Bone Metabolism in the Hemiplegic Patients after Stroke. |
Kim, Young Eun , Jung, Tae Du , Lee, Ki Hoon , Park, Hyun , Lee, Yang Soo |
1Department of Rehabilitation Medicine, College of Medicine, Kyungpook National University. 2Department of Rehabilitation Medicine, Daegu Veteran's Hospital. |
뇌졸중으로 인한 편마비 환자의 골대사 |
김영은, 정태두, 이기훈, 박 현1, 이양수 |
경북대학교 의과대학 재활의학교실, 1대구보훈병원 재활의학과 |
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Abstract |
Objective To assess change of bone metabolism in hemiplegic patients after stroke. Method Sera were collected from 19 hemiplegic patients after stroke. Sera were assayed for 25-hydroxyvitamin D (25-OHD), 1,25-dihydroxyvitamin D (1,25-(OH)2D), parathyroid hormone (PTH), calcium and osteocalcin.
Results Serum 25-OHD and 1,25-(OH)2D concentration were 15.13 mg/mL and 20.88 pg/mL, respectively. Serum PTH was 47.23 pg/mL. In 5 (26%) of the patients, the serum 25-OHD concentration were <10 ng/mL (deficient level). Ten (52%) of the patients had vitamin D concentrations between 10 and 20 ng/mL (insufficient level). The mean PTH concentration was not significantly higher in patients with deficient levels of 25-OHD (61.80 pg/mL) than those with insufficient (43.63 pg/mL) or sufficient (38.05 pg/mL) levels of 25-OHD. Serum 25-OHD concentration were lower in the late group (11.11 mg/mL) than in the early group (18.05 mg/mL), whereas serum PTH concentration were higher in the late group (58.96 pg/mL) than in the early group (38.70 pg/mL).
Conclusion Compensatory hyperparathyroidism with hypovitaminosis D occurred in the hemiplgic patients after stroke, especially more than one year from onset.
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Key Words:
25-hydroxyvitamin D (25-OHD), Parathyroid hormone (PTH), Hemiplegia, Stroke, Bone metabolism |
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