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Beyond the Hit: The Hidden Costs of Repetitive Head Trauma.
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.1177/26331055251316315
Sikandar Khan, Lora Talley

Repetitive head trauma in sports, particularly concussions, has been strongly associated with neurocognitive impairments, including depression, chronic traumatic encephalopathy (CTE), and altered brain function. These injuries can have significant consequences on major cognitive processes, such as learning and memory. This review synthesizes research that examines the effects of sports-related head trauma, particularly in football, on cognitive functioning. Post-mortem analyses of players across all positions have revealed neuropathological evidence of CTE, including a distinct reduction in hippocampal volume. Notably, episodic memory, a component of declarative memory, is frequently compromised in individuals with CTE. Furthermore, deficits in working memory may contribute to decreased performance during play. Early detection of head trauma and implementation of preventive strategies are crucial for mitigating long-term consequences. While impact-reducing techniques have shown some efficacy in decreasing brain injury incidence, proper tackling techniques, such as "heads-up play," also play a vital role in minimizing risk. Further research and increased awareness are needed to ensure athletes are fully informed of the potential cognitive risks associated with participation in high-impact sports.

运动中的重复性头部创伤,尤其是脑震荡,与神经认知障碍密切相关,包括抑郁症、慢性创伤性脑病(CTE)和脑功能改变。这些损伤会对学习和记忆等主要认知过程产生重大影响。本综述综合了与运动相关的头部创伤(尤其是足球运动中的头部创伤)对认知功能影响的研究。对所有位置的球员进行的死后分析表明了 CTE 的神经病理学证据,包括海马体体积的明显缩小。值得注意的是,在 CTE 患者中,作为陈述性记忆组成部分的外显记忆经常受到损害。此外,工作记忆的缺陷可能会导致比赛中表现下降。早期发现头部创伤并实施预防策略对于减轻长期后果至关重要。虽然减少撞击的技术在降低脑损伤发生率方面已显示出一定的效果,但正确的对抗技术(如 "抬头对抗")在最大限度地降低风险方面也发挥着至关重要的作用。为了确保运动员充分了解与参与高冲击运动相关的潜在认知风险,我们需要开展进一步的研究并提高意识。
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引用次数: 0
From Pregnancy to Postpartum: The Dynamic Reorganization of the Maternal Brain. 从怀孕到产后:母亲大脑的动态重组。
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2025-01-19 eCollection Date: 2025-01-01 DOI: 10.1177/26331055251315488
Natalia Chechko, Susanne Nehls

The postpartum period is marked by radical changes in the maternal brain. Seeking to explore the mechanisms that underlie these changes, this article focuses on the relevant hormonal, inflammatory, and behavioral factors. Longitudinal imaging studies have shed valuable light on both short- and long-term alterations in postpartum brain structure and connectivity, particularly in the regions that play key roles in emotion regulation and stress response. It is plausible that these peripartum changes contribute to the mental health challenges new mothers face, including postpartum depression. Adding to our understanding of postpartum neurobiology, this insight highlights the importance of personalized intervention in the promotion of maternal well-being.

产后时期的特点是母亲的大脑发生了根本性的变化。为了探索这些变化背后的机制,本文着重于相关的激素、炎症和行为因素。纵向成像研究揭示了产后大脑结构和连通性的短期和长期变化,特别是在情绪调节和应激反应中起关键作用的区域。这些围产期变化可能会导致新妈妈面临心理健康挑战,包括产后抑郁症。增加了我们对产后神经生物学的理解,这一见解强调了个性化干预在促进孕产妇健康方面的重要性。
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引用次数: 0
A Commentary on Mitochondrial Dysfunction and Compromised DNA Repair in Neurodegeneration: The Emerging Role of FUS in ALS. 关于神经退行性疾病中线粒体功能障碍和DNA修复受损的评论:FUS在ALS中的新作用。
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2024-12-14 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241305151
Manohar Kodavati, Muralidhar L Hegde

