Relationship between Markers of Lipid Peroxidation, Thiol Oxidation and Glasgow Coma Scale Scores of Moderate Head Injury Patients in the 7 day Post-Traumatic Period

Nayak, Chandrika and Nayak, Dinesh and Annaswamy, Raja and Rao, Anjali (2007) Relationship between Markers of Lipid Peroxidation, Thiol Oxidation and Glasgow Coma Scale Scores of Moderate Head Injury Patients in the 7 day Post-Traumatic Period. Neurological Research.

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Abstract

Objective: Epidemiologic works reveal that moderate head injury (MHI) is more frequent and a substantial number of these patients develop complications resulting in neurological disabilities. Reactive oxygen species (ROS) play a major role in post-traumatic neuronal damage following traumatic head injury. Thus, the current study analysed the post-traumatic changes in the erythrocyte markers of oxidative damage and the relationship between these parameters and Glasgow coma scale (GCS) scores of MHI patients during the 7 day study period. Methods: Peripheral venous blood samples were taken at the time of hospital admission (d1 of injury) and on d7 from 25 MHI patients (admission GCS score.8). These were compared with samples from 25 healthy individuals (normal controls, NC). GCS scores were recorded at the same time points of the study period. Erythrocyte lipid peroxidation (LP) and thiol oxidation levels were estimated and compared with that of NC. The relationship between GCS scores and erythrocyte markers were also studied. Results: Erythrocyte thiobarbituric acid reactive substance (TBARS) levels reflecting lipid peroxidative damage remained significantly elevated at both time points of the study period in MHI patients as compared to NC (p,0.001). There was a significant decrease in the level of nonprotein thiols in MHI patients as compared to NC (p,0.01) at the same time points of the study. However, on d7 there were no further significant changes in the markers of oxidative damage in MHI patients as compared to on d1. Conclusion: These findings suggest that a condition of oxidative stress occurs during the entire post-traumatic period in MHI patients and the utility of markers of oxidative damage in the prognosis of head injury needs to be addressed in further works.

Item Type: Article
Uncontrolled Keywords: Erythrocytes; lipid peroxidation; moderate head injury; thiol oxidation
Subjects: Medicine > KMC Manipal > Biochemistry
Medicine > MMMC Manipal > Biochemistry
Medicine > KMC Manipal > Neuro Surgery
Medicine > KMC Manipal > Paediatrics
Depositing User: KMC Manipal
Date Deposited: 09 May 2013 05:06
Last Modified: 09 May 2013 05:06
URI: http://eprints.manipal.edu/id/eprint/94990

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