The influence of neurotrophic factors treatment on stroke volume

Background. Cerebrolysin is a multimodal drug, with pleiotropic neuroprotective effects that simultaneously promotes neuroprotection while retaining the ability to influence neuroplasticity. Cerebrolysin is approved for the treatment of stroke, traumatic brain injury and cognitive dysfunction. Meth...

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Main Authors: Adina Dora Stan, Alexandru Badisor, Codruta Birle, Alina Vasilica Blesneag, Iulian Opincariu, Mihaela Iancu, Dana Racasan, Dafin Fior Muresanu
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2013-09-01
Series:Romanian Journal of Neurology
Subjects:
Online Access:https://rjn.com.ro/articles/2013.3/RJN_2013_3_Art-04.pdf
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author Adina Dora Stan
Alexandru Badisor
Codruta Birle
Alina Vasilica Blesneag
Iulian Opincariu
Mihaela Iancu
Dana Racasan
Dafin Fior Muresanu
author_facet Adina Dora Stan
Alexandru Badisor
Codruta Birle
Alina Vasilica Blesneag
Iulian Opincariu
Mihaela Iancu
Dana Racasan
Dafin Fior Muresanu
author_sort Adina Dora Stan
collection DOAJ
description Background. Cerebrolysin is a multimodal drug, with pleiotropic neuroprotective effects that simultaneously promotes neuroprotection while retaining the ability to influence neuroplasticity. Cerebrolysin is approved for the treatment of stroke, traumatic brain injury and cognitive dysfunction. Methods. A randomized, double-blind, placebo-controlled clinical trial was conducted in sixty patients with acute supratentorial ischemic stroke. The patients were randomized to either Cerebrolysin 30 ml/day (n = 30) or placebo (n = 30) in a 1:1 manner. The treatment period was 10 days. Stroke volume was measured in the first 24 hours after stroke onset using diffusion-weighted images, and it was measured again at 30 days after stroke using fluid attenuated inversion recovery images. Results. A significant reduction of stroke volume at 30 days was demonstrated in both Cerebrolysin- and placebotreated patients (p < 0.001). Although it was not statistically significant a better response in stroke volume reduction was observed in the Cerebrolysin-treated group, compared to the placebo group (Mann Whitney test, U = 426, p = 0.723, mean rank, 29.70 vs. 31,30). Interpretation. We demonstrated a positive effect from Cerebrolysin treatment to reduce ischemic stroke volume.
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spelling doaj.art-8eca35bf3e004f6e8cbaa75095f01a332022-12-22T02:25:36ZengAmaltea Medical Publishing HouseRomanian Journal of Neurology1843-81482069-60942013-09-0112312412910.37897/RJN.2013.3.4The influence of neurotrophic factors treatment on stroke volumeAdina Dora Stan0Alexandru Badisor1Codruta Birle2Alina Vasilica Blesneag3Iulian Opincariu4Mihaela Iancu5Dana Racasan6Dafin Fior Muresanu7University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Neurology DepartmentEmergency County Hospital Cluj-Napoca, Neurology DepartmentUniversity of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Neurology DepartmentUniversity of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Neurology DepartmentUniversity of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Radiology DepartmentUniversity of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Department of Medical Informatics and BiostaticsEmergency County Hospital Cluj-Napoca, Neurology DepartmentUniversity of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Neurology DepartmentBackground. Cerebrolysin is a multimodal drug, with pleiotropic neuroprotective effects that simultaneously promotes neuroprotection while retaining the ability to influence neuroplasticity. Cerebrolysin is approved for the treatment of stroke, traumatic brain injury and cognitive dysfunction. Methods. A randomized, double-blind, placebo-controlled clinical trial was conducted in sixty patients with acute supratentorial ischemic stroke. The patients were randomized to either Cerebrolysin 30 ml/day (n = 30) or placebo (n = 30) in a 1:1 manner. The treatment period was 10 days. Stroke volume was measured in the first 24 hours after stroke onset using diffusion-weighted images, and it was measured again at 30 days after stroke using fluid attenuated inversion recovery images. Results. A significant reduction of stroke volume at 30 days was demonstrated in both Cerebrolysin- and placebotreated patients (p < 0.001). Although it was not statistically significant a better response in stroke volume reduction was observed in the Cerebrolysin-treated group, compared to the placebo group (Mann Whitney test, U = 426, p = 0.723, mean rank, 29.70 vs. 31,30). Interpretation. We demonstrated a positive effect from Cerebrolysin treatment to reduce ischemic stroke volume.https://rjn.com.ro/articles/2013.3/RJN_2013_3_Art-04.pdfmri stroke volumecerebrolysinneuroprotection
spellingShingle Adina Dora Stan
Alexandru Badisor
Codruta Birle
Alina Vasilica Blesneag
Iulian Opincariu
Mihaela Iancu
Dana Racasan
Dafin Fior Muresanu
The influence of neurotrophic factors treatment on stroke volume
Romanian Journal of Neurology
mri stroke volume
cerebrolysin
neuroprotection
title The influence of neurotrophic factors treatment on stroke volume
title_full The influence of neurotrophic factors treatment on stroke volume
title_fullStr The influence of neurotrophic factors treatment on stroke volume
title_full_unstemmed The influence of neurotrophic factors treatment on stroke volume
title_short The influence of neurotrophic factors treatment on stroke volume
title_sort influence of neurotrophic factors treatment on stroke volume
topic mri stroke volume
cerebrolysin
neuroprotection
url https://rjn.com.ro/articles/2013.3/RJN_2013_3_Art-04.pdf
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