Diagnosis and Monitoring of Neuronal Lesion in Severe Brain Injury

Objective: to search for an accessible, valid, and easy-to-use method for the diagnosis and monitoring of a neuronal lesion in severe brain injury (SBI). Subjects and methods. Thirty-three patients aged 18—55 years with isolated SBI (the Glasgow coma scores for admission consciousness were 6±2) were...

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Main Authors: M. A. Moldavanov, V. Ye. Klimenko, A. V. Poleshchuk, V. B. Shumatov, N. A. Andreyeva, D. N. Kirilin
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2010-02-01
Series:Общая реаниматология
Online Access:https://www.reanimatology.com/rmt/article/view/499
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author M. A. Moldavanov
V. Ye. Klimenko
A. V. Poleshchuk
V. B. Shumatov
N. A. Andreyeva
D. N. Kirilin
author_facet M. A. Moldavanov
V. Ye. Klimenko
A. V. Poleshchuk
V. B. Shumatov
N. A. Andreyeva
D. N. Kirilin
author_sort M. A. Moldavanov
collection DOAJ
description Objective: to search for an accessible, valid, and easy-to-use method for the diagnosis and monitoring of a neuronal lesion in severe brain injury (SBI). Subjects and methods. Thirty-three patients aged 18—55 years with isolated SBI (the Glasgow coma scores for admission consciousness were 6±2) were examined; the serum content of neuron-specific protein S-100B was further analyzed. Results and discussion. The cell damage marker concentration was substantially increased in the acute period of brain injury. When the pathological process followed a favorable course, S-100B was considerably decreased just on day 2 of the disease. When the changes were negative, S-100B concentrations remained virtually unchanged or even increased, which was indicative of secondary brain reperfusion/ischemic lesions. The mean baseline marker level varied with the type of brain injury diagnosed by computed tomography; the highest figures being noted in the groups where significant brain tissue lesion was detected. Key words: severe brain injury, prognosis, S-100B protein.
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institution Kabale University
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language English
publishDate 2010-02-01
publisher Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
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series Общая реаниматология
spelling doaj-art-ffecbe099b2e4015a6079b96a3f270ac2025-08-20T03:59:40ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102010-02-016110.15360/1813-9779-2010-1-17499Diagnosis and Monitoring of Neuronal Lesion in Severe Brain InjuryM. A. MoldavanovV. Ye. KlimenkoA. V. PoleshchukV. B. ShumatovN. A. AndreyevaD. N. KirilinObjective: to search for an accessible, valid, and easy-to-use method for the diagnosis and monitoring of a neuronal lesion in severe brain injury (SBI). Subjects and methods. Thirty-three patients aged 18—55 years with isolated SBI (the Glasgow coma scores for admission consciousness were 6±2) were examined; the serum content of neuron-specific protein S-100B was further analyzed. Results and discussion. The cell damage marker concentration was substantially increased in the acute period of brain injury. When the pathological process followed a favorable course, S-100B was considerably decreased just on day 2 of the disease. When the changes were negative, S-100B concentrations remained virtually unchanged or even increased, which was indicative of secondary brain reperfusion/ischemic lesions. The mean baseline marker level varied with the type of brain injury diagnosed by computed tomography; the highest figures being noted in the groups where significant brain tissue lesion was detected. Key words: severe brain injury, prognosis, S-100B protein.https://www.reanimatology.com/rmt/article/view/499
spellingShingle M. A. Moldavanov
V. Ye. Klimenko
A. V. Poleshchuk
V. B. Shumatov
N. A. Andreyeva
D. N. Kirilin
Diagnosis and Monitoring of Neuronal Lesion in Severe Brain Injury
Общая реаниматология
title Diagnosis and Monitoring of Neuronal Lesion in Severe Brain Injury
title_full Diagnosis and Monitoring of Neuronal Lesion in Severe Brain Injury
title_fullStr Diagnosis and Monitoring of Neuronal Lesion in Severe Brain Injury
title_full_unstemmed Diagnosis and Monitoring of Neuronal Lesion in Severe Brain Injury
title_short Diagnosis and Monitoring of Neuronal Lesion in Severe Brain Injury
title_sort diagnosis and monitoring of neuronal lesion in severe brain injury
url https://www.reanimatology.com/rmt/article/view/499
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AT avpoleshchuk diagnosisandmonitoringofneuronallesioninseverebraininjury
AT vbshumatov diagnosisandmonitoringofneuronallesioninseverebraininjury
AT naandreyeva diagnosisandmonitoringofneuronallesioninseverebraininjury
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