Peripheral glutamate and TNF-α levels in patients with intracerebral hemorrhage: Their prognostic values and interactions toward the formation of the edemal volume
| Autor: | Kiro Stojanoski, Vladimir Rendevski, Dragan Stojanov, Boris Aleksovski, Icko Gjorgoski, Vasko Aleksovski, Ana Mihajlovska Rendevska, Milena Kolevska |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Excitotoxicity Brain Edema Inflammation medicine.disease_cause Gastroenterology 03 medical and health sciences 0302 clinical medicine Glutamates Internal medicine Edema medicine Humans Perifocal edema In patient cardiovascular diseases Cerebral Hemorrhage Intracerebral hemorrhage Tumor Necrosis Factor-alpha business.industry Glutamate receptor Prognosis medicine.disease Peripheral 030104 developmental biology Anesthesia Surgery Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Neurologia i Neurochirurgia Polska. 52:207-214 |
| ISSN: | 0028-3843 |
| Popis: | Objective We aimed to evaluate the prognostic values, contribution and interactions of the peripheral blood plasma glutamate and tumor-necrosis factor-α (TNF-α) levels toward the formation of the perifocal edema in patients with intracerebral hemorrhage (ICH). Methods Fifty patients with ICH and fifty healthy controls were included in the study. The peripheral markers were detected by high-sensitivity ELISA. Results A highly significant differences in plasma glutamate and TNF-α levels with good separation of their values was detected between patients and healthy controls. The two variables correlated with the severity of the symptoms and the initial volume of the ICH at admission. Both peripheral glutamate and TNF-α levels at admission were estimated as significant predictors for the formation of the perifocal edema five days after ICH; nevertheless, it was shown that they independently contribute to the development of the edema, without effects of interaction and regardless the localization of the ICH. Conclusions Our results support the idea for the significance of glutamate and TNF-α as peripheral markers for excitotoxicity and inflammation in ICH patients. The developed multiple regression model for prediction of the development of the edema could be beneficial in decision making between conservative treatment and surgical intervention in the clinical practice. |
| Databáze: | OpenAIRE |
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