Literature DB >> 2436359

Glycerol and dextran combined in the therapy of acute stroke. A placebo-controlled, double-blind trial with a planned interim analysis.

A Frei, C Cottier, P Wunderlich, E Lüdin.   

Abstract

The results of clinical trials investigating various therapies in acute ischemic stroke have been inconsistent. The effect of glycerol therapy and a combination therapy of glycerol and dextran was evaluated in a double-blind, placebo-controlled study. Repeated neurologic examinations (Day 0, Weeks 1, 6, 12, and 24) according to a modified Mathew score were performed on 62 patients. Statistical analysis showed no superiority of either treatment compared with placebo in acute ischemic stroke. A retrospective estimation of the Type II error of the study yielded approximately p = 0.25. A major side effect was hemolysis in 98% of patients treated with glycerol.

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Year:  1987        PMID: 2436359     DOI: 10.1161/01.str.18.2.373

Source DB:  PubMed          Journal:  Stroke        ISSN: 0039-2499            Impact factor:   7.914


  12 in total

1.  Investigation of intravascular haemolysis during treatment of acute stroke with intravenous glycerol.

Authors:  C R Kumana; G T Chan; Y L Yu; I J Lauder; T K Chan; M Kou
Journal:  Br J Clin Pharmacol       Date:  1990-03       Impact factor: 4.335

Review 2.  Pharmacological treatment for aphasia following stroke.

Authors:  J Greener; P Enderby; R Whurr
Journal:  Cochrane Database Syst Rev       Date:  2001

3.  Important new treatments for acute ischaemic stroke?

Authors:  P Sandercock
Journal:  Br Med J (Clin Res Ed)       Date:  1987-11-14

Review 4.  Osmotherapy for elevated intracranial pressure: a critical reappraisal.

Authors:  R Nau
Journal:  Clin Pharmacokinet       Date:  2000-01       Impact factor: 6.447

5.  Temporary reversal of serum to cerebrospinal fluid glycerol concentration gradient after intravenous infusion of glycerol.

Authors:  R Nau; F J Prins; H Kolenda; H W Prange
Journal:  Eur J Clin Pharmacol       Date:  1992       Impact factor: 2.953

Review 6.  Glycerol for acute stroke.

Authors:  E Righetti; M G Celani; T Cantisani; R Sterzi; G Boysen; S Ricci
Journal:  Cochrane Database Syst Rev       Date:  2004

Review 7.  Glycerol. Biochemistry, pharmacokinetics and clinical and practical applications.

Authors:  R A Robergs; S E Griffin
Journal:  Sports Med       Date:  1998-09       Impact factor: 11.136

Review 8.  A review of red cell transfusion in the neurological intensive care unit.

Authors:  Shanthan Pendem; Sameer Rana; Edward M Manno; Ognjen Gajic
Journal:  Neurocrit Care       Date:  2006       Impact factor: 3.210

9.  Treatment with an i.v. calcium overload blocker (flunarizine) in acute stroke. A pilot study.

Authors:  P J Hülser; H Bernhart; C Marbach; H H Kornhuber
Journal:  Eur Arch Psychiatry Neurol Sci       Date:  1988

Review 10.  Therapeutic interventions in acute stroke.

Authors:  K R Lees
Journal:  Br J Clin Pharmacol       Date:  1992-12       Impact factor: 4.335

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