Serum Concentration of Myelin Basic Protein as a Prognostic Marker in Mild-to-moderate Head Injury Patients: A Prospective Study in a Tertiary Care Center
Objective To estimate the level of myelin basic protein (MBP) and look for its validity in outcome prediction among mild-to-moderate head injury patients. Materials and Methods It was a prospective study done at the Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2022-12-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716936 |
| _version_ | 1797978299608072192 |
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| author | Ashvamedh Singh Kulwant Singh Anurag Sahu R. S. Prasad N. Pandey Sambuddha Dhar |
| author_facet | Ashvamedh Singh Kulwant Singh Anurag Sahu R. S. Prasad N. Pandey Sambuddha Dhar |
| author_sort | Ashvamedh Singh |
| collection | DOAJ |
| description | Objective To estimate the level of myelin basic protein (MBP) and look for its validity in outcome prediction among mild-to-moderate head injury patients.
Materials and Methods It was a prospective study done at the Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University from Jan 2018 to July 2019. All patients who presented to us within 48 hours of injury with mild-to-moderate head injury with apparently normal CT brain were include in the study. The serum sample were collected on the day of admission and 48 hours later, and patients were treated with standard protocols and observed 6 months postdischarge.
Results Of the 32 patients enrolled, we observed mean MBP level was higher for severity of brain damage, but not associated with age, mode of injury, and radiological diagnosis. Mean MBP levels were not statistically associated with Glasgow coma scale (GCS) score at admission but was correlated to outcome with p < 0.05, with sensitivity of 50% and specificity 72%, that is, patients with good outcome have lower mean MBP levels.
Conclusion MBP as per our analysis can be used as a prognostic marker in patients with head injury. It is not the absolute value rather a trend showing rise in serum MBP levels, which carries a significant value in outcome prediction. |
| first_indexed | 2024-04-11T05:21:03Z |
| format | Article |
| id | doaj.art-921da33fbe4d4a829f9c1f42fb1572fa |
| institution | Directory Open Access Journal |
| issn | 2277-954X 2277-9167 |
| language | English |
| last_indexed | 2024-04-11T05:21:03Z |
| publishDate | 2022-12-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj.art-921da33fbe4d4a829f9c1f42fb1572fa2022-12-24T00:58:12ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672022-12-01110321622010.1055/s-0040-1716936Serum Concentration of Myelin Basic Protein as a Prognostic Marker in Mild-to-moderate Head Injury Patients: A Prospective Study in a Tertiary Care CenterAshvamedh Singh0Kulwant Singh1Anurag Sahu2R. S. Prasad3N. Pandey4Sambuddha Dhar5Department of Neurosurgery, Institute Of Medical Sciences (IMS), Banaras Hindu University, Varanasi, Uttar Pradesh, IndiaDepartment of Neurosurgery, Institute Of Medical Sciences (IMS), Banaras Hindu University, Varanasi, Uttar Pradesh, IndiaDepartment of Neurosurgery, Institute Of Medical Sciences (IMS), Banaras Hindu University, Varanasi, Uttar Pradesh, IndiaDepartment of Neurosurgery, Institute Of Medical Sciences (IMS), Banaras Hindu University, Varanasi, Uttar Pradesh, IndiaDepartment of Neurosurgery, Institute Of Medical Sciences (IMS), Banaras Hindu University, Varanasi, Uttar Pradesh, IndiaDepartment of Neurosurgery, Institute Of Medical Sciences (IMS), Banaras Hindu University, Varanasi, Uttar Pradesh, IndiaObjective To estimate the level of myelin basic protein (MBP) and look for its validity in outcome prediction among mild-to-moderate head injury patients. Materials and Methods It was a prospective study done at the Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University from Jan 2018 to July 2019. All patients who presented to us within 48 hours of injury with mild-to-moderate head injury with apparently normal CT brain were include in the study. The serum sample were collected on the day of admission and 48 hours later, and patients were treated with standard protocols and observed 6 months postdischarge. Results Of the 32 patients enrolled, we observed mean MBP level was higher for severity of brain damage, but not associated with age, mode of injury, and radiological diagnosis. Mean MBP levels were not statistically associated with Glasgow coma scale (GCS) score at admission but was correlated to outcome with p < 0.05, with sensitivity of 50% and specificity 72%, that is, patients with good outcome have lower mean MBP levels. Conclusion MBP as per our analysis can be used as a prognostic marker in patients with head injury. It is not the absolute value rather a trend showing rise in serum MBP levels, which carries a significant value in outcome prediction.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716936mbpserum biomarkermyelin basic proteintraumatic brain injuryserum biomarker in tbi |
| spellingShingle | Ashvamedh Singh Kulwant Singh Anurag Sahu R. S. Prasad N. Pandey Sambuddha Dhar Serum Concentration of Myelin Basic Protein as a Prognostic Marker in Mild-to-moderate Head Injury Patients: A Prospective Study in a Tertiary Care Center Indian Journal of Neurosurgery mbp serum biomarker myelin basic protein traumatic brain injury serum biomarker in tbi |
| title | Serum Concentration of Myelin Basic Protein as a Prognostic Marker in Mild-to-moderate Head Injury Patients: A Prospective Study in a Tertiary Care Center |
| title_full | Serum Concentration of Myelin Basic Protein as a Prognostic Marker in Mild-to-moderate Head Injury Patients: A Prospective Study in a Tertiary Care Center |
| title_fullStr | Serum Concentration of Myelin Basic Protein as a Prognostic Marker in Mild-to-moderate Head Injury Patients: A Prospective Study in a Tertiary Care Center |
| title_full_unstemmed | Serum Concentration of Myelin Basic Protein as a Prognostic Marker in Mild-to-moderate Head Injury Patients: A Prospective Study in a Tertiary Care Center |
| title_short | Serum Concentration of Myelin Basic Protein as a Prognostic Marker in Mild-to-moderate Head Injury Patients: A Prospective Study in a Tertiary Care Center |
| title_sort | serum concentration of myelin basic protein as a prognostic marker in mild to moderate head injury patients a prospective study in a tertiary care center |
| topic | mbp serum biomarker myelin basic protein traumatic brain injury serum biomarker in tbi |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716936 |
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