Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-46210
Flierl, M A; Rittirsch, D; Huber-Lang, M S; Stahel, P F (2010). Pathophysiology of septic encephalopathy-an unsolved puzzle. Critical Care, 14(3):165.
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The exact cellular and molecular mechanisms of sepsis-induced encephalopathy remain elusive. The breakdown of the blood-brain barrier (BBB) is considered a focal point in the development of sepsis-induced brain damage. Contributing factors for the compromise of the BBB include cytokines and chemokines, activation of the complement cascade, phagocyte-derived toxic mediators, and bacterial products. To date, we are far from fully understanding the neuropathology that develops as a secondary remote organ injury as a consequence of sepsis. However, recent studies suggest that bacterial proteins may readily cross the functional BBB and trigger an inflammatory response in the subarachnoid space, in absence of a bacterial invasion. A better understanding of the pathophysiological events leading to septic encephalopathy appears crucial to advance the clinical care for this vulnerable patient population.
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|Contributors:||Department of Orthopaedic Surgery, University of Colorado School of Medicine, Denver Health Medical Center, 777 Bannock Street, Denver, CO 80204, USA. email@example.com|
|Item Type:||Journal Article, refereed, further contribution|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Clinic for Trauma Surgery|
|DDC:||610 Medicine & health|
|Deposited On:||21 Feb 2011 09:42|
|Last Modified:||31 Jan 2014 05:43|
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