Elevated serum levels of S-100B reflect the extent of brain injury in alcohol intoxicated patients after mild head trauma

被引:55
作者
Biberthaler, P
Mussack, T
Wiedemann, E
Gilg, T
Soyka, M
Koller, G
Pfeifer, KJ
Linsenmaier, U
Mutschler, W
Gippner-Steppert, C
Jochum, M
机构
[1] Univ Munich, Klinikum Innenstadt, Chirurg Klin, D-8000 Munich, Germany
[2] Univ Munich, Inst Rechts Med, D-8000 Munich, Germany
[3] Univ Munich, Klin Psychiat & Psychotherapie, D-8000 Munich, Germany
[4] Univ Munich, Klinikum Innenstadt, Inst Radiol Diagnost, D-8000 Munich, Germany
[5] Univ Munich, Klinikum Innenstadt, Abt Klin Chem & Klin Biochem, D-8000 Munich, Germany
来源
SHOCK | 2001年 / 16卷 / 02期
关键词
cerebral lesions; cellular marker; prognostic value; nerve tissue protein S-100B; Glasgow Coma Scale; brain damage; head injury; screening test;
D O I
10.1097/00024382-200116020-00002
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Elevated systemic levels of S-100B are proposed as a potential indicator of brain damage In identifying high-risk patients after mild head trauma (MHT), Although incidence of alcohol intoxication is high in these patients, the influence of alcohol intoxication on S-100B levels is unclear. Therefore, the aim of our study was to investigate serum concentrations of S-100B. in intoxicated (group 1) and sober (group 2) patients after MHT in comparison with those of mild (group 3) or severely Intoxicated (group 4) individuals without trauma. S-100B was significantly increased in MHT patients exhibiting posttraumatic lesions in initial cranial computed tomography scan. Alcohol intoxication did not elevate S-100B levels in group 3 or 4 subjects. Our data indicate for the first time that alcohol intoxication does not influence the diagnostic value of S-100B measurements in patients after MHT.
引用
收藏
页码:97 / 101
页数:5
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