Recent Advances in Stroke Therapeutics ( Emergency and Intensive Care Medicine )

Publication series :Emergency and Intensive Care Medicine

Author: Manzoor Ahmad Mir   Raid Saleem Albaradie (CAMS   Majmaah University) and Malik Alhussainawi (King Khalid Hospital Majmaah)  

Publisher: Nova Science Publishers, Inc.‎

Publication year: 2014

E-ISBN: 9781631177569

P-ISBN(Hardback):  9781631177545

Subject: R Medicine and Health

Keyword: Immunology

Language: ENG

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Recent Advances in Stroke Therapeutics

Chapter

References

Chapter II: Pathophysiology of Strokes

Abstract

Introduction

Mechanisms of Neuronal Injury

Cerebral Edema and Its Effects

Effects of Ischemia on Structural Integrity of Brain

Inflammation

Role of Stroke Triggers

Brain Repairment after Stroke

Conclusion

References

Chapter III: Inflammation and Anti-Inflammatory Agents in Strokes

Abstract

Introduction

Immune Activation and Systemic Inflammation before a Stroke

Post-Ischemic Inflammation

Proinflammatory Cytokines in Strokes

Anti-Inflammatory Strategies

Conclusion

References

Chapter IV: Major Advances in the Treatment of Strokes

Abstract

Introduction

Mechanisms of Neuronal Injury and the Therapeutic Possibilities

Current Status of Neuroprotectant Development: Drug Development Shortcomings

Drugs Used in Acute Stroke Therapy

Plasminogen Activators

Adjuvant Drugs

Endovascular Therapy of Acute Stroke

Intra-Arterial Thrombolysis

Mechanical Thrombectomy

Intra-arterial (IA) Mechanical Therapies

Surgical Interventions

Percutaneous Transluminal Angioplasty

Endovascular Thromboaspiration

Endovascular Thrombectomy

Augmented Fibrinolysis

Thrombus Entrapment

Temporary Endovascular Bypass

Flow Augmentation

Reperfusion Therapies

Thrombolytic Agents

Promising Directions and Potential Targets in Neuroprotectant Development

Modulating Astrocyte Activity

Inhibiting Effects of Microglia

Neuroprotective Therapies

Modulating the Blood-Brain Barrier (BBB)

Targeting Inflammation

Inflammation: A Deleterious Event or a Beneficial Response?

Inflammation

Excitotoxicity and NMDA Glutamate Receptors

Mitochondrial Dysfunction

Anti-apoptotic Agents

Antioxidant Therapy

Glutamate antagonists

Ion Channel Modulators

Repair and Recovery Strategies of Stroke: Trophic Factors and Cell-Based Therapies

Macrophage Polarization as Therapeutic Tool

M1 versus M2: Classical Versus Alternative Activation

Classically Activated Macrophages (M1)

Alternatively Activated Macrophages (M2)

Neuronal Rescue

Future Directions: Therapeutic Targeting of Macrophage Subsets

Moving Forward: Charting a Course toward New Stroke Therapies

How Does the Brain Protect Itself? Lessons from Ischemic Tolerance

Therapeutic Hypothermia: Engaging Pleiotropic Mechanisms in Multiple Cell Types

Gaining Insight from the Bedside: Utility of Biomarkers

Key Advances in Stroke

Current Devices Used for Mechanical Embolus Removal in Cerebral Ischemia

Penumbra Device

Stent-Assisted Recanalization in Acute Ischemic

Future Directions in Stroke Therapy: Logistics of Care

Technological Advances

Pharmacological Advances

Conclusion

References

Chapter V: Stem Cells and Treatment of Strokes

Abstract

Introduction

Stem Cell Therapy in Stroke Patients: The Challenges

Which Stem Cells Should Be Used?

Neural Stem/Progenitor Cells

Hematopoietic Stem/Progenitor Cells

Mesenchymal Stem Cells

Bone Marrow Mononuclear Cells (BMMNCs)

Mechanism of Action of Stem Cell Therapy

Promotion of Neurogenesis and Other Endogenous Repair Processes by Stem Cell Therapy

Benefits of Stem Cell Therapy to Patients

Optimal Timing for Treatment

Delivery Route of Stem Cells

Chronic Stroke Trials

Acute Stroke Trials

The Future

Sources of Transplant Cells

Multipotent Cell Transplants in Animal Models of Stroke

Cell Transplants in Human Stroke

Possible Mechanisms

Conclusion

References

Summary

Index

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