Effects of Cerebrolysin® in Patients With Minimally Conscious State After Stroke: An Observational Retrospective Clinical Study
Introduction: The neurotrophic drug Cerebrolysin is composed of low-molecular-weight peptides and amino acids and has been shown to have neuroprotective and neuroplastic properties. Cerebrolysin has been reported to promote the recovery of motor functions in central nervous system disorders; however...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-08-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2019.00803/full |
| _version_ | 1818309008338976768 |
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| author | Jun Yup Kim Jun Yup Kim Hyun Jung Kim Hyun Jung Kim Hyo Seon Choi So Young Park Deog Young Kim Deog Young Kim |
| author_facet | Jun Yup Kim Jun Yup Kim Hyun Jung Kim Hyun Jung Kim Hyo Seon Choi So Young Park Deog Young Kim Deog Young Kim |
| author_sort | Jun Yup Kim |
| collection | DOAJ |
| description | Introduction: The neurotrophic drug Cerebrolysin is composed of low-molecular-weight peptides and amino acids and has been shown to have neuroprotective and neuroplastic properties. Cerebrolysin has been reported to promote the recovery of motor functions in central nervous system disorders; however, the effects on the consciousness improvements in post-stroke patients have not yet been studied extensively. Therefore, we aimed to examine the effectiveness of Cerebrolysin on improving the consciousness level of stroke patients with minimally conscious state (MCS).Materials and Methods: In this retrospective study we included ischemic and/or hemorrhagic stroke patients with MCS according to the Coma Recovery Scale-Revised (CRS-R), who were admitted to our hospital between 2014 and 2017. All patients received comprehensive rehabilitation therapy including physical and occupational therapy. We compared patients treated with Cerebrolysin against patients who did not receive Cerebrolysin. Patients were included in the verum group if they received 10 mL of Cerebrolysin IV for at least 20 days. CRS-R scores were assessed at admission and discharge.Results: Of 1,531 patients screened, 75 were included in the study (Cerebrolysin, n = 43; control, n = 32). Baseline characteristics were similar between groups. At discharge, ~2 months after onset of stroke, Cerebrolysin-treated patients improved significantly in the CRS-R (p = 0.010) after adjustment for confounders using linear mixed model (LMM), especially in the Oromotor (p = 0.003) and Arousal subscales (p = 0.038). No safety issues were observed.Conclusion: This retrospective study suggests that Cerebrolysin may improve the level of consciousness in stroke patients with MCS, which should be further investigated in a well-designed, double-blind, placebo-controlled, randomized trial. |
| first_indexed | 2024-12-13T07:23:20Z |
| format | Article |
| id | doaj.art-430e3dce68024d8682551e8474d2b824 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-13T07:23:20Z |
| publishDate | 2019-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-430e3dce68024d8682551e8474d2b8242022-12-21T23:55:21ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-08-011010.3389/fneur.2019.00803468682Effects of Cerebrolysin® in Patients With Minimally Conscious State After Stroke: An Observational Retrospective Clinical StudyJun Yup Kim0Jun Yup Kim1Hyun Jung Kim2Hyun Jung Kim3Hyo Seon Choi4So Young Park5Deog Young Kim6Deog Young Kim7Department of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South KoreaResearch Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South KoreaDepartment of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South KoreaResearch Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South KoreaDepartment of Rehabilitation Medicine, Nowon Eulji Medical Center, Eulji University, Seoul, South KoreaResearch Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South KoreaDepartment of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South KoreaResearch Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South KoreaIntroduction: The neurotrophic drug Cerebrolysin is composed of low-molecular-weight peptides and amino acids and has been shown to have neuroprotective and neuroplastic properties. Cerebrolysin has been reported to promote the recovery of motor functions in central nervous system disorders; however, the effects on the consciousness improvements in post-stroke patients have not yet been studied extensively. Therefore, we aimed to examine the effectiveness of Cerebrolysin on improving the consciousness level of stroke patients with minimally conscious state (MCS).Materials and Methods: In this retrospective study we included ischemic and/or hemorrhagic stroke patients with MCS according to the Coma Recovery Scale-Revised (CRS-R), who were admitted to our hospital between 2014 and 2017. All patients received comprehensive rehabilitation therapy including physical and occupational therapy. We compared patients treated with Cerebrolysin against patients who did not receive Cerebrolysin. Patients were included in the verum group if they received 10 mL of Cerebrolysin IV for at least 20 days. CRS-R scores were assessed at admission and discharge.Results: Of 1,531 patients screened, 75 were included in the study (Cerebrolysin, n = 43; control, n = 32). Baseline characteristics were similar between groups. At discharge, ~2 months after onset of stroke, Cerebrolysin-treated patients improved significantly in the CRS-R (p = 0.010) after adjustment for confounders using linear mixed model (LMM), especially in the Oromotor (p = 0.003) and Arousal subscales (p = 0.038). No safety issues were observed.Conclusion: This retrospective study suggests that Cerebrolysin may improve the level of consciousness in stroke patients with MCS, which should be further investigated in a well-designed, double-blind, placebo-controlled, randomized trial.https://www.frontiersin.org/article/10.3389/fneur.2019.00803/fullCerebrolysinstrokeconsciousness levelminimally conscious stateclinical study |
| spellingShingle | Jun Yup Kim Jun Yup Kim Hyun Jung Kim Hyun Jung Kim Hyo Seon Choi So Young Park Deog Young Kim Deog Young Kim Effects of Cerebrolysin® in Patients With Minimally Conscious State After Stroke: An Observational Retrospective Clinical Study Frontiers in Neurology Cerebrolysin stroke consciousness level minimally conscious state clinical study |
| title | Effects of Cerebrolysin® in Patients With Minimally Conscious State After Stroke: An Observational Retrospective Clinical Study |
| title_full | Effects of Cerebrolysin® in Patients With Minimally Conscious State After Stroke: An Observational Retrospective Clinical Study |
| title_fullStr | Effects of Cerebrolysin® in Patients With Minimally Conscious State After Stroke: An Observational Retrospective Clinical Study |
| title_full_unstemmed | Effects of Cerebrolysin® in Patients With Minimally Conscious State After Stroke: An Observational Retrospective Clinical Study |
| title_short | Effects of Cerebrolysin® in Patients With Minimally Conscious State After Stroke: An Observational Retrospective Clinical Study |
| title_sort | effects of cerebrolysin r in patients with minimally conscious state after stroke an observational retrospective clinical study |
| topic | Cerebrolysin stroke consciousness level minimally conscious state clinical study |
| url | https://www.frontiersin.org/article/10.3389/fneur.2019.00803/full |
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