Hypocretin-1 (orexin A) deficiency in acute traumatic brain injury

被引:117
作者
Baumann, CR
Stocker, R
Imhof, HG
Trentz, O
Hersberger, M
Mignot, E
Bassetti, CL
机构
[1] Univ Spital Zurich, Dept Neurol, CH-8091 Zurich, Switzerland
[2] Univ Zurich Hosp, Dept Intens Care Med, CH-8091 Zurich, Switzerland
[3] Univ Zurich Hosp, Dept Neurosurg, CH-8091 Zurich, Switzerland
[4] Univ Zurich Hosp, Dept Traumat Surg, CH-8091 Zurich, Switzerland
[5] Univ Zurich Hosp, Inst Clin Chem, CH-8091 Zurich, Switzerland
[6] Stanford Ctr Narcolepsy, Palo Alto, CA USA
关键词
D O I
10.1212/01.wnl.0000167605.02541.f2
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Hypocretin-1 is involved in the regulation of the sleep-wake cycle. The authors prospectively assessed CSF hypocretin-1 levels in 44 consecutive patients with acute traumatic brain injury (TBI). Compared with controls, hypocretin-1 levels were abnormally lower in 95% of patients with moderate to severe TBI and in 97% of patients with posttraumatic brain CT changes. Hypocretin-1 deficiency after TBI may reflect hypothalamic damage and be linked with the frequent development of posttraumatic sleep-wake disorders.
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收藏
页码:147 / 149
页数:3
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