• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

蛛网膜下腔出血:是时候转向新方向了吗?

Subarachnoid hemorrhage: is it time for a new direction?

作者信息

Cahill Julian, Zhang John H

机构信息

Division of Neurosurgery, Loma Linda University Medical Center, 11234 Anderson St, Room 2562B, Loma Linda, CA 92354, USA.

出版信息

Stroke. 2009 Mar;40(3 Suppl):S86-7. doi: 10.1161/STROKEAHA.108.533315. Epub 2008 Dec 8.

DOI:10.1161/STROKEAHA.108.533315
PMID:19064787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2743545/
Abstract

BACKGROUND AND PURPOSE

Despite recent advances in the treatment of patients after subarachnoid hemorrhage, morbidity and mortality rates have failed to improve significantly. Although this was often blamed on vasospasm, is it time to consider alternative etiologies? Summary of Review- Early brain injury (EBI) is a recently described term that describes the immediate injury to the brain after subarachnoid hemorrhage. A number of pathways have been recognized as having a role in the etiology of EBI. This review provides a brief synopsis of EBI and its implications for the future.

CONCLUSIONS

EBI may be responsible for the detrimental effects seen in patients after subarachnoid hemorrhage. Additional studies are needed to determine the pathophysiology of EBI and to explore potential therapeutic options.

摘要

背景与目的

尽管蛛网膜下腔出血患者的治疗近来取得了进展,但发病率和死亡率仍未显著改善。虽然这通常归咎于血管痉挛,但现在是否该考虑其他病因了呢?综述总结——早期脑损伤(EBI)是一个最近描述的术语,用于描述蛛网膜下腔出血后大脑立即受到的损伤。已认识到多种途径在EBI的病因中起作用。本综述简要概述了EBI及其对未来的影响。

结论

EBI可能是蛛网膜下腔出血患者出现有害影响的原因。需要进一步研究以确定EBI的病理生理学并探索潜在的治疗选择。

相似文献

1
Subarachnoid hemorrhage: is it time for a new direction?蛛网膜下腔出血:是时候转向新方向了吗?
Stroke. 2009 Mar;40(3 Suppl):S86-7. doi: 10.1161/STROKEAHA.108.533315. Epub 2008 Dec 8.
2
Subarachnoid hemorrhage and cerebral vasospasm - literature review.蛛网膜下腔出血与脑血管痉挛——文献综述
J Med Life. 2013 Jun 15;6(2):120-5. Epub 2013 Jun 25.
3
Early Brain Injury or Vasospasm? An Overview of Common Mechanisms.早期脑损伤还是血管痉挛?常见机制概述。
Curr Drug Targets. 2017;18(12):1424-1429. doi: 10.2174/1389450117666160905112923.
4
Early brain injury following aneurysmal subarachnoid hemorrhage: emphasis on cellular apoptosis.动脉瘤性蛛网膜下腔出血后的早期脑损伤:着重于细胞凋亡
Turk Neurosurg. 2012;22(5):529-33. doi: 10.5137/1019-5149.JTN.5731-12.1.
5
Endothelial Cell Dysfunction and Injury in Subarachnoid Hemorrhage.蛛网膜下腔出血中的血管内皮细胞功能障碍与损伤。
Mol Neurobiol. 2019 Mar;56(3):1992-2006. doi: 10.1007/s12035-018-1213-7. Epub 2018 Jul 7.
6
NLRP3 inhibition attenuates early brain injury and delayed cerebral vasospasm after subarachnoid hemorrhage.NLRP3 抑制减轻蛛网膜下腔出血后早期脑损伤和迟发性脑血管痉挛。
J Neuroinflammation. 2021 Jul 20;18(1):163. doi: 10.1186/s12974-021-02207-x.
7
Differential polarization and activation dynamics of systemic T helper cell subsets after aneurysmal subarachnoid hemorrhage (SAH) and during post-SAH complications.动脉瘤性蛛网膜下腔出血(SAH)后和 SAH 并发症期间系统性辅助性 T 细胞亚群的差异极化和激活动力学。
Sci Rep. 2021 Jul 9;11(1):14226. doi: 10.1038/s41598-021-92873-x.
8
What is early brain injury?什么是早期脑损伤?
Transl Stroke Res. 2015 Feb;6(1):1-3. doi: 10.1007/s12975-014-0380-8. Epub 2014 Dec 16.
9
The Updated Role of Oxidative Stress in Subarachnoid Hemorrhage.氧化应激在蛛网膜下腔出血中的最新作用
Curr Drug Deliv. 2017 Sep 6;14(6):832-842. doi: 10.2174/1567201813666161025115531.
10
Transition of research focus from vasospasm to early brain injury after subarachnoid hemorrhage.蛛网膜下腔出血后从血管痉挛到早期脑损伤的研究重点转变。
J Neurochem. 2012 Nov;123 Suppl 2:12-21. doi: 10.1111/j.1471-4159.2012.07939.x.