Mitochondrial dysfunction plays a pivotal role in the progression of neurodegenerative diseases such as amyotrophic lateral sclerosis (ALS), Alzheimer's, and Parkinson's disease. Recent discoveries have highlighted the involvement of DNA damage and repair processes, particularly mitochondrial DNA (mtDNA) damage, in these conditions. This commentary reflects on our recent findings, demonstrating the RNA/DNA binding protein fused in sarcoma (FUS)'s crucial role in maintaining mtDNA integrity through interactions with mitochondrial DNA ligase IIIα (mtLig3). Our studies provide direct evidence of increased mtDNA damage in ALS-linked FUS mutant cells, emphasizing the potential of targeting DNA repair pathways to mitigate neurodegeneration. Furthermore, the restoration of mitochondrial function through targeted expression of human DNA ligase 1 (Lig1) in FUS mutant models showcases the therapeutic promise of DNA repair mechanisms in neurodegenerative diseases. These insights offer new molecular understanding and open up future avenues for therapeutic interventions, particularly in FUS-associated ALS and related disorders.

线粒体功能障碍在肌萎缩性侧索硬化症(ALS)、阿尔茨海默病和帕金森病等神经退行性疾病的进展中起着关键作用。最近的发现强调了DNA损伤和修复过程的参与,特别是线粒体DNA (mtDNA)损伤,在这些条件下。这篇评论反映了我们最近的发现,证明了肉瘤中融合的RNA/DNA结合蛋白(FUS)通过与线粒体DNA连接酶IIIα (mtLig3)的相互作用在维持mtDNA完整性方面的关键作用。我们的研究提供了als相关的FUS突变细胞中mtDNA损伤增加的直接证据,强调了靶向DNA修复途径以减轻神经退行性变的潜力。此外,通过在FUS突变模型中靶向表达人DNA连接酶1 (Lig1)来恢复线粒体功能,显示了DNA修复机制在神经退行性疾病中的治疗前景。这些见解提供了新的分子理解,并为治疗干预开辟了未来的途径,特别是在fus相关的ALS和相关疾病中。
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引用次数: 0
The Neuronal Hypofunction of Subdivisions of the Prefrontal Cortex Shows Differential Effects on Contingency Judgment Learning to Gauge Fear Responses. 前额叶皮层分支神经元功能减退对意外判断学习的差异影响。
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2024-12-08 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241305378
Tyler W Bailey, John H Speigel, Johannes Mayer, Edward Korzus

Previous studies have indicated that the infralimbic (IL) and prelimbic (PL) subdivisions of the medial prefrontal cortex (mPFC) serve as critical modulators of fear suppression and expression. Although significant research has been conducted on the extinction of conditioned fear, the mechanisms underlying contextual fear discrimination learning, a form of contingency judgment learning, remain inadequately understood. Our investigation aimed to explore the influence of epigenetic regulation associated with cyclic AMP-response element binding protein (CREB)-dependent long-term memory encoding within the IL and PL on contextual fear discrimination. Our prior and current findings illustrate that epigenetic hypofunction induced by a CREB-Binding Protein (CBP) mutant, which is deficient in histone acetyltransferase activity (CBPΔHAT), within the mPFC leads to compromised contextual fear discrimination while not affecting contextual fear conditioning in these mutants. Unexpectedly, the effect was not noticeable when the hypofunction was constrained to the infralimbic (IL) area; however, the hypofunction of the prelimbic (PL) network led to considerable impairment in fear discrimination. The findings indicate that learning fear discrimination involves differential encoding across the specialized networks of the mPFC. These data suggest that the IL network is not essential for encoding during the acquisition and discrimination of fear or that the PL network may compensate for the IL's inability to encode new information. Furthermore, these results emphasize the importance of histone acetylation in the mPFC as a crucial physiological mechanism for learning contingency judgment.

