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Abstract Cerebrovascular stroke is one of the leading causes of death and disability in the world. According to WHO, stroke is second leading cause of death after ischemic heart disease in high and middle income countries while sixth leading cause of death in low income countries (Pappachan and Kirkham, 2008). One biochemical marker, ischemia-modified albumin (IMA), has been widely studied in tissue ischemia in recent years. IMA appears to be an early indicator of myocardial ischemia, which is detectable before the occurrence of myocardial infarction. Moreover, serum IMA increases in mesenteric thrombosis, pulmonary embolism, stroke and other ischemic diseases. Thus, in addition to being a predictor of myocardial infarction, IMA may be a useful marker for ACVD (Sbarouni et al., 2008). Fibulin-5 is a multicellular glycoprotein, belonging to fibulin family which has 7 members (Hu et al., 2016). Compared with other fibulins, it has a unique arginine-glycine-aspartic acid (RGD) domain in the N-terminal region that mediates binding to integrins (Hu et al., 2011). The aim of this study was to evaluate the role of ischemia modified albumin (IMA) and fibulin 5 in the differentiation between ischemic and hemorrhagic cerebrovascular stroke, and their relationships with the severity and prognosis in patients with acute cerebrovascular disease. |