Smith Colin
Department of Neuropathology, Centre for Clinical Brain Sciences, Edinburgh, United Kingdom.
Handb Clin Neurol. 2017;145:115-132. doi: 10.1016/B978-0-12-802395-2.00008-0.
Traumatic brain injury remains a major cause of morbidity and mortality throughout the world, affecting young and old alike. Pathologic data have been developed through observations of human autopsies and developing animal models to investigate mechanisms, although animal models do not represent the polypathology of human brain injury and there are likely to be significant differences in the anatomic basis of injury and cellular responses between species. Traumatic brain injury can be defined pathologically as either focal or diffuse, and can be considered to be either primary, directly related to the force associated with the neurotrauma, or secondary, developing as a downstream consequence of the neurotrauma. While neuropathology has traditionally focused on severe head injury, there is increasing recognition of the long-term consequences of traumatic brain injury, particularly repetitive mild traumatic brain injury, and a possible long-term association with chronic traumatic encephalopathy.
创伤性脑损伤仍然是全球发病和死亡的主要原因,无论老少都会受到影响。通过对人体尸检的观察和开发动物模型来研究其机制,已得出病理数据,尽管动物模型并不能代表人类脑损伤的多病理学情况,而且不同物种之间在损伤的解剖学基础和细胞反应方面可能存在显著差异。创伤性脑损伤在病理学上可定义为局灶性或弥漫性,可被认为是原发性的,直接与神经创伤相关的外力有关,或者是继发性的,作为神经创伤的下游后果而发展。虽然神经病理学传统上侧重于严重的头部损伤,但人们越来越认识到创伤性脑损伤的长期后果,特别是重复性轻度创伤性脑损伤,以及与慢性创伤性脑病可能存在的长期关联。