
The purpose of the study is to elucidate the effects of a craniotomy on patients regarding the cytokines and immunological function. TNF-alpha, IL-6, the CD4/8 ratio, cortisol, and WBC were all measured perioperatively in 29 patients. No serum TNF-alpha was detectable in any patients. The IL-6 level, cortisol and neutrophils all showed an increase with a peak at three hours after the end of operation. On the other hand, the lymphocytes and the CD4/8 ratio demonstrated a opposite pattern with a negative peak at the same time, however, these levels all gradually recovered to their preoperative states on the 7th operative day. The overall effect of a craniotomy was therefore found to correlate with the length of the operation.
Adult, Aged, 80 and over, Male, Time Factors, Adolescent, Hydrocortisone, Brain Neoplasms, Interleukin-6, Tumor Necrosis Factor-alpha, Middle Aged, Cerebrovascular Disorders, Leukocyte Count, Stress, Physiological, Humans, Female, Hemifacial Spasm, Biomarkers, Craniotomy, Aged
Adult, Aged, 80 and over, Male, Time Factors, Adolescent, Hydrocortisone, Brain Neoplasms, Interleukin-6, Tumor Necrosis Factor-alpha, Middle Aged, Cerebrovascular Disorders, Leukocyte Count, Stress, Physiological, Humans, Female, Hemifacial Spasm, Biomarkers, Craniotomy, Aged
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