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Review paper

Serum biomarkers in normal pressure hydrocephalus

By
Enra Mehmedika-Suljić Orcid logo ,
Enra Mehmedika-Suljić

Department of Neurology, Clinical Centre University of Sarajevo

Sebija Izetbegović ,
Sebija Izetbegović

Department of Gynaecology and Obstetrics, Clinical Centre University of Sarajevo

School of Medicine, University of Sarajevo

Nafija Serdarević ,
Nafija Serdarević

Department of Biochemistry, Clinical Centre University of Sarajevo

Faculty of Health science, University of Sarajevo

Bekir Rovčanin ,
Bekir Rovčanin

Department of Neurosurgery, Clinical Centre University of Sarajevo

Nevena Mahmutbegović ,
Nevena Mahmutbegović
Contact Nevena Mahmutbegović

Department of Neurology, Clinical Centre, University of Sarajevo , Sarajevo , Bosnia and Herzegovina

Admir Mehičević ,
Admir Mehičević

Department of Neurology, Clinical Centre University of Sarajevo

Ibrahim Omerhodžić
Ibrahim Omerhodžić

School of Medicine, University of Sarajevo

Department of Neurosurgery, Clinical Centre University of Sarajevo

Abstract

Aim
To investigate the serum value of brain derived neurotrophic factor (BDNF), proteins S-100, NSE, IL-6 in normal pressure patients (NPH) compared to control (healthy) group and also a possible correlation with radiological findings in NPH patients.
Methods
Study patients were included during the period of 2020-2022. All NPH patients met the diagnostic criteria for probability
of NPH. Control patients group included patients without known brain disorder, without clinical symptoms of NPH. Blood samples were taken before planned surgery for NPH. BDNF serum concentrations were assessed by a sensitive ELISA kit, and serum concentrations of S-100, NSE and IL-6 were assessed by using ECLIA technology for immunoassay detection.
Results
Among 15 patients who were included, seven NPH patients were compared to eight control patients. Non-significant
decrease in BDNF serum concentrations, an increase of protein S-100 serum concentrations, a decrease of NSE serum concentrations, as well as an increase of IL-6 serum concentrations in NPH patients compared to healthy controls was found. Strong positive correlation between BNDF and Evans index was observed (p=0.0295).
Conclusion
We did not find a significant difference of BDNF, protein S-100, IL-6 and NSE between serum concentration in NPH
and healthy patients. More future research is needed to find the
role of BDNF in NPH patients.

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