Evidence map›Paper›PMID 29800461›Full record

ReviewNeurosurgery2019

Toward Functional Restoration of the Central Nervous System: A Review of Translational Neuroscience Principles.

Max O Krucoff, Jonathan P Miller, Tarun Saxena, Ravi Bellamkonda, Shervin Rahimpour, Stephen C Harward, Shivanand P Lad, Dennis A Turner

Open access · hybridAbstract readReview
In one paragraph

Review in Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Theoretical and Practical Neuroscience Tools for Neurosurgery.Advances and technical standards in neurosurgery · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Quantitative assessments of finger individuation with an instrumented glove.Journal of neuroengineering and rehabilitation · 2023
    Article
  12. Review
  13. Review
  14. Editorial: Neuroplasticity in Rehabilitation.Frontiers in rehabilitation sciences · 2022
    Article
  15. Article
  16. Article
  17. Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Max O KrucoffDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina.
Jonathan P MillerDepartment of Neurosurgery, Case Western Reserve University, Cleve-land, Ohio.
Tarun SaxenaDepartment of Biomedical Engineering, Duke University, Durham, North Carolina.
Ravi BellamkondaDepartment of Biomedical Engineering, Duke University, Durham, North Carolina.
Shervin RahimpourDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina.
Stephen C HarwardDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina.
Shivanand P LadDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina.
Dennis A TurnerDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina.
Duke University Hospital · USDuke Medical Center · USDuke University · USCase Western Reserve University · US

Funding

NINDS Research Education Programs for Residents and Fellows in NeurosurgeryR25NS065731 · NINDS · DUKE UNIVERSITY · PI FECCI, PETER, HASAN, DAVID M. · 2009 to 2023
$968k
Hippocampal Neurovascular Plasticity in CVN-AD Mouse: Fornix-Septal StimulationR21AG051103 · NIA · DUKE UNIVERSITY · PI TURNER, DENNIS ALAN · 2016 to 2017
$423k
Fornix Stimulation Enhances Neurovascular Plasticity in Alzheimer's Mouse ModelI21BX003023 · VA · DURHAM VA MEDICAL CENTER · PI TURNER, DENNIS ALAN · 2016 to 2017
–
Delayed Septal/Fornix Brain Stimulation after Repetitive Closed Head InjuryI21RX002223 · VA · DURHAM VA MEDICAL CENTER · PI TURNER, DENNIS ALAN · 2017 to 2018
–
BLRD VA I21 BX003023NIA NIH HHS R21 AG051103NINDS NIH HHS R25 NS065731RRD VA I21 RX002223
6 · The paper itself

Abstract

Injury to the central nervous system (CNS) can leave patients with devastating neurological deficits that may permanently impair independence and diminish quality of life. Recent insights into how the CNS responds to injury and reacts to critically timed interventions are being translated into clinical applications that have the capacity to drastically improve outcomes for patients suffering from permanent neurological deficits due to spinal cord injury, stroke, or other CNS disorders. The translation of such knowledge into practical and impactful treatments involves the strategic collaboration between neurosurgeons, clinicians, therapists, scientists, and industry. Therefore, a common understanding of key neuroscientific principles is crucial. Conceptually, current approaches to CNS revitalization can be divided by scale into macroscopic (systems-circuitry) and microscopic (cellular-molecular). Here we review both emerging and well-established tenets that are being utilized to enhance CNS recovery on both levels, and we explore the role of neurosurgeons in developing therapies moving forward. Key principles include plasticity-driven functional recovery, cellular signaling mechanisms in axonal sprouting, critical timing for recovery after injury, and mechanisms of action underlying cellular replacement strategies. We then discuss integrative approaches aimed at synergizing interventions across scales, and we make recommendations for the basis of future clinical trial design. Ultimately, we argue that strategic modulation of microscopic cellular behavior within a macroscopic framework of functional circuitry re-establishment should provide the foundation for most neural restoration strategies, and the early involvement of neurosurgeons in the process will be crucial to successful clinical translation.

Indexed as

NeurosciencesNeurosurgeryAnimalsCentral Nervous SystemHumansNerve RegenerationRecovery of FunctionTranslational Research, BiomedicalTrauma, Nervous System

Identifiers

PMID29800461
PMCPMC6292792
OpenAlexW2804294119

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.