Role of Citicoline in the Management of Traumatic Brain ...

Head injury is among the most devastating types of injury, specifically called Traumatic Brain Injury (TBI). There is a need to diminish the morbidity related with TBI and to improve the outcome of patients suffering TBI. Among the improvements in the treatment of TBI, neuroprotection is one of the upcoming improvements. Citicoline has been used in the management of brain ischemia related disorders, such as TBI. Citicoline has biochemical, pharmacological, and pharmacokinetic characteristics that make it a potentially useful neuroprotective drug for the management of TBI. A short review of these characteristics is included in this paper. Moreover, a narrative review of almost all the published or communicated studies performed with this drug in the management of patients with head injury is included. Based on the results obtained in these clinical studies, it is possible to conclude that citicoline is able to accelerate the recovery of consciousness and to improve the outcome of this kind of patient, with an excellent safety profile. Thus, citicoline could have a potential role in the management of TBI.

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Acknowledgements

The authors acknowledge the members of the International Neurotrauma Research Organization (INRO) and collaborative partners for their work and the collection of data used for analyses in this article. In particular, we want to express our special thanks and dedicate this publication to Walter Mauritz who provided the impetus for this investigation. Walter passed away in May . He was Vice President of the INRO and Professor of Anesthesiology and Intensive Care Medicine at Trauma Hospital &#;Lorenz Boehler&#; 2 in Vienna. We thank Chiesi Pharmaceuticals for providing a research grant to facilitate data analysis and writing assistance. We thank Ulrike Posch for providing medical writing services on behalf of Chiesi Pharmaceuticals.

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Funding

The INRO prehospital project was funded jointly by the Austrian Ministry of Health (Contract Oct. 15, ) and by the Austrian Worker&#;s Compensation Board (AUVA; FK 11/ and FK 11/). Data analysis was supported by a grant from AUVA (FK 09/13). INRO is supported by an annual grant from Mrs. Ala Auersperg-Isham and Mr. Ralph Isham through the Neurotrauma Foundation, and by small donations from various sources. Chiesi Pharmaceuticals provided a non-educational grant to facilitate initial data analysis at INRO and writing assistance.

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