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Creatine kinase BB activity in serum of patients with acute stroke: correlation with the severity of brain damage

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Abstract

BB-CK activity was measured in 11 patients with stroke and in 10 controls. Blood samples were taken 36 hours after the clinical stroke onset in every patient. Sera were stored at −80° and analyzed within two months. The creatine kinase isoenzymatic pattern was determined by ion-exchange column separation and gradient elution system. The mean BB-CK concentration in patients with stroke was significantly higher than in controls (p<0.01). In the group of “stroke” patients we found a correlation between severity of brain damage, as suggested by the clinical picture and CT scans, and serum values of BB-CK.

Sommario

Nel presente lavoro sono stati determinati gli isoenzimi della CK, dopo separazione su colonne a scambio ionico e dosaggio cinetico all'U.V., nel siero di 11 pazienti con ictus cerebrale e di 10 soggetti di controllo, non affetti da patologia neurologica.

I campioni di sangue venoso sono stati prelevati 36 ore dopo l'inizio della sintomatologia, sono stati congelati a −80° ed analizzati entro 2 mesi.

La concentrazione media dell'isoenzima BB della CK nei pazienti con ictus è risultata significativamente più alta che nei controlli (p<0.01). Nel gruppo di pazienti con ictus è stata trovata una correlazione fra la gravità del danno cerebrale, determinato sulla base del quadro clinico e dei reperti tomodensitometrici, e la quantità dell'isoenzima BB nel siero.

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References

  1. Yoshimine T., Marimoto K., Homburger H.A.:Immunoistochemical localization of creatine kinase BB-isoenzyme in human brain: comparison with tobulin and astroprotein. Brain Res. 265:101–108, 1983.

    Article  CAS  PubMed  Google Scholar 

  2. Kaste M., Somer H., Konttinen A.:Brain-type creatine isoenzyme: occurrence in serum in acute cerebral disorders. Arch. Neurol 34:142–144, 1977.

    CAS  PubMed  Google Scholar 

  3. Karpman R.R., Weinstein P.R., Finley P.R.:Serum CPK isoenzymes BB as an indicator of brain tissue damage following head injury. J. Trauma 21:148–151, 1981.

    CAS  PubMed  Google Scholar 

  4. Longstreth W.T., Kathleen J.C., Yumi M.:Cerebrospinal fluid and serum creatine kinase BB activity after out-of-hospital cardiac arrest. Neurology 31:455–458, 1981.

    PubMed  Google Scholar 

  5. Hans P., Born J.D., Chapelle J.P., Milbouw C.:Creatine kinase isoenzymes in severe head injury. J. Neurosurg. 58:689–692, 1983.

    CAS  PubMed  Google Scholar 

  6. Pfeiffer F.E., Homburger A., Yanagira T.:Creatine kinase BB isoenzyme in CSF in neurological disease. Measurement by radioimmunoassay. Arch. Neurol. 40:169–172, 1983.

    CAS  PubMed  Google Scholar 

  7. Pfeiffer F.E., Homburger H.A., Takehiko Y.:Serum creatine kinase concentrations in acute cerebro-vascular disease. Arch. Neurol. 41:1175–1178, 1984.

    CAS  PubMed  Google Scholar 

  8. Bell R.D., Alexander M.G., Nguyen T., Albin S.A.:Quantification of cerebral infarct size by creatine kinase BB isoenzymes. Stroke 17:254–260, 1986.

    CAS  PubMed  Google Scholar 

  9. Granger C.V., Dewis L.S., Peter N.C., Sherwood C.C.:Stroke rehabilitation: analysis of repeated Barthel Index measure. Arch. Phys. Med. Rehabil. 60:14–17, 1979.

    CAS  PubMed  Google Scholar 

  10. Dawson D.M., Fine I.H.:Creatine kinase in human tissue. Arch Neurol 16:175–180, 1967.

    CAS  PubMed  Google Scholar 

  11. Lang H.:Creatine kinase isoenzymes. Pathophysiology and clinical application. Berlin: Springer-Verlag: 1981.

    Google Scholar 

  12. Edgren E., Terent A., Hedstrand U., Ronquist G.:Cerebrospinal fluid markers in relation to outcome in patients with global cerebral ischemia. Critical Care Med. 11:4–6, 1983.

    CAS  Google Scholar 

  13. Phillips J., Horner B., Doorly T.:Cerebrovascular accident in a 14 year old marathon runner. Brit. Med. J. 26:351–352, 1983.

    Google Scholar 

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Capocchi, G., Tassi, C., Ricci, S. et al. Creatine kinase BB activity in serum of patients with acute stroke: correlation with the severity of brain damage. Ital J Neuro Sci 8, 567–570 (1987). https://doi.org/10.1007/BF02333663

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