PMID- 37313333 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230615 IS - 0972-7531 (Print) IS - 0976-3260 (Electronic) IS - 0972-7531 (Linking) VI - 30 IP - 1 DP - 2023 Jan TI - Homocysteine, Vitamins B6, B12, and Folate and the Risk of Ischemic and Hemorrhagic Stroke: A Case-control Study from Northeast India. PG - 33-39 LID - 10.1177/09727531221124425 [doi] AB - BACKGROUND: Stroke is a major leading global health complication. Identification and management of risk factors associated with stroke can help in prior detection, prevention, and improvement in patient care. PURPOSE: To investigate the prevalence of hyperhomocysteinemia (HHcy) and Vitamins B6, B12, and folate deficiency in stroke patients and also to assess other risk factors associated with ischemic and hemorrhagic stroke. METHODS: Detail history of all the subjects in the study including history of hypertension, anemia, fasting glucose, carotid artery thickness, smoking, alcohol, and dietary intake was recorded. Standard assays for homocysteine (Hcy), Vitamins B6, B12, and folate estimation were done. Lipid and renal profile tests were also performed. The prevalence and odds of having HHcy, Vitamins B6, B12, and folate deficiency, and other risk factors in ischemic and hemorrhagic stroke patients were evaluated. Student's t-tests and chi-square tests were done for statistical validation of the data. RESULTS: Prevalence of HHcy and Vitamins B6, B12, and folate deficiency was not observed in ischemic cases. HHcy and folate deficiency was found to be prevalent in hemorrhagic stroke patients. The odds that a person with HHcy and folate deficiency has hemorrhagic stroke was found to be significantly high. CONCLUSION: In our study, high Hcy and low folate levels emerged as risk factors for hemorrhagic stroke. CI - (c) The Author(s) 2022. FAU - Ghose, Manash AU - Ghose M AD - Department of Neurology, GNRC Hospitals, Dispur, Guwahati, Assam, India. FAU - Das, Madhumita AU - Das M AD - Department of Biochemistry, GNRC Medical, North Guwahati, Assam, India. FAU - Das, Rupjyoti AU - Das R AD - Department of Neurology, GNRC Hospitals, Dispur, Guwahati, Assam, India. FAU - Barua, Amit Ranjan AU - Barua AR AD - Department of Neurology, GNRC Medical, North Guwahati, Assam, India. FAU - Deka, Prasenjit AU - Deka P AD - Department of Neurology, GNRC Hospitals, Six Mile, Guwahati, Assam, India. FAU - Barman, Aparajita AU - Barman A AD - Department of Neurology, GNRC Hospitals, Dispur, Guwahati, Assam, India. FAU - Lahan, Vivekananda AU - Lahan V AD - Department of Neurology, GNRC Hospitals, Six Mile, Guwahati, Assam, India. FAU - Choudhury, Dhruba Jyoti AU - Choudhury DJ AD - Department of Neurology, GNRC Medical, North Guwahati, Assam, India. FAU - Sharma, Jai Prakash AU - Sharma JP AD - Department of Neurology, GNRC Medical, North Guwahati, Assam, India. FAU - Mathur, Manik AU - Mathur M AD - Department of Neurology, GNRC Hospitals, Dispur, Guwahati, Assam, India. FAU - Borah, Nomal Chandra AU - Borah NC AD - Department of Neurology, GNRC Hospitals, Dispur, Guwahati, Assam, India. FAU - Choudhury, Nupur AU - Choudhury N AD - Department of Research and Analytics, GNRC Hospitals, Dispur, Assam, India. FAU - Barman, Ananya AU - Barman A AUID- ORCID: 0000-0003-1533-2174 AD - Department of Research and Analytics, GNRC Hospitals, Dispur, Assam, India. LA - eng PT - Journal Article DEP - 20221003 PL - United States TA - Ann Neurosci JT - Annals of neurosciences JID - 101523367 PMC - PMC10259151 OTO - NOTNLM OT - Case-control study OT - folate OT - hemorrhagic stroke OT - homocysteine OT - ischemic stroke COIS- The authors declare that there is no conflict of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/06/14 06:42 MHDA- 2023/06/14 06:43 PMCR- 2023/01/01 CRDT- 2023/06/14 03:55 PHST- 2022/06/09 00:00 [received] PHST- 2022/08/18 00:00 [accepted] PHST- 2023/06/14 06:43 [medline] PHST- 2023/06/14 06:42 [pubmed] PHST- 2023/06/14 03:55 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.1177_09727531221124425 [pii] AID - 10.1177/09727531221124425 [doi] PST - ppublish SO - Ann Neurosci. 2023 Jan;30(1):33-39. doi: 10.1177/09727531221124425. Epub 2022 Oct 3.