先前的研究表明,内侧前额叶皮层(mPFC)的边缘下(IL)和边缘前(PL)分支在恐惧抑制和表达中起着重要的调节作用。尽管对条件性恐惧的消除已经进行了大量的研究,但作为偶然性判断学习的一种形式,情境恐惧歧视学习的机制仍未得到充分的理解。本研究旨在探讨IL和PL中与环amp反应元件结合蛋白(CREB)依赖的长期记忆编码相关的表观遗传调控对情境恐惧歧视的影响。我们之前和目前的研究结果表明,mPFC中creb结合蛋白(CBP)突变体(缺乏组蛋白乙酰转移酶活性)诱导的表观遗传功能低下导致情境恐惧歧视受损,而不影响这些突变体的情境恐惧条件反射。出乎意料的是,当功能障碍局限于边缘下(IL)区域时,效果并不明显;然而,前边缘(PL)网络的功能障碍导致了相当大的恐惧辨别障碍。研究结果表明,学习恐惧辨别涉及到跨mPFC专门网络的差异编码。这些数据表明,在恐惧的获取和辨别过程中,IL网络对编码并不是必不可少的,或者PL网络可能弥补了IL无法编码新信息的缺陷。此外,这些结果强调了组蛋白乙酰化在mPFC中作为学习偶然性判断的重要生理机制的重要性。
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引用次数: 0
Visual Evoked Potential Effects on Magnocellular and Parvocellular Pathways from Athletes After Mild Traumatic Brain Injuries. 视觉诱发电位对轻度颅脑损伤运动员大细胞和旁细胞通路的影响。
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2024-11-27 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241303165
Mark H Myers, Nidhish Kalyanakumar, Paul Harris

Background: The objective of this study is to examine magnocellular and parvocellular pathways differentiation based on checkerboard spatial frequency stimulation between normal and visually impaired individuals from athletes with mild traumatic brain injury.

Purpose: Athletes who exhibited photophobia, and blurriness were subjected to 5 spatial frequency stimuli presented to the left and right eye, and both eyes simultaneously to determine the type of receptive field loss deprecation based on sports-related brain trauma.

Methods: Checkerboard stimulation enables the measurement between 2 visual processing pathways and enables the determination of the integrity of visual processing through visual evoked potentials (VEPs).

Conclusion: The principal results reflect P1 responses demonstrated distinct changes in amplitude from mTBI (>5 µV) from normal cohorts concluding higher P1 amplitude of the VEP in mTBI cohorts had increased after injury. Latency in P1 was not as distinct as amplitude changes. Our major conclusion is that most of the mTBI cohort exhibited receptive field loss across all the patients appears to be magnocellular process deprecation due to frequent instances of 8 × 8 and 16 × 16 spatial frequencies input as it relates to amplitude and latency output.

背景:本研究的目的是研究基于棋盘格空间频率刺激的正常人和视力受损的轻度创伤性脑损伤运动员的大细胞和细小细胞通路分化。目的:对表现出畏光和视力模糊的运动员进行5种空间频率刺激,同时对左右眼和双眼进行刺激,以确定基于运动相关脑损伤的感受野损失衰减类型。方法:棋盘刺激可测量2条视觉加工通路,并通过视觉诱发电位(vep)测定视觉加工的完整性。结论:主要结果表明,与正常队列相比,mTBI(>5µV)组的P1反应表现出明显的振幅变化,表明mTBI组VEP的高P1振幅在损伤后增加。P1的潜伏期不像振幅变化那么明显。我们的主要结论是,大多数mTBI患者在所有患者中都表现出接受野丧失,这似乎是由于8 × 8和16 × 16空间频率输入的频繁情况导致的大细胞过程衰减,因为它与振幅和潜伏期输出有关。
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引用次数: 0
The 3D Genome in Brain Development: An Exploration of Molecular Mechanisms and Experimental Methods. 大脑发育中的 3D 基因组:分子机理和实验方法的探索。
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241293455
Samir Rahman, Panos Roussos

