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Traumatic Brain Injury-Related Optic Nerve Damage

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单位: [1]Boston Childrens Hosp, Div Emergency Med, 3 Blackfan Circle,Room 1804, Boston, MA 02115 USA [2]Harvard Med Sch, Dept Pediat, Boston, MA 02115 USA [3]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Neurol,Tongji Med Coll,Wuhan,Hubei,Peoples R China [4]Boston Childrens Hosp, Div Sports Med, Boston, MA 02115 USA [5]Micheli Ctr Sports Injury Prevent, Waltham, MA USA
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关键词: Neurodegeneration Optic nerve injury Traumatic brain injury Traumatic optic neuropathy Vision loss

摘要:
Vision disorders are associated with traumatic brain injury (TBI) in 20%-40% of clinical cases and involve a diverse set of potential symptoms that can present acutely or chronically. Due to its structure and position, the optic nerve is vulnerable to multiple forms of primary injury, which can result in traumatic optic neuropathy (TON). Multiple studies have shown that the optic tract may also be injured during TBI, though data regarding the temporospatial resolution of injury to the optic nerve are sparse. We evaluated the time course of optic nerve injury and visual impairments in our closed head impact acceleration mouse model of mild TBI (mTBI) designed to mimic repetitive injuries experienced in the context of sport. Our results show that inflammation and gliosis occur acutely in response to injury. Additionally, indications of optic nerve degeneration and functional loss of vision beginning at 1-month postinjury, and retinal ganglion cell loss at 7 months, revealed that the degeneration is continuous and permanent. Together, this study demonstrated that the optic nerve is vulnerable to damage during mTBI, which can cause TON and vision loss. These findings will be important for clinicians to consider to determine whether optic nerve is injured in the TBI patients with vision problems.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 病理学 4 区 临床神经病学 4 区 神经科学
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 病理学 4 区 临床神经病学 4 区 神经科学
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出版当年[2020]版:
Q2 NEUROSCIENCES Q2 CLINICAL NEUROLOGY Q2 PATHOLOGY
最新[2023]版:
Q2 CLINICAL NEUROLOGY Q2 NEUROSCIENCES Q2 PATHOLOGY

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第一作者单位: [1]Boston Childrens Hosp, Div Emergency Med, 3 Blackfan Circle,Room 1804, Boston, MA 02115 USA [2]Harvard Med Sch, Dept Pediat, Boston, MA 02115 USA
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通讯机构: [1]Boston Childrens Hosp, Div Emergency Med, 3 Blackfan Circle,Room 1804, Boston, MA 02115 USA [2]Harvard Med Sch, Dept Pediat, Boston, MA 02115 USA
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