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Chronic cerebrovascular dysfunction after traumatic brain injury
Authors:Amandine Jullienne  Andre Obenaus  Aleksandra Ichkova  Catherine Savona‐Baron  William J. Pearce  Jerome Badaut
Affiliation:1. Department of Pediatrics, Loma Linda University School of Medicine, Loma Linda, California;2. Department of Physiology, Loma Linda University School of Medicine, Loma Linda, California;3. Center for Glial–Neuronal Interactions, Division of Biomedical Sciences, University of California Riverside, Riverside, California;4. CNRS UMR5287, University of Bordeaux, Bordeaux, France;5. Center for Perinatal Biology, Loma Linda University School of Medicine, Loma Linda, California
Abstract:Traumatic brain injuries (TBI) often involve vascular dysfunction that leads to long‐term alterations in physiological and cognitive functions of the brain. Indeed, all the cells that form blood vessels and that are involved in maintaining their proper function can be altered by TBI. This Review focuses on the different types of cerebrovascular dysfunction that occur after TBI, including cerebral blood flow alterations, autoregulation impairments, subarachnoid hemorrhage, vasospasms, blood–brain barrier disruption, and edema formation. We also discuss the mechanisms that mediate these dysfunctions, focusing on the cellular components of cerebral blood vessels (endothelial cells, smooth muscle cells, astrocytes, pericytes, perivascular nerves) and their known and potential roles in the secondary injury cascade. © 2016 Wiley Periodicals, Inc.
Keywords:traumatic brain injury  cerebrovascular dysfunction  neurovascular dysfunction
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