The human brain contains multiple cell types that are spatially organized into functionally distinct regions. The proper development of the brain requires complex gene regulation mechanisms in both neurons and the non-neuronal cell types that support neuronal function. Studies across the last decade have discovered that the 3D nuclear organization of the genome is instrumental in the regulation of gene expression in the diverse cell types of the brain. In this review, we describe the fundamental biochemical mechanisms that regulate the 3D genome, and comprehensively describe in vitro and ex vivo studies on mouse and human brain development that have characterized the roles of the 3D genome in gene regulation. We highlight the significance of the 3D genome in linking distal enhancers to their target promoters, which provides insights on the etiology of psychiatric and neurological disorders, as the genetic variants associated with these disorders are primarily located in noncoding regulatory regions. We also describe the molecular mechanisms that regulate chromatin folding and gene expression in neurons. Furthermore, we describe studies with an evolutionary perspective, which have investigated features that are conserved from mice to human, as well as human gained 3D chromatin features. Although most of the insights on disease and molecular mechanisms have been obtained from bulk 3C based experiments, we also highlight other approaches that have been developed recently, such as single cell 3C approaches, as well as non-3C based approaches. In our future perspectives, we highlight the gaps in our current knowledge and emphasize the need for 3D genome engineering and live cell imaging approaches to elucidate mechanisms and temporal dynamics of chromatin interactions, respectively.

人脑包含多种细胞类型,它们在空间上被组织成功能不同的区域。大脑的正常发育需要神经元和支持神经元功能的非神经元细胞类型中复杂的基因调控机制。过去十年的研究发现,基因组的三维核组织有助于调控大脑不同细胞类型的基因表达。在这篇综述中,我们描述了调控三维基因组的基本生化机制,并全面描述了有关小鼠和人类大脑发育的体外和体内研究,这些研究揭示了三维基因组在基因调控中的作用。我们强调了三维基因组在连接远端增强子和目标启动子方面的重要作用,这为精神和神经疾病的病因学提供了启示,因为与这些疾病相关的基因变异主要位于非编码调控区。我们还描述了调控神经元染色质折叠和基因表达的分子机制。此外,我们还介绍了从进化角度进行的研究,这些研究调查了从小鼠到人类的保守特征,以及人类获得的三维染色质特征。尽管有关疾病和分子机制的大部分见解都是从基于 3C 的大量实验中获得的,但我们也重点介绍了最近开发的其他方法,如单细胞 3C 方法和非 3C 方法。在对未来的展望中,我们强调了目前知识中的空白,并强调需要三维基因组工程和活细胞成像方法来分别阐明染色质相互作用的机制和时间动态。
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引用次数: 0
Ischemic Stroke: Pathophysiology and Evolving Treatment Approaches. 缺血性中风:病理生理学和不断发展的治疗方法。
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241292600
Dhriti Majumder

Stroke remains a leading cause of mortality and disability, with ischemic stroke being the most common type. It occurs due to reduced cerebral blood flow, leading to a cascade of events initiated by oxygen and nutrient deprivation, triggering excitotoxicity, oxidative stress, and inflammation and finally culminating in neuronal injury and death. Key molecular players in ischemic stroke include glutamate receptors, acid-sensing ion channels, and purinergic receptors, exacerbating cellular damage through calcium influx, oxidative stress, and mitochondrial dysfunction. Understanding these mechanisms has shaped therapeutic strategies, such as neuroprotective agents and stem cell therapies. Current treatments such as tissue plasminogen activator (tPA) emphasize timely intervention, yet challenges persist in patient-specific variability and accessibility. This review provides an overview of ischemic stroke pathophysiology, emphasizing cellular responses to ischemia and current and future therapeutic approaches including stem cell therapies aimed at mitigating stroke-induced disabilities and improving long-term outcomes.

中风仍然是导致死亡和残疾的主要原因,其中缺血性中风是最常见的类型。缺血性中风的发生是由于脑血流量减少,导致氧气和营养物质匮乏,引发兴奋性毒性、氧化应激和炎症,最终导致神经元损伤和死亡。缺血性中风的主要分子角色包括谷氨酸受体、酸感应离子通道和嘌呤能受体,它们通过钙离子流入、氧化应激和线粒体功能障碍加剧细胞损伤。对这些机制的了解形成了治疗策略,如神经保护剂和干细胞疗法。组织纤溶酶原激活剂(tPA)等当前的治疗方法强调及时干预,但在患者特异性和可及性方面仍存在挑战。本综述概述了缺血性中风的病理生理学,强调了细胞对缺血的反应以及当前和未来的治疗方法,包括旨在减轻中风引起的残疾和改善长期预后的干细胞疗法。
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引用次数: 0
Increased Resting-State BOLD Turnover (TBOLD) is Associated With Decreased Cognitive Performance During Aging. 静息态 BOLD 转化(TBOLD)的增加与衰老过程中认知能力的下降有关。
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241292592
Lisa M James, Peka Christova, Apostolos P Georgopoulos

