Glial Fibrillary Acidic Protein and Ubiquitin C-Terminal Hydrolase-L1 Are Not Specific Biomarkers for Mild CT-Negative Traumatic Brain Injury

Jussi P. Posti, Iftakher Hossain, Riikka Takala, Hilkka Liedes, Virginia Newcombe, Joanne Outtrim, Ari Katila, Janek Frantzén, Henna Ala-Seppälä, Jonathan Coles,

Journal of Neurotrauma · 2016 · 89 citations · 51 references

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Abstract

= 0.026) on arrival; however, no differences were found on the following days. The levels of UCH-L1 were not significantly different between these two groups at any measured point of time. Levels of GFAP and UCH-L1 were not able to distinguish patients with CT-negative mTBI from patients with orthopedic trauma. Patients with orthopedic trauma and high levels of UCH-L1 or GFAP values may be falsely diagnosed as having a concomitant mTBI, predisposing them to unwarranted diagnostics and unnecessary brain imaging. This casts a significant doubt on the diagnostic value of GFAP and UCH-L1 in cases with mTBI.

References

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