PMID- 19237165 OWN - NLM STAT- MEDLINE DCOM- 20090810 LR - 20111117 IS - 1878-5883 (Electronic) IS - 0022-510X (Linking) VI - 280 IP - 1-2 DP - 2009 May 15 TI - Serial cerebrospinal fluid neurofilament concentrations in bacterial meningitis. PG - 59-61 LID - 10.1016/j.jns.2009.01.021 [doi] AB - Neurofilament (NF) is one of the major cytoskeleton proteins of neurons. We investigated the concentrations of the heavy subunit of NF (NF-H) in cerebrospinal fluid (CSF) as biomarkers of neuronal injury in bacterial meningitis. Concentrations of NF-H in CSF of 26 children with bacterial meningitis and in 16 control subjects were measured by ELISA. The CSF NF-H levels were elevated in 22 of the 26 children (85%) with bacterial meningitis. The peak CSF NF-H level occurred at a median period of 10.5 days after onset of illness (range, 1 to 35 days). The peak CSF NF-H levels of the patients with neurological sequelae (n=4) were significantly higher than those without sequelae (n=22) (7.06 vs. 2.46 ng/mL as median, p=0.048). There was no significant difference in CSF NF-H levels between patients with and without severe neurological sequelae up to day 14 of illness, but the CSF NF-H levels in patients with sequelae were significantly higher than in those without sequelae after day 14 of illness (2.04 vs. 1.19 ng/mL as median, p=0.024). We suggest that neuronal injury occurs in bacterial meningitis regardless of the presence or absence of neurological sequelae. FAU - Matsushige, Takeshi AU - Matsushige T AD - Department of Pediatrics, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan. FAU - Ichiyama, Takashi AU - Ichiyama T FAU - Kajimoto, Madoka AU - Kajimoto M FAU - Okuda, Masayuki AU - Okuda M FAU - Fukunaga, Shinnosuke AU - Fukunaga S FAU - Furukawa, Susumu AU - Furukawa S LA - eng PT - Journal Article DEP - 20090223 PL - Netherlands TA - J Neurol Sci JT - Journal of the neurological sciences JID - 0375403 RN - 0 (Neurofilament Proteins) SB - IM MH - Child, Preschool MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Hearing Loss, Sensorineural/cerebrospinal fluid/complications MH - Humans MH - Infant MH - Infant, Newborn MH - Intellectual Disability/cerebrospinal fluid/complications MH - Male MH - Meningitis, Bacterial/*cerebrospinal fluid/complications MH - Meningitis, Escherichia coli/cerebrospinal fluid/complications MH - Meningitis, Haemophilus/cerebrospinal fluid/complications MH - Meningitis, Pneumococcal/cerebrospinal fluid/complications MH - Methicillin-Resistant Staphylococcus aureus MH - Neurofilament Proteins/*cerebrospinal fluid MH - Paresis/cerebrospinal fluid/complications MH - Time Factors EDAT- 2009/02/25 09:00 MHDA- 2009/08/11 09:00 CRDT- 2009/02/25 09:00 PHST- 2008/10/20 00:00 [received] PHST- 2009/01/09 00:00 [revised] PHST- 2009/01/28 00:00 [accepted] PHST- 2009/02/25 09:00 [entrez] PHST- 2009/02/25 09:00 [pubmed] PHST- 2009/08/11 09:00 [medline] AID - S0022-510X(09)00048-3 [pii] AID - 10.1016/j.jns.2009.01.021 [doi] PST - ppublish SO - J Neurol Sci. 2009 May 15;280(1-2):59-61. doi: 10.1016/j.jns.2009.01.021. Epub 2009 Feb 23.