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Coagulopathy induced by traumatic brain injury: systemic manifestation of a localized injury.


ABSTRACT: Traumatic brain injury (TBI)-induced coagulopathy is a common and well-recognized risk for poor clinical outcomes, but its pathogenesis remains poorly understood, and treatment options are limited and ineffective. We discuss the recent progress and knowledge gaps in understanding this lethal complication of TBI. We focus on (1) the disruption of the brain-blood barrier to disseminate brain injury systemically by releasing brain-derived molecules into the circulation and (2) TBI-induced hypercoagulable and hyperfibrinolytic states that result in persistent and delayed intracranial hemorrhage and systemic bleeding.

SUBMITTER: Zhang J 

PROVIDER: S-EPMC5934798 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Coagulopathy induced by traumatic brain injury: systemic manifestation of a localized injury.

Zhang Jianning J   Zhang Fangyi F   Dong Jing-Fei JF  

Blood 20180305 18


Traumatic brain injury (TBI)-induced coagulopathy is a common and well-recognized risk for poor clinical outcomes, but its pathogenesis remains poorly understood, and treatment options are limited and ineffective. We discuss the recent progress and knowledge gaps in understanding this lethal complication of TBI. We focus on (1) the disruption of the brain-blood barrier to disseminate brain injury systemically by releasing brain-derived molecules into the circulation and (2) TBI-induced hypercoag  ...[more]

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