引用本文的文献

1
A modified surgical approach to induce circle Willis perforation in mice using the common carotid artery.一种改良的手术方法,通过颈总动脉在小鼠中诱导 Willis 环穿孔。
Sci Rep. 2025 Apr 21;15(1):13769. doi: 10.1038/s41598-025-97603-1.
2
NGR1 reduces neuronal apoptosis through regulation of ITGA11 following subarachnoid hemorrhage.NGR1通过调控蛛网膜下腔出血后的ITGA11来减少神经元凋亡。
Mol Med Rep. 2025 Mar;31(3). doi: 10.3892/mmr.2025.13432. Epub 2025 Jan 10.
3
Cilostazol Alleviates Delayed Cerebral Ischemia After Subarachnoid Hemorrhage by Attenuating Microcirculatory Dysfunction.

本文引用的文献

1
INTRACRANIAL ANEURYSM OF THE INTERNAL CAROTID ARTERY: CURED BY OPERATION.颈内动脉颅内动脉瘤:手术治愈
Ann Surg. 1938 May;107(5):654-9. doi: 10.1097/00000658-193805000-00003.
2
Calcium antagonists for aneurysmal subarachnoid haemorrhage.用于动脉瘤性蛛网膜下腔出血的钙拮抗剂。
Cochrane Database Syst Rev. 2007 Jul 18;2007(3):CD000277. doi: 10.1002/14651858.CD000277.pub3.
3
Cerebral vasospasm after subarachnoid hemorrhage: the emerging revolution.蛛网膜下腔出血后的脑血管痉挛:新的变革
西洛他唑通过减轻微循环功能障碍减轻蛛网膜下腔出血后的迟发性脑缺血。
Transl Stroke Res. 2024 Nov 20. doi: 10.1007/s12975-024-01308-y.
4
Complement Molecule C3a Exacerbates Early Brain Injury After Subarachnoid Hemorrhage by Inducing Neuroinflammation Through the C3aR-ERK-P2X7-NLRP3 Inflammasome Signaling Axis.补体分子C3a通过C3aR-ERK-P2X7-NLRP3炎性小体信号轴诱导神经炎症,加重蛛网膜下腔出血后的早期脑损伤。
Inflammation. 2024 Nov 11. doi: 10.1007/s10753-024-02155-7.
5
The role of ACSL4 in stroke: mechanisms and potential therapeutic target.ACSL4在中风中的作用:机制与潜在治疗靶点
Mol Cell Biochem. 2025 Apr;480(4):2223-2246. doi: 10.1007/s11010-024-05150-6. Epub 2024 Nov 4.
6
Mechanism and treatment of intracerebral hemorrhage focus on mitochondrial permeability transition pore.脑出血的机制与治疗聚焦于线粒体通透性转换孔。
Front Mol Neurosci. 2024 Jul 31;17:1423132. doi: 10.3389/fnmol.2024.1423132. eCollection 2024.
7
Oroxin A alleviates early brain injury after subarachnoid hemorrhage by regulating ferroptosis and neuroinflammation.脑啡肽 A 通过调节铁死亡和神经炎症缓解蛛网膜下腔出血后的早期脑损伤。
J Neuroinflammation. 2024 May 3;21(1):116. doi: 10.1186/s12974-024-03099-3.
8
Taurine ameliorates sensorimotor function by inhibiting apoptosis and activating A2 astrocytes in mice after subarachnoid hemorrhage.牛磺酸通过抑制蛛网膜下腔出血后小鼠的细胞凋亡并激活A2星形胶质细胞来改善感觉运动功能。
