PMID- 20006203 OWN - NLM STAT- MEDLINE DCOM- 20100108 LR - 20151119 IS - 1532-8171 (Electronic) IS - 0735-6757 (Linking) VI - 28 IP - 1 DP - 2010 Jan TI - S-100beta and neuron-specific enolase levels in carbon monoxide-related brain injury. PG - 61-7 LID - 10.1016/j.ajem.2008.10.032 [doi] AB - INTRODUCTION: Carbon monoxide (CO) toxicity may cause persistent injuries in tissues sensitive to hypoxia. Neuropsychiatric sequelae may be observed in about 67% of cases after severe CO exposure. AIM: The aims of this study were to demonstrate the usefulness of S-100beta and neuron-specific enolase (NSE) in CO intoxications, show the degree of neurological response, and determine the indications for hyperbaric oxygen treatment (HBOT) as biochemical markers. RESULTS: The S-100beta and NSE levels of the sera of 30 patients were studied upon admittance and at the third and sixth hours. S-100beta levels were found to be high in all 3 analyses. There was no significant change in NSE levels. When the S-100beta levels were compared with Glasgow Coma Scale levels, a strong negative correlation was found for all hours (r = -0.7, -0.8; P = .00). The correlation between S-100beta and carboxyhemoglobin levels at the initial hour was found to be statistically significant (r = 0.4; P = .01). The S-100beta levels in patients receiving HBOT showed a considerable decrease compared with those in patients not receiving the treatment. The same decrease was valid for NSE, although it was insignificant. CONCLUSION: S-100beta may be useful in evaluating intoxications as an early biochemical marker in CO intoxications, as well as in the differential diagnosis due to other causes, and in determining HBOT indications. FAU - Cakir, Zeynep AU - Cakir Z AD - Department of Emergency Medicine, Ataturk University, Medical School, 25090 Erzurum, Turkey. FAU - Aslan, Sahin AU - Aslan S FAU - Umudum, Zuhal AU - Umudum Z FAU - Acemoglu, Hamit AU - Acemoglu H FAU - Akoz, Ayhan AU - Akoz A FAU - Turkyilmaz, Sule AU - Turkyilmaz S FAU - Ozturk, Nurinnisa AU - Ozturk N LA - eng PT - Journal Article PL - United States TA - Am J Emerg Med JT - The American journal of emergency medicine JID - 8309942 RN - 0 (Biomarkers) RN - 0 (Nerve Growth Factors) RN - 0 (S100 Calcium Binding Protein beta Subunit) RN - 0 (S100 Proteins) RN - EC 4.2.1.11 (Phosphopyruvate Hydratase) SB - IM MH - Adult MH - Biomarkers/blood MH - Brain Diseases/*blood/etiology MH - Carbon Monoxide Poisoning/*blood/complications MH - Female MH - Humans MH - Male MH - Nerve Growth Factors/*blood MH - Phosphopyruvate Hydratase/*blood MH - S100 Calcium Binding Protein beta Subunit MH - S100 Proteins/*blood MH - Time Factors EDAT- 2009/12/17 06:00 MHDA- 2010/01/09 06:00 CRDT- 2009/12/17 06:00 PHST- 2008/08/23 00:00 [received] PHST- 2008/10/24 00:00 [revised] PHST- 2008/10/26 00:00 [accepted] PHST- 2009/12/17 06:00 [entrez] PHST- 2009/12/17 06:00 [pubmed] PHST- 2010/01/09 06:00 [medline] AID - S0735-6757(08)00781-X [pii] AID - 10.1016/j.ajem.2008.10.032 [doi] PST - ppublish SO - Am J Emerg Med. 2010 Jan;28(1):61-7. doi: 10.1016/j.ajem.2008.10.032.