Prof Jeffrey V Rosenfeld MD , Prof Andrew I Maas MD , Peter Bragge PhD, M Cristina Morganti-Kossmann PhD, Prof Geoffrey T Manley MD, Prof Russell L Gruen MD. The Lancet, Volume 380, Issue 9847, Pages 1088 - 1098, 22 September 2012.
Summary
Severe traumatic brain injury remains a major health-care problem worldwide. Although major progress has been made in understanding of the pathophysiology of this injury, this has not yet led to substantial improvements in outcome.
In this report, we address present knowledge and its limitations, research innovations, and clinical implications. Improved outcomes for patients with severe traumatic brain injury could result from progress in pharmacological and other treatments, neural repair and regeneration, optimisation of surgical indications and techniques, and combination and individually targeted treatments. Expanded classification of traumatic brain injury and innovations in research design will underpin these advances. We are optimistic that further gains in outcome for patients with severe traumatic brain injury will be achieved in the next decade.
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