Naumenko Yana, Yuryshinetz Irada, Zabenko Yelyzaveta, Pivneva Tetyana
Bogomoletz Institute of Physiology, Department of Sensory Signalization, Kyiv, Ukraine.
Kyiv Academic University, Kyiv, Ukraine.
Heliyon. 2023 Jul 17;9(7):e18342. doi: 10.1016/j.heliyon.2023.e18342. eCollection 2023 Jul.
Traumatic brain injury (TBI) is defined as dysfunction or other evidence of brain pathology caused by external physical force. More than 69 million new cases of TBI are registered worldwide each year, 80% of them - mild TBI. Based on the physical mechanism of induced trauma, we can separate its pathophysiology into primary and secondary injuries. Many literature sources have confirmed that mechanically induced brain injury initiates ionic, metabolic, inflammatory, and neurovascular changes in the CNS, which can lead to acute, subacute, and chronic neurological consequences. Despite the global nature of the disease, its high heterogeneity, lack of a unified classification system, rapid fluctuation of epidemiological trends, and variability of long-term consequences significantly complicate research and the development of new therapeutic strategies. In this review paper, we systematize current knowledge of biomechanical and molecular mechanisms of mild TBI and provide general information on the classification and epidemiology of this complex disorder.
创伤性脑损伤(TBI)被定义为由外部物理力导致的脑功能障碍或其他脑病理学证据。全球每年登记的TBI新病例超过6900万例,其中80%为轻度TBI。根据诱发创伤的物理机制,我们可以将其病理生理学分为原发性损伤和继发性损伤。许多文献资料证实,机械性诱发的脑损伤会引发中枢神经系统的离子、代谢、炎症和神经血管变化,这可能导致急性、亚急性和慢性神经后果。尽管该疾病具有全球性,但其高度异质性、缺乏统一的分类系统、流行病学趋势的快速波动以及长期后果的变异性,显著地使研究和新治疗策略的开发复杂化。在这篇综述文章中,我们将轻度TBI的生物力学和分子机制的现有知识进行系统化,并提供有关这种复杂疾病的分类和流行病学的一般信息。