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14. Serum cytokine and glucose levels as predictors of poststroke fatigue in acute ischemic stroke patients

Author

Hans Christian Dalsbotten Aass, Leiv Sandvik, Heidi Ormstad, Karl-Friedrich Amthor, and Niels Lund-Sørensen

Subjects
Adult, Blood Glucose, Male, medicine.medical_specialty, Neurology, medicine.medical_treatment, Acute ischemic stroke, Clinical Neurology, Infarction, Statistics, Nonparametric, Proinflammatory cytokine, Disability Evaluation, Hemoglobins, Predictive Value of Tests, Internal medicine, medicine, Humans, Stroke, Fatigue, Neuroradiology, Aged, Inflammation, Aged, 80 and over, Original Communication, business.industry, Interleukin, Middle Aged, medicine.disease, Magnetic Resonance Imaging, Proinflammatory, Surgery, Cytokine, C-Reactive Protein, Predictive value of tests, Cardiology, Cytokines, Female, Neurology (clinical), Anti-inflammatory, business, Tomography, X-Ray Computed
Abstract

Fatigue is a common but often overlooked symptom after stroke. This study investigated whether stroke type, infarct volume, and laterality, as well as the levels of various cytokines and other blood components in the acute phase of acute ischemic stroke (AIS), can predict the level of fatigue at 6, 12, and 18 months after its onset. In 45 patients with acute stroke, serum levels of C-reactive protein, hemoglobin, glucose, and 13 cytokines were measured within 72 h of stroke onset. The cytokine measurements were performed using BioPlex XMap technology (Luminex). The acute serum levels of interleukin (IL)-1β and glucose were positively correlated with the score on the Fatigue Severity Scale (FSS) at 6 months after the stroke (r = 0.37, p = 0.015, and r = 0.37, p = 0.017, respectively). The acute serum levels of IL-ra and IL-9 were negatively correlated with FSS score at 12 months after the stroke (r = −0.38, p = 0.013, and r = −0.36, p = 0.019, respectively). The FSS score at 12 months after stroke was significantly lower in patients with radiologically confirmed infarction than in those without such confirmation (p = 0.048). The FSS score at 18 months was not correlated with any of the measured variables. High acute serum levels of glucose and IL-1β, and low IL1-ra and IL-9 may predict fatigue after AIS, indicating that the development of poststroke fatigue can be accounted for by the proinflammatory response associated with AIS. These novel findings support a new cytokine theory of fatigue after stroke. However, more research is needed to validate the results of this study.

Published
2011

18. Zur Analyse des Weines

Author

Kerp, W., von der Heide, C., Paul, Th., Kulisch, P., Bornträger, A., Amthor, C., Roettgen, Th., Contino, A., Kunz, R., Astruc, H., Mahoux, J., Baragiola, W. J., Schuppli, O., Legler, L., Baragiola, W. J., Godet, Ch., Gayon, Dubourg, Mensio, C., Garino Canina, E., Seifert, W., Reisch, R., Schindler, J., Svoboda, H., Wohack, Fr., Rothenfusser, J., Kalusky, L., Rinati, G. V., Mayrhofer, J., Béys, C., Bertainchaud, E., Hilger, A., Perrin, G., Meillére, G., Tillmans, J., Seifert, W., Kaserer, H., Paris, G., Marsiglia, T., Kickton, A., Behncke, W., Windisch, K., Carles, P., Vandam, L., Leperre, F., Coma y Roca, F., Vitali, D., Salomone, G., Rouillard, Goujon, Roux Fonces-Diacon, C., Voisenet, Bonis, Blarez, Ch., and Schaffer, F.

Published
1916
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23. Zur Untersuchung und Beurtheilung des Weins

Author

Carpené, Antonio, Carpené, Rubidio, Omeis, Th., Haas, B., Muller, J. A., Frühling, R., Lange, G., László, E., Lecco, M. T., Amthor, C., Nessler, J., Kulisch, P., Schnell, A., Mallmann, Fr., Barth, M., Ripper's, M., Liebermann, L., Fremann, W., Grünhut, L., Gondoin, J., Sinibaldi, Combe, Thabuis, T., Turié, Fr., Morgenstern, Pawlinow, Mach, E., Baumert, G., Crampton, C. A., Weinwurm, S., Bertschinger, A., Wartha, Kleiber, A., Schmitt, C., Ripper, M., Seifert, W., Rieter, F., Schaffer, F., Pfeiffer, L., Chuard, E., and Jaccard, M.

Published
1896
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25. Analyse des Weines

Author

Löwe, Julius, Holzner, G., Kayser, R., Barth, Max, Moritz, J., Claus, Amthor, Carl, Ferrari, Prospero, Musset, Franz, Egger, Malenfent E., Mach, E., Portele, K., Gantter, F., Marquis, Boni, D., Geissler, E., Cotton, Wolff, C. H., Thomas, Ch., Guichard, König, F., Comboni, Dupré, A., Jean, F., Girard, Aimé, Pichard, P., Bérard, de la Magnier Source, Carles A., Gibertini, D., Pollacci, E., Barthelemy, A., Brin, A., Lefort, J., List, E., Berthelot, Fleck, H., and Nessler, J.

Published
1885
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26. Analyse des Weines

Author

Medicus, L., Kayser, B., Wartha, V., Maumené, E. J., Roesler, L., Haas, B., Weigert, Leopold, Ogáta, Massanori, Jay, Egger, E., Amthor, Carl, Schmitt, C., Cobenzl, A., Bosenhek, Josef, Blarez, Gobba, Lys, Chiappe, Strohmer, F., Uffelmann, J., Vogel, H. W., Krohn, L. Mourad, and Kiticsán, S.

Published
1885
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31. Zur Analyse und Beurtheilung des Weines

Author

László, E., Glaser, F., Mühle, K., Thörner, W., Uster, R., Sestini, Qu., Amthor, C., Leone, T., Barth, M., Hoffmann, Th., Kulisch, P., Medicus, L., Fresenius, W., Grünhut, L., Pinette, J., Boettinger, C., Bornträger, A., Bigelow, W. D., Monnier, D., Mach, E., Portele, K., Muller, J. A., Möslinger, W., Windisch, K., and von Raumer, E.

Published
1898
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