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利用动物模型深入了解创伤后头痛的病理生理学。

Strides Toward Better Understanding of Post-Traumatic Headache Pathophysiology Using Animal Models.

机构信息

Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Avenue/DA 717, Boston, MA, 02215, USA.

出版信息

Curr Pain Headache Rep. 2018 Aug 2;22(10):67. doi: 10.1007/s11916-018-0720-6.

Abstract

PURPOSE OF REVIEW

In recent years, the awareness of the detrimental impact of concussion and mild traumatic brain injuries (mTBI) is becoming more apparent. Concussive head trauma results in a constellation of cognitive and somatic symptoms of which post-traumatic headache is the most common. Our understanding of post-traumatic headache is limited by the paucity of well validated, characterized, and clinically relevant animal models with strong predictive validity. In this review, we aim to summarize and discuss current animal models of concussion/mTBI and related data that start to shed light on the pathophysiology of post-traumatic headache.

RECENT FINDINGS

Each of the models will be discussed in terms of their face, construct, and predictive validity as well as overall translational relevance to concussion, mTBI, and post-traumatic headache. Significant contributions to the pathophysiology of PTH garnered from these models are discussed as well as potential contributors to the development of chronic post-traumatic headache. Although post-traumatic headache is one of the most common symptoms following mild head trauma, there remains a disconnect between the study of mild traumatic brain injury and headache in the pre-clinical literature. A greater understanding of the relationship between these phenomena is currently needed to provide more insight into the increasing frequency of this debilitating condition in both military and civilian populations.

摘要

目的综述

近年来,人们对脑震荡和轻度创伤性脑损伤(mTBI)的危害性的认识越来越明显。脑震荡性头部创伤会导致一系列认知和躯体症状,其中最常见的是创伤后头痛。我们对创伤后头痛的理解受到限制,因为缺乏经过充分验证、具有特征且具有较强预测有效性的临床相关动物模型。在这篇综述中,我们旨在总结和讨论目前关于脑震荡/mTBI 的动物模型以及相关数据,这些数据开始揭示创伤后头痛的病理生理学。

最近的发现

将根据每种模型的表面效度、结构效度和预测效度以及对脑震荡、mTBI 和创伤后头痛的整体转化相关性来讨论这些模型。讨论了这些模型对 PTH 病理生理学的重要贡献,以及对慢性创伤后头痛发展的潜在贡献。尽管创伤后头痛是轻度头部创伤后最常见的症状之一,但在临床前文献中,轻度创伤性脑损伤和头痛的研究之间仍然存在脱节。目前需要更深入地了解这些现象之间的关系,以便更深入地了解这一使人衰弱的疾病在军事和民用人群中发病率不断上升的原因。

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