Early TNF-α levels correlate with ischaemic stroke severity

Objectives - The study aimed to evaluate the levels of an important proinflammatory cytokine tumour necrosis factor-alpha (TNF-alpha) in cerebrospinal fluid (CSF) and serum in acute stroke and to study the relation between those and the neurological stroke severity and functional disability. Material and methods - The investigations comprised 23 ischaemic stroke patients. CSF and blood samples were obtained 24 h after the onset of stroke, and stored until analysis. Patients were examined according to Scandinavian Stroke Scale (SSS) and to Barthel Index (BI). Results - The patients displayed statistically significant high levels of TNF-alpha in CSF and sera within the first 24 li of stroke. These correlated significantly with SSS and BI scores calculated within the same interval, and 1 and 2 weeks later. Conclusion - Our results suggest the involvement of TNF-alpha in mechanisms of early stroke-induced inflammation and a predictive value of the initial TNF-alpha levels for the outcome of stroke.