Giraud Antoine, Guiraut Clémence, Chevin Mathilde, Chabrier Stéphane, Sébire Guillaume
EA 4607 SNA EPIS, Jean Monnet University, Saint-Etienne, France.
Child Neurology Division, Department of Pediatrics, McGill University, Montréal, QC, Canada.
Front Neurol. 2017 Nov 16;8:612. doi: 10.3389/fneur.2017.00612. eCollection 2017.
Based on the review of the literature, perinatal inflammation often induced by infection is the only consistent independent risk factor of neonatal arterial ischemic stroke (NAIS). Preclinical studies show that acute inflammatory processes take place in placenta, cerebral arterial wall of NAIS-susceptible arteries and neonatal brain. A top research priority in NAIS is to further characterize the nature and spatiotemporal features of the inflammatory processes involved in multiple levels of the pathophysiology of NAIS, to adequately design randomized control trials using targeted anti-inflammatory vasculo- and neuroprotective agents.
基于文献综述,感染常引发的围产期炎症是新生儿动脉缺血性卒中(NAIS)唯一一致的独立危险因素。临床前研究表明,急性炎症过程发生在胎盘、NAIS易感动脉的脑动脉壁和新生儿大脑中。NAIS的一个首要研究重点是进一步明确NAIS病理生理学多个层面所涉及的炎症过程的性质及时空特征,以便充分设计使用靶向抗炎血管保护和神经保护药物的随机对照试验。