoring in septic patients.
  • To explore future therapeutic avenues for mitigating brain damage.

Main Methods:

  • Review of experimental studies on septic encephalopathy pathophysiology.
  • Analysis of clinical presentations and diagnostic challenges.
  • Discussion of current and potential therapeutic interventions.

Main Results:

  • Septic encephalopathy pathogenesis involves a combination of neurodegeneration and neurovascular injury.
  • Clinical diagnosis is hampered by non-specific signs and unreliability of neurological exams in sedated patients.
  • No specific prophylactic or targeted therapies exist; management is limited to treating the primary infection.

Conclusions:

  • Effective diagnosis requires a comprehensive approach, considering the limitations in current assessment methods.
  • Development of specific neuro-monitoring tools is crucial for early detection and management.
  • Future research should focus on targeted therapies to prevent or reduce neurological damage in septic encephalopathy.