NEUROPROTECTION AND ANTIOXIDANT THERAPY IN THE COMPREHENSIVE MANAGEMENT OF TRAUMATIC BRAIN INJURY: IMPACT ON NEUROLOGICAL OUTCOMES AND OXIDATIVE STRESS
Abstract
Traumatic brain injury (TBI) remains one of the leading causes of disability and mortality among the working-age population. Oxidative stress, inflammation, and neuronal dysfunction play a crucial role in the pathogenesis of secondary brain injury. The aim of this study was to evaluate the effectiveness of neuroprotective and antioxidant therapy in the comprehensive treatment of patients with TBI. An analysis of current literature and clinical observations concerning the effects of antioxidants on the severity of oxidative stress, neurological status, and functional outcomes was conducted. It was found that the use of neuroprotective agents with antioxidant properties contributes to reducing neuronal damage, decreasing the intensity of free radical oxidation, and improving the recovery of neurological functions. The obtained data confirm the potential value of neuroprotective and antioxidant strategies in the comprehensive management of traumatic brain injury.
References
1. Maas A.I.R., Menon D.K., Adelson P.D., Andelic N., Bell M.J., Belli A., et al. Traumatic brain injury: integrated approaches to improve prevention, clinical care, and research. The Lancet Neurology. 2022;21(11):1009–1034.
2. Hawryluk G.W.J., Manley G.T. Current and emerging therapies for traumatic brain injury. Nature Reviews Neurology. 2023;19:433–448.
3. Carney N., Totten A.M., O'Reilly C., Ullman J.S., Hawryluk G.W.J., Bell M.J., et al. Guidelines for the Management of Severe Traumatic Brain Injury. Neurosurgery. 2020;84(1):1–111.
4. Hall E.D., Wang J.A., Bosken J.M., Singh I.N. Lipid peroxidation in brain injury and therapeutic intervention with antioxidants. Neuropharmacology. 2021;145:141–150.
5. Xiong Y., Mahmood A., Chopp M. Emerging treatments for traumatic brain injury. Expert Opinion on Emerging Drugs. 2022;27(3):233–246.
6. Lozano D., Gonzales-Portillo G.S., Acosta S., de la Pena I., Tajiri N., Kaneko Y., et al. Neuroinflammatory responses to traumatic brain injury. International Journal of Molecular Sciences. 2021;22(3):1301–1317.
7. Edaravone: Pharmacology and clinical applications in neurological disorders. CNS Drugs. 2021;35(4):395–410.
8. Iadecola C., Anrather J. The immunology of stroke and brain injury. Nature Medicine. 2021;27:1812–1824.
9. Kochanek P.M., Jackson T.C., Ferguson N.M. Emerging therapies in neurocritical care after traumatic brain injury. Critical Care Clinics. 2022;38(1):71–89.
10. Ng S.Y., Lee A.Y.W. Traumatic brain injuries: pathophysiology and potential therapeutic targets. Frontiers in Cellular Neuroscience. 2023;17:112345.
11. Belyaev A.Yu., Potapov A.A., Krylov V.V. Traumatic Brain Injury: Modern Approaches to Treatment and Rehabilitation. Moscow: GEOTAR-Media; 2022. 384 p.
12. Krylov V.V., Petrikov S.S. Intensive Care of Severe Traumatic Brain Injury. Neurosurgery. 2021;(4):5–17.
13. Avakov V.E., Ramazanova Z.F., Ibragimov N.K., Muralimova R.S., Boymurodov Kh.A. Effectiveness of Comprehensive Neuroprotection Using Edaravone. Neurology. 2021;3(87):35–40.
14. Ramazanova Z., Ibragimov N. THERAPEUTIC ROLE OF 3-METHYL-1-PHENYL-2-PYRAZOLIN-5-ONE IN PATIENTS WITH TRAUMATIC BRAIN INJURY AND ACUTE CEREBRAL FAILURE SYNDROME //AMERICAN JOURNAL OF APPLIED MEDICAL SCIENCE. – 2025. – Т. 3. – №. 9. – С. 70-77.
15. Sabirov, D.; Krasnenkova, M.. The role of monitoring autonomic nervous system in prognosis of brain trauma: 7AP4-2. European Journal of Anaesthesiology 29():p 111, June 2012.
16. Sabirov DM, Akalaev RN, Krasnenkova MB, Rosstalnaya AL. Application of high-frequency jet ventilation for patients with severe traumatic brain injury. Crit Care. 2011;15(Suppl 1):P310. doi: 10.1186/cc9730. Epub 2011 Mar 11. PMCID: PMC3066984.
17. Gusev E.I., Skvortsova V.I. Neuroprotection in the Treatment of Acute Central Nervous System Disorders. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(8):4–11.




















