Correlation between secondary thrombosis in epileptic patients and serum levels of folate and vitamin B12
Identifieur interne : 000936 ( Main/Exploration ); précédent : 000935; suivant : 000937Correlation between secondary thrombosis in epileptic patients and serum levels of folate and vitamin B12
Auteurs : Hao Zhou [République populaire de Chine] ; Hong-Li Huang [République populaire de Chine] ; Nuan Wang [République populaire de Chine] ; Xiao-Hu Pang [République populaire de Chine]Source :
- Biomedical Reports [ 2049-9434 ] ; 2016.
Abstract
Epilepsy is a chronic brain dysfunction syndrome and nervous system disease whose pathogenesis remains to be determined. The aim of the present study was to analyze the correlation between secondary thrombosis and the serum levels of folate and vitamin B12 in epileptic patients, as well as to determine whether the supplementation of folate and vitamin B12 was associated with a decreased incidence of thrombosis, and provide the basis for novel clinical treatment. A total of 37 patients, diagnosed as epileptic with secondary thrombosis between April 2012 and April 2014, were included in the treatment group. A total of 37 epileptic patients without secondary thrombosis were included in the control group. The serum levels of homocysteine, folate and vitamin B12 in the two groups and in the epileptic patients with intracranial thrombosis or peripheral thrombosis were compared. According to the Guidance of Epilepsy, the patients in the two groups were administered antiepileptic drugs (AEDs) with the supplementation of folate tablet (0.4 mg/day) and vitamin B12 tablet (100 µg/day). These indicators and the incidence of thrombosis in the two groups were compared after 1 year. The serum levels of homocysteine in the two groups were higher than normal, and the levels in the treatment group were significantly higher than those in the control group. The serum levels of folate and vitamin B12 in the treatment group were significantly higher than those in the control group and the difference was statistically significant (P<0.05). The Pearson correlation analysis revealed that the serum levels of folate and vitamin B12 were not associated with the serum level of homocysteine (P>0.05). The logistic regression analysis revealed that the serum levels of folate and vitamin B12 were independent risk factors for epilepsy with secondary thrombosis [folate: odds ratio (OR)=0.635, P=0.038; vitamin B12: OR=0.418, P=0.042]. The differences in the serum levels of homocysteine, folate and vitamin B12 in the epileptic patients with intracranial thrombosis or peripheral thrombosis were not statistically significant (P>0.05). The serum levels of homocysteine in the two groups, were significantly decreased, while the levels of folate and vitamin B12 were significantly increased. The differences in the serum levels of homocysteine, folate and vitamin B12 in the two groups were not statistically significant (P>0.05). The differences in the incidence of thrombosis in the two groups were not statistically significant (P>0.05). In conclusion, the serum levels of folate and vitamin B12 were independent of serum homocysteine, and were the dependent risk factors for primary epilepsy with secondary thrombosis. The supplementation of folate and vitamin B12 may be beneficial for the prevention of epilepsy with secondary thrombosis, making it valuable in application.
Url:
DOI: 10.3892/br.2016.741
PubMed: 27703674
PubMed Central: 5038890
Affiliations:
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China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Neurology, The First People's Hospital of Xuzhou, Xuzhou, Jiangsu 221000</wicri:regionArea><wicri:noRegion>Jiangsu 221000</wicri:noRegion></affiliation></author><author><name sortKey="Huang, Hong Li" sort="Huang, Hong Li" uniqKey="Huang H" first="Hong-Li" last="Huang">Hong-Li Huang</name><affiliation wicri:level="1"><nlm:aff id="af1-br-0-0-741">Department of Neurology, The First People's Hospital of Xuzhou, Xuzhou, Jiangsu 221000, P.R. China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Neurology, The First People's Hospital of Xuzhou, Xuzhou, Jiangsu 221000</wicri:regionArea><wicri:noRegion>Jiangsu 221000</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Nuan" sort="Wang, Nuan" uniqKey="Wang N" first="Nuan" last="Wang">Nuan Wang</name><affiliation wicri:level="1"><nlm:aff id="af1-br-0-0-741">Department of Neurology, The First People's Hospital of Xuzhou, Xuzhou, Jiangsu 221000, P.R. China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Neurology, The First People's Hospital of Xuzhou, Xuzhou, Jiangsu 221000</wicri:regionArea><wicri:noRegion>Jiangsu 221000</wicri:noRegion></affiliation></author><author><name sortKey="Pang, Xiao Hu" sort="Pang, Xiao Hu" uniqKey="Pang X" first="Xiao-Hu" last="Pang">Xiao-Hu Pang</name><affiliation wicri:level="1"><nlm:aff id="af1-br-0-0-741">Department of