Neuronal injuries in cerebral infarction and ischemic stroke: From mechanisms to treatment (Review)

Int J Mol Med. 2022 Feb;49(2):15. doi: 10.3892/ijmm.2021.5070. Epub 2021 Dec 8.

Abstract

Stroke is the leading cause of disabilities and cognitive deficits, accounting for 5.2% of all mortalities worldwide. Transient or permanent occlusion of cerebral vessels leads to ischemic strokes, which constitutes the majority of strokes. Ischemic strokes induce brain infarcts, along with cerebral tissue death and focal neuronal damage. The infarct size and neurological severity after ischemic stroke episodes depends on the time period since occurrence, the severity of ischemia, systemic blood pressure, vein systems and location of infarcts, amongst others. Ischemic stroke is a complex disease, and neuronal injuries after ischemic strokes have been the focus of current studies. The present review will provide a basic pathological background of ischemic stroke and cerebral infarcts. Moreover, the major mechanisms underlying ischemic stroke and neuronal injuries are summarized. This review will also briefly summarize some representative clinical trials and up‑to‑date treatments that have been applied to stroke and brain infarcts.

Keywords: cerebral infarcts; clinical management; ischemic stroke; mechanism; neuronal injury.

Publication types

  • Review

MeSH terms

  • Animals
  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / immunology
  • Brain Ischemia / pathology
  • Brain Ischemia / physiopathology
  • Cerebral Infarction / diagnostic imaging
  • Cerebral Infarction / immunology
  • Cerebral Infarction / pathology*
  • Cerebral Infarction / therapy*
  • Humans
  • Ischemic Stroke / diagnostic imaging
  • Ischemic Stroke / immunology
  • Ischemic Stroke / pathology*
  • Ischemic Stroke / therapy*
  • Neurons / pathology*
  • Neuroprotection
  • Oxidative Stress

Grants and funding

No funding was received.