Central nervous system trauma.
Abstract: Traumatic injury to the central nervous system causes immediate damage and sets in motion a complex series of pathophysiologic events that result in further neuronal injury. This secondary damage seems to be related to changes in blood flow and pressure on a systemic, regional, and microvascular level. Currently, there is evidence that these changes are, in part, mediated by endogenous opioids and arachidonic acid metabolites, namely thromboxane A2. Medical management is generally designed to intervene at one or more stages in this secondary cascade of events. Further research should lead us to better understanding of the mechanisms involved in trauma to the central nervous system and, subsequently, more specific and effective treatments.
Publication Date: 1987-08-01 PubMed ID: 3497697DOI: 10.1016/s0749-0739(17)30679-xGoogle Scholar: Lookup
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- Journal Article
Summary
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This research article investigates the effects of traumatic injury to the central nervous system; it reveals that a complex set of events takes place following initial injury, which causes further neuronal damage. The present evidence suggests endogenous opioids and arachidonic acid metabolites play a role in this process. Future research aims to understand these mechanisms better, paving the way for more particular and effective treatments.
The Impact of Traumatic Injury to the Central Nervous System
- Traumatic injury to the central nervous system (CNS) initially results in immediate damage. However, the subsequent complex series of pathophysiological events that occur lead to further neuronal injury. This secondary injury is as a consequence of the change in systemic, regional, and microvascular blood flow and pressure.
Endogenous Opioids and Arachidonic Acid Metabolites Role
- Evidence suggests that the changes in blood pressure and flow following the CNS trauma are partly mediated by endogenous opioids and arachidonic acid metabolites, specifically thromboxane A2. These biological substances are internally produced and can affect neuronal health and stability, contributing to the CNS trauma’s damaging effects.
Medical Management of Central Nervous System Trauma
- The current medical practices for managing CNS trauma aim to intervene at one or more points in the pathophysiological processes resulting in secondary injury. By targeting these key stages, health professionals can potentially limit the damage and promote recovery.
Future Research Directions
- This study emphasises the need for further research to fully understand the mechanisms involved in central nervous system trauma. Having a comprehensive understanding could enable the development of more specific and effective treatments, improving patient outcomes substantially and potentially providing a advancement in this area of medical science.
Cite This Article
APA
Stewart RH.
(1987).
Central nervous system trauma.
Vet Clin North Am Equine Pract, 3(2), 371-377.
https://doi.org/10.1016/s0749-0739(17)30679-x Publication
Researcher Affiliations
MeSH Terms
- Animals
- Brain Injuries / physiopathology
- Brain Injuries / veterinary
- Horses
- Spinal Cord Injuries / physiopathology
- Spinal Cord Injuries / veterinary
Citations
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