Amino Acids. 2024 Apr 14;56(1):31. doi: 10.1007/s00726-024-03387-5.
9
Cognitive outcomes following aneurysmal subarachnoid hemorrhage: Rehabilitation strategies.动脉瘤性蛛网膜下腔出血后的认知结果:康复策略。
World Neurosurg X. 2024 Feb 24;22:100341. doi: 10.1016/j.wnsx.2024.100341. eCollection 2024 Apr.
10
S100A9 aggravates early brain injury after subarachnoid hemorrhage via inducing neuroinflammation and inflammasome activation.S100A9通过诱导神经炎症和炎性小体激活加重蛛网膜下腔出血后的早期脑损伤。
iScience. 2024 Feb 9;27(3):109165. doi: 10.1016/j.isci.2024.109165. eCollection 2024 Mar 15.
Nat Clin Pract Neurol. 2007 May;3(5):256-63. doi: 10.1038/ncpneuro0490.
4
p53 may play an orchestrating role in apoptotic cell death after experimental subarachnoid hemorrhage.p53可能在实验性蛛网膜下腔出血后的凋亡性细胞死亡中发挥协调作用。
Neurosurgery. 2007 Mar;60(3):531-45; discussion 545. doi: 10.1227/01.NEU.0000249287.99878.9B.
5
Delayed ischaemic neurological deficits after subarachnoid haemorrhage are associated with clusters of spreading depolarizations.蛛网膜下腔出血后迟发性缺血性神经功能缺损与去极化扩散波群有关。
Brain. 2006 Dec;129(Pt 12):3224-37. doi: 10.1093/brain/awl297. Epub 2006 Oct 25.
6
Mechanisms of early brain injury after subarachnoid hemorrhage.蛛网膜下腔出血后早期脑损伤的机制
J Cereb Blood Flow Metab. 2006 Nov;26(11):1341-53. doi: 10.1038/sj.jcbfm.9600283. Epub 2006 Feb 15.
7
Clazosentan (AXV-034343), a selective endothelin A receptor antagonist, in the prevention of cerebral vasospasm following severe aneurysmal subarachnoid hemorrhage: results of a randomized, double-blind, placebo-controlled, multicenter phase IIa study.克拉生坦(AXV-034343),一种选择性内皮素A受体拮抗剂,用于预防严重动脉瘤性蛛网膜下腔出血后的脑血管痉挛:一项随机、双盲、安慰剂对照、多中心IIa期研究的结果。
J Neurosurg. 2005 Jul;103(1):9-17. doi: 10.3171/jns.2005.103.1.0009.
8
Mechanisms of hyperbaric oxygen-induced neuroprotection in a rat model of subarachnoid hemorrhage.高压氧诱导蛛网膜下腔出血大鼠模型神经保护的机制
J Cereb Blood Flow Metab. 2005 May;25(5):554-71. doi: 10.1038/sj.jcbfm.9600048.
9
Cerebral vasospasm after subarachnoid hemorrhage: putative role of inflammation.蛛网膜下腔出血后的脑血管痉挛:炎症的假定作用。
Neurosurgery. 2003 Jul;53(1):123-33; discussion 133-5. doi: 10.1227/01.neu.0000068863.37133.9e.
10
Subarachnoid haemorrhage: what happens to the cerebral arteries?蛛网膜下腔出血:脑动脉会发生什么变化?
Clin Exp Pharmacol Physiol. 1998 Nov;25(11):867-76. doi: 10.1111/j.1440-1681.1998.tb02337.x.