HLA-type of cerebral vasospasm patients after aneurysmal subarachnoid hemorrhage.

Autor: Sakaguchi, Jun, Takeshita, Mikihiko, Kagawa, Mizuo, Izawa, Masahiro, Takakura, Kintomo
Zdroj: Neurosurgical Review; Mar1994, Vol. 17 Issue 1, p67-71, 5p
Abstrakt: We studied human lymphocyte antigen (HLA) types in a group of 45 patients who had aneurysmal subarachnoid hemorrhage (SAH). A significantly increased frequency of HLA antigen A31 and a significantly decreased frequency of HLA antigen B40 were found. In patients with delayed ischemic neurological deficit (DIND) following aneurysmal SAH and HLA typing, HLA-Bw60 antigen showed significant increases; in patients who did not develop HLA-Aw33 and-Cw4 antigens showed significant. Among the patients with Fisher's Group 3 on CT, in particular, these antigens significantly increased when compared with controls from the same geographic area. These results suggest that HLA-Bw60 antigen plays a role as a predisposing factor of DIND resulting from vasospasm following aneurysmal SAH, and that HLA-Aw33 and-Cw4 exert protective influence against DIND. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index