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. 1977 Aug;40(8):818–820. doi: 10.1136/jnnp.40.8.818

Myocardial creatine kinase isoenzyme in serum after subarachnoid haemorrhage.

G Fabinyi, D Hunt, L McKinley
PMCID: PMC492842  PMID: 925705

Abstract

The myocardial isoenzyme of creatine kinase (MB CK) has been demonstrated in the serum of seven of 16 patients presenting with acute subarachnoid haemorrhage. All patients with elevated MB CK levels exhibited at some stage either intracranial arterial spasm as demonstrated by cerebral angiography, or a focal reversible neurological deficit not due to direct pressure by either intracranial haematoma or aneurysm. The presence of MB CK isoenzymes in sera of patients with subarachnoid haemorrhage may be an index of cerebral ischaemia, and may thus be of value in determining optimal timing of surgery or, ultimately, the long-term prognosis. Changes in the sympathetic nervous system may be a common factor producing both MB isoenzyme release from the myocardium and intracranial arterial spasm.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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