单次癫痫发作后患者血清和脑脊液中神经元特异性烯醇化酶及髓鞘碱性蛋白的变化

目的探讨单次癫痫发作是否会引起脑损伤。方法 2007年6月-2009年11月,采用电化学发光法检测癫痫发作后24h内40例和对照组40例患者血清和脑脊液中神经元特异性烯醇化酶（neuron-specific enolase,NSE）水平,采用ELISA法测定其血清和脑脊液中髓鞘碱性蛋白（myebin bosic protein,MBP）水平。结果癫痫组血清和脑脊液中NSE水平明显高于对照组（P〈0.01）;癫痫组血清MBP水平与对照组比较差异无统计学意义（P〉0.05）;癫痫组脑脊液中MBP水平高于对照组（P〈0.05）。结论单次癫痫患者血清和脑脊液中NSE明显升高,脑脊液中MBP升高,提示单次癫痫发作可导致神经元损伤。

Changes of Neuron-specific Enolase and Myelin Basic Protein in the Serum and Cerebrospinal Fluid in Patients with Epilepsy after Single Episodes

Objective To detect the possibility of brain damage in the epileptic patients after single episodes. Methods The levels of neuron-specific enolase（NSE）in serum and cerebrospinal fluid（CSF）in 40patients with single episodes within 24hours after seizures from June 2007to November 2009were determined respectively by electrochemiluminescence.Another 40healthy individuals were enrolled as the control.The levels of myelin basic protein（MBP）were determined by enzyme-linked immunosorbent assay.Results The levels of NSE in the serum and CSF in epileptic group within 24hours after seizures were significantly higher than those in the control group（P 0.01）,and the levels of MBP in the serum in the two group didn′t differ much（P0.05）.The levels of MBP in CSF in epileptic group were significantly higher than those in the control group（P0.05）.Conclusions After single episodes,the levels of NSE in serum and CSF and the levels of NSE in CSF increase,which suggests that single episodes may lead to neuronal damage.