Inflammatory response after acute ischemic stroke.

Published on Sep 15, 2005in Journal of the Neurological Sciences3.115
· DOI :10.1016/J.JNS.2005.05.006
Lars Marquardt3
Estimated H-index: 3
,
Andreas Ruf17
Estimated H-index: 17
+ 4 AuthorsArmin J. Grau47
Estimated H-index: 47
Sources
Abstract
Abstract Background and purpose This study aimed to characterize the time course of inflammatory parameters after acute ischemic stroke. Methods We serially determined high sensitivity C-reactive protein (CRP), fibrinogen, and leukocyte counts at 10 time points between days 1 and 90 after ischemic stroke and in control subjects. Results CRP did not significantly change, whereas fibrinogen increased after stroke. At all time points, CRP and fibrinogen were higher than in healthy control subjects, but not risk factor control subjects. The leukocyte count declined after stroke and was significantly elevated as compared to both control groups only on day 1 but not later. NIHSS levels were positively correlated with CRP and fibrinogen at all time points. Larger infarcts were associated with a higher CRP and leukocyte counts on day 90. Treatment with aspirin was associated with lower values for all three inflammatory parameters in the subacute phase after ischemia. Conclusions The course after stroke was different between the parameters of inflammation. Only the leukocytes followed the paradigm of an acute phase response.
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Newest
#1Craig J. Smith (University of Manchester)H-Index: 29
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#1K. Winbeck (TUM: Technische Universität München)H-Index: 13
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