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Neuron-Specific Enolase & Myelin Basic Protein:Relation of CSF Concentr to Neuro Cond of Asphyx Full-Term Infants
Pediatrics 93:234-240, Garcia-Alix,A.,et al, 1994
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Article Abstract
Twenty infants had no neonatal encephalopathy and 49 exhibited different stages of encephalopathy.NSE and MBP concentrations in CSF at 12 and 72 hours of life were related to the degree of neonatal encephalopathy. Neither NSE nor MBP levels were correlated with any perinatal factors. Infants with documented brain injury had the highest concentrations of both NSE and MBP.The concentrations of these two biochemical markers at both 12 and 72 hours correlated with adverse outcome(death or cerebral palsy at 1 year).Based on a receiver operating characteristics curve analysis for any given specificity,NSE at 12 hours was a more accurate marker than MBP at either5 12 or 72 hours for distinguishing infants with motor impairment at age 1 year from infants with normal outcome at the same age.Our findings suggest that NSE and MBP are reliable biochemical markers for early estimates of hypoxic-ischemic brain damage in asphyctic full-term newborns,NSE being superior to MBP.
 
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cerebrospinal fluid
cerebrospinal fluid,abnormal
cerebrospinal fluid,enzymes in
developmental disability
enolase
hypoxia
hypoxia,newborn
hypoxic encephalopathy
myelin basic protein
neuron specific enolase
prognosis

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