Evidence map›Paper›PMID 38581271›Full record

ReviewReviews in the neurosciences2024

Cerebral autoregulation, spreading depolarization, and implications for targeted therapy in brain injury and ischemia.

Andrew P Carlson, Andrew R Mayer, Chad Cole, Harm J van der Horn, Joshua Marquez, Taylor C Stevenson, C William Shuttleworth

Open access · greenAbstract readReview
In one paragraph

Review in Reviews in the neurosciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Observational
  3. Alterations of cerebrovascular reactivity following pediatric mild traumatic brain injury are independent of neurodevelopmental changes.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025
    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

7 authors at 2 institutions in 1 country.

Andrew P CarlsonDepartment of Neurosurgery, 12288 University of New Mexico School of Medicine , MSC10 5615, 1 UNM, Albuquerque, NM, 87131, USA.ORCID 0000-0003-2189-3699
Andrew R Mayer168528 Mind Research Network , 1101 Yale, Blvd, NE, Albuquerque, NM, 87106, USA.
Chad ColeDepartment of Neurosurgery, 12288 University of New Mexico School of Medicine , MSC10 5615, 1 UNM, Albuquerque, NM, 87131, USA.
Harm J van der Horn168528 Mind Research Network , 1101 Yale, Blvd, NE, Albuquerque, NM, 87106, USA.
Joshua Marquez12288 University of New Mexico School of Medicine , 915 Camino de Salud NE, Albuquerque, NM, 87106, USA.
Taylor C StevensonDepartment of Neurosurgery, 12288 University of New Mexico School of Medicine , MSC10 5615, 1 UNM, Albuquerque, NM, 87131, USA.ORCID 0000-0003-0806-9355
C William ShuttleworthDepartment of Neurosciences, 12288 University of New Mexico School of Medicine , 915 Camino de Salud NE, Albuquerque, NM, 87106, USA.
University of New Mexico · USMind Research Network · US

Funding

University of New Mexico (UNM) Center for Brain Recovery and RepairP20GM109089 · NIGMS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI SHUTTLEWORTH, CLAUDE W · 2015 to 2024
$22.7M
Clinical Stimulation and Spreading DepolarizationR01NS128006 · NINDS · UNIVERSITY OF VIRGINIA · PI Andrew Phillip Carlson · 2023 to 2026
$1.6M
NIGMS NIH HHS P20 GM109089NINDS NIH HHS R01 NS128006
6 · The paper itself

Abstract

Cerebral autoregulation is an intrinsic myogenic response of cerebral vasculature that allows for preservation of stable cerebral blood flow levels in response to changing systemic blood pressure. It is effective across a broad range of blood pressure levels through precapillary vasoconstriction and dilation. Autoregulation is difficult to directly measure and methods to indirectly ascertain cerebral autoregulation status inherently require certain assumptions. Patients with impaired cerebral autoregulation may be at risk of brain ischemia. One of the central mechanisms of ischemia in patients with metabolically compromised states is likely the triggering of spreading depolarization (SD) events and ultimately, terminal (or anoxic) depolarization. Cerebral autoregulation and SD are therefore linked when considering the risk of ischemia. In this scoping review, we will discuss the range of methods to measure cerebral autoregulation, their theoretical strengths and weaknesses, and the available clinical evidence to support their utility. We will then discuss the emerging link between impaired cerebral autoregulation and the occurrence of SD events. Such an approach offers the opportunity to better understand an individual patient's physiology and provide targeted treatments.

Indexed as

Brain InjuriesBrain IschemiaCerebrovascular CirculationHomeostasisAnimalsBrainCortical Spreading DepressionHumansautoregulationbrain injurycerebral blood flowcerebral physiologycerebral vasoreactivityresearch network

Identifiers

PMID38581271
PMCPMC11297425
OpenAlexW4394010870

What OpenQuestion holds

Textmetadata
LicenceTDM
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.