The concentrations of xanthine and hypoxanthine in cerebrospinal fluid as therapeutic guides in hydrocephalus |
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Authors: | M Castro-Gago S Lojo R Del Rio A Rodriguez I Novo S Rodriguez-Segade |
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Institution: | (1) Department of Pediatrics, Neuropediatrics Service, University of Santiago de Compostela, Santiago de Compostela, Spain;(2) Central Laboratory Service, General Hospital de Galicia, School of Medicine, University of Santiago de Compostela, Santiago de Compostela, Spain |
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Abstract: | Xanthine, hypoxanthine, and total oxypurine levels were determined in the cerebrospinal fluid of 18 hydrocephalic patients and 8 healthy controls by high-performance liquid chromatography (HPLC). Eight of the hydrocephalic patients were self-compensated and 10 had shunts implanted during the course of the study. The mean xanthine, hypoxanthine, and total oxypurine levels in the normal children were 5.20, 5.94 and 11.29 mol/l, respectively. In self-compensated hydrocephalics these levels were respectively 6.06, 6.50 and 12.57 mol/l. In noncompensated hydrocephalics, they were 11.40, 10.79 and 22.19 mol/l. The differences between the latter group and the first two are statistically significant (P<0.001). Fifteen days after implantation of shunts in the noncompensated hydrocephalics, the mean xanthine levels had fallen to 4.61 mol/l, the mean hypoxanthine levels to 5.03 mol/l, and the mean total oxypurine levels to 9.64 mol/l. The change is statistically significant (P<0.001). In light of these findings we propose that xanthine, hypoxanthine, and total oxypurine levels be used in cases of hydrocephalus as guides for therapeutic action and to monitor progress. |
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Keywords: | Hydrocephalus Cerebrospinal fluid Total oxypurines Xanthine Hypoxanthine Guanine |
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