Increasing evidence documents turnover of the resting-state blood-oxygen-level dependent signal (TBOLD) as a key measure of local cortical brain status. Here we evaluated contemporaneous and lagged associations between TBOLD and cognitive function in 711 participants in the Human Connectome Project on Aging (HCP-A; 316 males and 395 females, age range 36-90 years). We found that TBOLD was negatively associated with Montreal Cognitive Assessment (MoCA) Total scores and with performance on 2 subscales, Delayed Recall and Visuospatial/Executive Function, controlling for sex, age, and handedness. This negative association was largely documented across brain areas and was significantly stronger in the left hemisphere compared to the right. In addition, analyses evaluating forward lagged crosscorrelations between TBOLD and cognitive performance demonstrated that TBOLD predicted decrements in future performance on MoCA Total score, Delayed Recall, and Visuospatial/Executive Function subscales, controlling for sex and handedness. Taken together, we found that increased TBOLD is associated with decreased cognitive performance contemporaneously and in the future. On the hypothesis that increased TBOLD is the outcome of neuroinflammatory processes, these findings provide a mechanism linking neuroinflammation with decreased cognitive performance.

越来越多的证据表明,静息态血氧浓度依赖信号(TBOLD)的变化是衡量大脑皮层局部状态的关键指标。在此,我们评估了人类衰老连接组项目(HCP-A,男性 316 人,女性 395 人,年龄范围为 36-90 岁)中 711 名参与者的 TBOLD 与认知功能之间的同期和滞后关联。我们发现,TBOLD 与蒙特利尔认知评估(MoCA)的总分以及延迟回忆和视觉空间/执行功能这两个分量表的表现呈负相关,但与性别、年龄和手型有关。这种负相关在很大程度上体现在各个脑区,而且左半球的负相关明显强于右半球。此外,对 TBOLD 和认知表现之间的前向滞后交叉相关性进行的分析表明,在控制性别和手性的情况下,TBOLD 预测了未来在 MoCA 总分、延迟回忆和视觉空间/执行功能子量表上表现的下降。综上所述,我们发现 TBOLD 的增加与当时和未来认知能力的下降有关。假设TBOLD增加是神经炎症过程的结果,这些发现提供了神经炎症与认知能力下降之间的联系机制。
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引用次数: 0
Cerebral Proteomic Changes in the rTg-D Rat Model of Cerebral Amyloid Angiopathy Type-2 With Cortical Microhemorrhages and Cognitive Impairments. 伴有皮质微出血和认知障碍的 2 型脑淀粉样血管病 rTg-D 大鼠模型的脑蛋白质组变化
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241288172
Joseph M Schrader, Mark Majchrzak, Feng Xu, Hedok Lee, Kevin Agostinucci, Judianne Davis, Helene Benveniste, William E Van Nostrand

Cerebral amyloid angiopathy (CAA) is a common disorder of the elderly, a prominent comorbidity of Alzheimer's disease, and causes vascular cognitive impairment and dementia. Previously, we generated a novel transgenic rat model (rTg-D) that produces human familial CAA Dutch E22Q mutant amyloid β-protein (Aβ) in brain and develops arteriolar CAA type-2. Here, we show that deposition of fibrillar Aβ promotes arteriolar smooth muscle cell loss and cerebral microhemorrhages that can be detected by magnetic resonance imaging and confirmed by histopathology. Aged rTg-D rats also present with cognitive deficits. Cerebral proteomic analyses revealed 241 proteins that were significantly elevated with an increase of >50% in rTg-D rats presenting with CAA compared to wild-type rats. Fewer proteins were significantly decreased in rTg-D rats. Of note, high temperature requirement peptidase A (HTRA1), a proteinase linked to transforming growth factor beta 1 (TGF-β1) signaling, was elevated and found to accumulate in cerebral vessels harboring amyloid deposits. Pathway analysis indicated elevation of the TGF-β1 pathway and increased TGF-β1 levels were detected in rTg-D rats. In conclusion, the present findings provide new molecular insights into the pathogenesis of CAA and suggest a role for interactions between HTRA1 and TGF-β1 in the disease process.

