The Difference of Lymphocyte, hs-CRP, and Electroencephalogram with and without Simvastatin in Acute Ischemic Stroke

Authors

  • Chairil Amin Batubara Department of Neurology, Faculty of Medicine, Universitas Sumatera Utara/H. Adam Malik Hospital, Medan
  • Aldy Safruddin Rambe Department of Neurology, Faculty of Medicine, Universitas Sumatera Utara/H. Adam Malik Hospital, Medan
  • Nindia Sugih Arto Department of Clinical Pathology, Faculty of Medicine, Universitas Sumatera Utara/H. Adam Malik Hospital, Medan

DOI:

https://doi.org/10.24293/ijcpml.v26i3.1592

Keywords:

Lymphocytes, hs-CRP, EEG, epileptic seizure, acute ischemic stroke

Abstract

Mortality and morbidity due to stroke rank the highest in Indonesia (15.4%), and most types of stroke are ischemic (87%). Inflammation has a role in the pathophysiology of both ischemic stroke and also inhibits acute symptomatic epileptic seizures (3-6%) in the first 7 days after stroke. Statins have been used for the treatment of dyslipidemia in stroke patients. Some studies showed that statins reduced the inflammatory response after a stroke and prevented the recovery of epileptic seizures. This study aimed to determine the differences in lymphocytes, hs-CRP, Electroencephalogram (EEG) with and without Simvastatin in acute ischemic stroke. This research was an experimental study with a double-blind, randomized control trial design consisting of two groups, a group given Simvastatin 20 mg/day, and a group given a placebo for seven days. The difference in lymphocytes, hs-CRP, EEG, and epileptic seizures between the two groups were then analyzed. The sample was 26 people, consisting of 17 (65.4%) males and 9 (34.6%) females with an average age of 59±5.8 years. Chi-Square and Fisher's test showed a significant difference in hs-CRP (p=0.005) and epileptic seizures (p=0.015), but no significant difference in lymphocytes (p=0.336) and EEG (p=0.42) between groups given Simvastatin 20 mg/day and those given placebo. There was a significant difference in hs-CRP and epileptic seizures, but no significant difference in lymphocyte count and EEG between the two groups with and without Simvastatin administration.

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Author Biographies

Chairil Amin Batubara, Department of Neurology, Faculty of Medicine, Universitas Sumatera Utara/H. Adam Malik Hospital, Medan

Department of Neurology

Aldy Safruddin Rambe, Department of Neurology, Faculty of Medicine, Universitas Sumatera Utara/H. Adam Malik Hospital, Medan

Department of Neurology

Nindia Sugih Arto, Department of Clinical Pathology, Faculty of Medicine, Universitas Sumatera Utara/H. Adam Malik Hospital, Medan

Department of Clinical Pathology

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Submitted

2019-11-28

Accepted

2020-01-27

Published

2020-09-30

How to Cite

[1]
Batubara, C.A., Rambe, A.S. and Arto, N.S. 2020. The Difference of Lymphocyte, hs-CRP, and Electroencephalogram with and without Simvastatin in Acute Ischemic Stroke. INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY. 26, 3 (Sep. 2020), 277–281. DOI:https://doi.org/10.24293/ijcpml.v26i3.1592.

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