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Springerplus. 2016 Jul 22;5(1):1153. doi: 10.1186/s40064-016-2837-6. eCollection 2016.

Measuring serum matrix metalloproteinase-9 levels in peripheral blood after subarachnoid hemorrhage to predict cerebral vasospasm.

SpringerPlus

Aykut Akpinar, Necati Ucler, Uzay Erdogan, Serhat S Baydin, Abuzer Gungor, Bekir Tugcu

Affiliations

  1. Department of Neurosurgery, Adiyaman University Education and Research Hospital, 02200 Adiyaman, Turkey.
  2. Bakirkoy Research and Training Hospital for Neurology Neurosurgery and Psychiatry, Istanbul, Turkey.
  3. Department of Neurosurgery, Mcknight Brain Institute, University of Florida, Gainesville, FL USA.

PMID: 27504251 PMCID: PMC4958081 DOI: 10.1186/s40064-016-2837-6

Abstract

PURPOSE: We aimed to investigate serum levels of matrix metalloproteinase-9 in both subarachnoid hemorrhage and control groups for prediction of cerebral vasospasm in this study.

METHODS: Venous serum matrix metalloproteinase-9 levels were prospectively measured four times (days 1, 3, 7, and 14) for 34 consecutive patients with subarachnoidal hemorrhage (n = 27) and for elective aneurysm clipping (control, n = 7).

RESULTS: Vasospasm developed in 11/34 (32.4 %) patients between 3 and 10 days after subarachnoid hemorrhage (median 5.58 days), mean peak serum matrix metalloproteinase-9 compared with the non-vasospasm cohort. Matrix metalloproteinase-9 levels were higher in subarachnoid hemorrhage patients than in the controls.

CONCLUSION: Increased serum matrix metalloproteinase-9 could be an accurate biomarker to predict the onset of cerebral vasospasm after subarachnoid hemorrhage.

Keywords: Aneurysm; Ischemia; Matrix metalloproteinase-9; Subarachnoid hemorrhage

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