脑淀粉样血管病(CAA)是一种常见的老年性疾病,也是阿尔茨海默病的主要并发症,会导致血管性认知障碍和痴呆。此前,我们生成了一种新型转基因大鼠模型(rTg-D),它能在大脑中产生人类家族性 CAA Dutch E22Q 突变的淀粉样β蛋白(Aβ),并发展成动脉 CAA 2 型。在这里,我们发现纤维状 Aβ 的沉积促进了动脉平滑肌细胞的损失和脑微小出血,这些都可以通过磁共振成像检测到,并通过组织病理学证实。老年 rTg-D 大鼠也会出现认知障碍。脑蛋白质组分析显示,与野生型大鼠相比,患有 CAA 的 rTg-D 大鼠有 241 种蛋白质显著升高,升高幅度大于 50%。rTg-D大鼠中显著降低的蛋白质较少。值得注意的是,与转化生长因子β1(TGF-β1)信号传导有关的蛋白酶--高温要求肽酶 A(HTRA1)升高,并发现它在淀粉样沉积的脑血管中聚集。通路分析表明 TGF-β1 通路升高,并且在 rTg-D 大鼠中检测到 TGF-β1 水平升高。总之,本研究结果为 CAA 的发病机制提供了新的分子见解,并提示了 HTRA1 和 TGF-β1 在疾病过程中的相互作用。
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引用次数: 0
Recent Updates on COVID-19 Associated Strokes. COVID-19 相关脑卒中的最新进展。
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241287730
Colton Betts, Zane Ahlfinger, Mercy C Udeh, Batool F Kirmani

The SARS-CoV-2 virus is primarily a respiratory virus, but, as it spread worldwide, it became apparent that there are multiple extrapulmonary manifestations. Reports arose of young and otherwise healthy patients presenting to emergency departments with large-vessel occlusions. Because of a rapidly evolving pandemic, conflicting data sometimes arose regarding the impact of the pandemic on strokes. COVID-19 can induce a hypercoagulable and a proinflammatory state through the interactions with the ACE-2 receptor. These mechanisms may lead to the strokes, both ischemic and hemorrhagic, that are seen in this infection. Strokes, in conjunction with COVID-19 infection, tended to be more disabling and portended a higher mortality. Treatment of these strokes was challenging, as emergency departments were strained with the high burden of COVID-19 admissions. Finally, vaccines against COVID-19 were widely administered, and their potential to cause stroke as an adverse event are discussed. This article will provide an in depth review of the recent updates about the incidence, epidemiology, pathophysiology, clinical presentation and treatment of strokes that are associated with COVID-19.

SARS-CoV-2 病毒主要是一种呼吸道病毒,但随着它在全球的传播,人们发现它有多种肺外表现。有报告称,年轻而健康的患者在急诊科就诊时出现大血管闭塞。由于疫情发展迅速,关于疫情对中风的影响,有时会出现相互矛盾的数据。COVID-19 可通过与 ACE-2 受体的相互作用诱发高凝状态和促炎状态。这些机制可能会导致在这种感染中出现缺血性和出血性脑卒中。中风与 COVID-19 感染同时发生时,致残率往往更高,死亡率也更高。这些中风的治疗极具挑战性,因为急诊科因 COVID-19 入院人数众多而十分紧张。最后,COVID-19 疫苗被广泛使用,本文讨论了其作为不良事件导致中风的可能性。本文将深入回顾 COVID-19 相关脑卒中的发病率、流行病学、病理生理学、临床表现和治疗的最新进展。
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引用次数: 0
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