Neurology, The First People's Hospital of Xuzhou, Xuzhou, Jiangsu 221000, P.R. China</nlm:aff><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Neurology, The First People's Hospital of Xuzhou, Xuzhou, Jiangsu 221000</wicri:regionArea><wicri:noRegion>Jiangsu 221000</wicri:noRegion></affiliation></author></analytic><series><title level="j">Biomedical Reports</title><idno type="ISSN">2049-9434</idno><idno type="eISSN">2049-9442</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Epilepsy is a chronic brain dysfunction syndrome and nervous system disease whose pathogenesis remains to be determined. The aim of the present study was to analyze the correlation between secondary thrombosis and the serum levels of folate and vitamin B12 in epileptic patients, as well as to determine whether the supplementation of folate and vitamin B12 was associated with a decreased incidence of thrombosis, and provide the basis for novel clinical treatment. A total of 37 patients, diagnosed as epileptic with secondary thrombosis between April 2012 and April 2014, were included in the treatment group. A total of 37 epileptic patients without secondary thrombosis were included in the control group. The serum levels of homocysteine, folate and vitamin B12 in the two groups and in the epileptic patients with intracranial thrombosis or peripheral thrombosis were compared. According to the Guidance of Epilepsy, the patients in the two groups were administered antiepileptic drugs (AEDs) with the supplementation of folate tablet (0.4 mg/day) and vitamin B12 tablet (100 µg/day). These indicators and the incidence of thrombosis in the two groups were compared after 1 year. The serum levels of homocysteine in the two groups were higher than normal, and the levels in the treatment group were significantly higher than those in the control group. The serum levels of folate and vitamin B12 in the treatment group were significantly higher than those in the control group and the difference was statistically significant (P<0.05). The Pearson correlation analysis revealed that the serum levels of folate and vitamin B12 were not associated with the serum level of homocysteine (P>0.05). The logistic regression analysis revealed that the serum levels of folate and vitamin B12 were independent risk factors for epilepsy with secondary thrombosis [folate: odds ratio (OR)=0.635, P=0.038; vitamin B12: OR=0.418, P=0.042]. The differences in the serum levels of homocysteine, folate and vitamin B12 in the epileptic patients with intracranial thrombosis or peripheral thrombosis were not statistically significant (P>0.05). The serum levels of homocysteine in the two groups, were significantly decreased, while the levels of folate and vitamin B12 were significantly increased. The differences in the serum levels of homocysteine, folate and vitamin B12 in the two groups were not statistically significant (P>0.05). The differences in the incidence of thrombosis in the two groups were not statistically significant (P>0.05). In conclusion, the serum levels of folate and vitamin B12 were independent of serum homocysteine, and were the dependent risk factors for primary epilepsy with secondary thrombosis. The supplementation of folate and vitamin B12 may be beneficial for the prevention of epilepsy with secondary thrombosis, making it valuable in application.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jessberger, S" uniqKey="Jessberger S">S Jessberger</name></author><author><name sortKey="Parent, Jm" uniqKey="Parent J">JM Parent</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Devinsky, O" uniqKey="Devinsky O">O Devinsky</name></author><author><name sortKey="Spruill, T" uniqKey="Spruill T">T Spruill</name></author><author><name sortKey="Thurman, D" uniqKey="Thurman D">D Thurman</name></author><author><name sortKey="Friedman, D" uniqKey="Friedman D">D Friedman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kosyfaki, P" uniqKey="Kosyfaki P">P Kosyfaki</name></author><author><name sortKey="Woerner, W" uniqKey="Woerner W">W Woerner</name></author><author><name 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uniqKey="Atamasirikul K">K Atamasirikul</name></author><author><name sortKey="Chotsuppakarn, S" uniqKey="Chotsuppakarn S">S Chotsuppakarn</name></author><author><name sortKey="Areekul, S" uniqKey="Areekul S">S Areekul</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Zhou, Hao" sort="Zhou, Hao" uniqKey="Zhou H" first="Hao" last="Zhou">Hao Zhou</name></noRegion><name sortKey="Huang, Hong Li" sort="Huang, Hong Li" uniqKey="Huang H" first="Hong-Li" last="Huang">Hong-Li Huang</name><name sortKey="Pang, Xiao Hu" sort="Pang, Xiao Hu" uniqKey="Pang X" first="Xiao-Hu" last="Pang">Xiao-Hu Pang</name><name sortKey="Wang, Nuan" sort="Wang, Nuan" uniqKey="Wang N" first="Nuan" last="Wang">Nuan Wang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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