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Volume 215, Issue 1, Pages 84-89 (30 October 2009)


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Plasma levels of inflammatory and thrombotic/fibrinolytic markers in acute ischemic strokes: Relationship with TOAST subtype, outcome and infarct site

Antonino TuttolomondoaCorresponding Author Informationemail address, Riccardo Di Sciaccaa, Domenico Di Raimondoa, Antonia Serioa, Gisella D'Aguannoa, Sergio La Placaa, Rosaria Pecoraroa, Valentina Arnaob, Luciana Marinoa, Serena Monacoc, Eraldo Natalèc, Giuseppe Licataa, Antonio Pintoa

Received 28 January 2009; received in revised form 19 June 2009; accepted 19 June 2009. published online 20 August 2009.

Abstract 

Background

The aim of our study was to evaluate in patients with acute ischemic stroke the relationship between immuno-inflammatory variables, clinical outcome and infarct site.

Materials and methods

We evaluated plasma levels of IL-1β, TNF-α, IL-6 and IL-10, E-selectin, P-selectin, sICAM-1 ,sVCAM-1 vWF, TPA and PAI-1.

Results

Patients with cardioembolic subtype showed significantly higher median plasma levels of TNF-α, IL-6, IL-1β whereas the lacunar subtype showed significantly lower median plasma levels of TNF-α, IL-6 and IL-1β.

Conclusions

A significant association was noted between the severity of neurological deficit at admission, the diagnostic subtype and some inflammatory variables.

a Dipartimento Biomedico di Medicina Interna e Specialistica, Università degli Studi di Palermo, P.zza delle Cliniche, n.2,90127 Palermo, Italy

b Dipartimento Di Neuroscienze Cliniche, Università degli Studi di Palermo, Via La Loggia no. 1, 90127 Palermo, Italy

c Divisione di Neurologia e Stroke Unit, Azienda Ospedaliera Civico di Palermo, Via Carmelo Lazzaro, 90127 Palermo, Italy

Corresponding Author InformationCorresponding author. Tel.: +39 091 6552128; fax: +39 091 6552285.

PII: S0165-5728(09)00259-8

doi:10.1016/j.jneuroim.2009.06.019


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