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366709

Biochemical Aspects of Mild Head Injury: Detection and Diagnostic Value of Serum Neuron-Specific Enolase (NSE) and S100B Protein Levels: A Medicolegal View

Article

Last updated: 23 Dec 2024

Subjects

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Tags

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Abstract

BACKGROUND: Traumatic brain injury (TBI) is a common public health problem. Mild TBI is any head injury with Glasgow Coma Scale (GCS) above 12. TBI comes to the forensic team's attention. Computed tomography (CT) is the investigation of choice in head injury being available relatively cheap and rapidly acquainted but less than 1 percent of head trauma patients have findings on CT brain and it does not predict the neuropsychiatric outcome of the mild TBI patients. Failure of diagnosis of head trauma patients and its management might be well-thought-out as a medicolegal negligence against the doctors. Biomarkers were proved to increase in brain insults such as strokes or even in trauma cases not involve head injuries. OBJECTIVES: The aim of this study was to assess how serum NSE and S100B, correlated to functional outcome and to compare the sensitivity and specificity of the 2 biomarkers in order to minimize the risk of medicolegal liabilities against the doctors and hospitals. PATIENTS AND METHODS: 50 patients with the diagnosis of mild TBI admitted to the ER of Benha University Hospital were enrolled, CT brain, serum levels of S100 – β and NSE were detected. Meanwhile, 50 non trauma persons were enrolled and have the same managements. The present investigation was carried out with consent from Benha faculty of medicine research ethics committee (Rc: 35-5-2023). Written informed consent was obtained from all subjects or their legally authorized representatives prior to starting the study. RESULTS: Serum levels of S100 and NSE were noted to be elevated in trauma patients compared to the control group. CONCLUSIONS: S100 protein is more sensitive and specific than NSE as prognostic biomarker for the long-term outcome of mild head trauma and may serve as potential targets for treatment.

DOI

10.21608/zjfm.2024.285823.1185

Keywords

S100P, NSE, biomarkers, Trauma

Authors

First Name

Rabab

Last Name

hindawy

MiddleName

-

Affiliation

forensic medicine and clinical toxicology department, faculty of medicine, benha university, benha, egypt

Email

dr_rababhindawi@yahoo.com

City

benha

Orcid

0000-0002-4234-0834

First Name

Nahla

Last Name

Ibrahim

MiddleName

Mohammed

Affiliation

Lecturer of Forensic medicine and Toxicology Zagazig University

Email

drnahlaibrahimforensic@gmail.com

City

zagazig

Orcid

0009-0004-7238-0812

First Name

AHMED

Last Name

EL Noury

MiddleName

-

Affiliation

lecturer of Neurosurgery Benha University

Email

dra3a99@yahoo.com

City

Benha

Orcid

-

First Name

Mahmoud

Last Name

Wahdan

MiddleName

-

Affiliation

assistant professor of Neurosurgery Benha University

Email

mahmoud.wahdan@fmed.bu.edu.eg

City

Benha

Orcid

-

Volume

22

Article Issue

2

Related Issue

48898

Issue Date

2024-07-01

Receive Date

2024-05-04

Publish Date

2024-07-01

Page Start

53

Page End

67

Print ISSN

1687-160X

Online ISSN

2536-9849

Link

https://zjfm.journals.ekb.eg/article_366709.html

Detail API

https://zjfm.journals.ekb.eg/service?article_code=366709

Order

3

Type

Original Article

Type Code

402

Publication Type

Journal

Publication Title

Zagazig Journal of Forensic Medicine and Toxicology

Publication Link

https://zjfm.journals.ekb.eg/

MainTitle

Biochemical Aspects of Mild Head Injury: Detection and Diagnostic Value of Serum Neuron-Specific Enolase (NSE) and S100B Protein Levels: A Medicolegal View

Details

Type

Article

Created At

23 Dec 2024