The Secondary Insults After Ich: From Mechanisms to Clinical Translation - Softcover

 
9781634856423: The Secondary Insults After Ich: From Mechanisms to Clinical Translation

Synopsis

The Secondary Insults after From Mechanisms to Clinical Translation mainly describes the clinical signs and biomarkers of the secondary insults following ICH. The recommendations for prevention and treatments of the targeted biomarkers and available clinical approaches are provided. This book is for professional experts and students of neurology and neurosurgery. This work is divided into three chapters. In Chapter One, the mechanisms of secondary brain insults after ICH are discussed and key aspects associated with the oxidative stress and inflammation resulted from hematoma toxicity are outlined. Afterwards, the corresponding interventions are introduced. In Chapter Two, available information of hematoma expansion from clinical signs to molecular mechanisms are provided, and potential intervention strategies are discussed. Accumulating evidence suggests that multiple clinical markers such as coagulation/hemostasis dysfunction, higher blood pressure and BRAIN scores, higher serum glucose and/or glycosylated hemoglobin A1c, serum creatinine, Factor XIII and international normalized ratio (INR), lower serum cholesterol or LDL cholesterol, and fibrinogen may correlate with incidents of hematoma expansion. Furthermore, activation of several molecular pathways may lead to hematoma expansion. In Chapter Three, the endogenous hematoma scavenging system and potential intervention strategies to facilitate hematoma resolution are discussed. Endogenous garbage cleaning systems play important roles in the regulation of hematoma resolution in ICH. The authors try to illustrate how the endogenous garbage-cleaning system or scavenger receptors system in the brain work together to remove blood from the brain and reduce secondary brain insults, and presents potential clinically relevant molecular targets that could be harnessed to speed up this process via the endogenous phagocytosis. Meanwhile, guidelines of recommendations for clinical management of ICH are provided.

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