慢性创伤性脑病的新前沿:早期诊断及对神经治疗干预的影响。

IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Expert Review of Neurotherapeutics Pub Date : 2024-10-01 Epub Date: 2024-08-08 DOI:10.1080/14737175.2024.2385952
William Blanks, Marcus Hanshaw, Daniela A Perez-Chadid, Brandon Lucke-Wold
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引用次数: 0

摘要

导言:慢性创伤性脑病(CTE)是一种与重复性头部创伤有关的神经退行性疾病。一直以来,诊断主要依靠临床,这阻碍了明确的早期诊断和积极的干预:作者通过研究生物标志物、成像和临床决策工具,分析了 CTE 早期诊断的最新进展。他们讨论了通过血液采样和脑密度扫描等新技术识别神经病理(如 tau 聚合体)的方法。读者在阅读后将对当前早期检测的进展有更深入的了解,并在临床实践中更好地处理继发于创伤的脑病:在了解 CTE 的病理生理学方面取得了巨大进步。尽管取得了这些进展,但 CTE 的治疗仍主要是对症治疗,而非潜在疾病的治疗。未来的研究应侧重于将目前对 CTE 病理生理学的理解与治疗方法相结合。
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Emerging frontiers in Chronic Traumatic Encephalopathy: early diagnosis and implications for neurotherapeutic interventions.

Introduction: Chronic Traumatic Encephalopathy (CTE) is a neurodegenerative disorder associated with repetitive head trauma. Historically, the diagnosis has been primarily clinical, which has hindered definitive early diagnosis and proactive intervention.

Areas covered: The authors analyze the recent advancements in early diagnosis of CTE by examining biomarkers, imaging, and clinical decision tools. They discuss the identification of neuropathologies - such as tau aggregates - through novel techniques ranging from blood sampling and to brain density scanning. The reader will walk away with a better understanding of current advancements in early detection and be better equipped to deal with encephalopathies secondary to trauma in clinical practice.

Expert opinion: Tremendous progress has been made in understanding the pathophysiology of CTE. Despite these advancements, CTE treatment is still primarily symptomatic rather than underlying disease. Future research should focus on integrating current understanding of CTE pathophysiology with treatment modalities.

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来源期刊
Expert Review of Neurotherapeutics
Expert Review of Neurotherapeutics Medicine-Neurology (clinical)
CiteScore
7.00
自引率
2.30%
发文量
61
审稿时长
4-8 weeks
期刊介绍: Expert Review of Neurotherapeutics (ISSN 1473-7175) provides expert reviews on the use of drugs and medicines in clinical neurology and neuropsychiatry. Coverage includes disease management, new medicines and drugs in neurology, therapeutic indications, diagnostics, medical treatment guidelines and neurological diseases such as stroke, epilepsy, Alzheimer''s and Parkinson''s. Comprehensive coverage in each review is complemented by the unique Expert Review format and includes the following sections: Expert Opinion - a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points
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