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Calcium antagonists in ischemic stroke.

C Fieschi1, C Argentino, D Toni

  • 1Department of Neurological Sciences, University of Rome La Sapienza, Italy.

Journal of Cardiovascular Pharmacology
|January 1, 1988
PubMed
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This study on acute ischemic stroke found that severe deficits correlate with greater cerebral blood flow (CBF) impairment. Nimodipine treatment showed potential to increase CBF in the ischemic penumbra.

Area of Science:

  • Neurology
  • Radiology
  • Pharmacology

Background:

  • Acute ischemic stroke is a leading cause of disability.
  • Assessing cerebral blood flow (CBF) is crucial for understanding stroke pathophysiology.
  • The ischemic penumbra represents a target for therapeutic intervention.

Purpose of the Study:

  • To evaluate cerebral blood flow (CBF) changes in acute ischemic stroke patients.
  • To identify factors associated with CBF impairment and outcomes.
  • To investigate the effect of nimodipine on CBF in the ischemic penumbra.

Main Methods:

  • 39 patients with acute ischemic stroke underwent neurological examination, CT scan, cerebral angiography, and CBF-SPECT within 6 hours of symptom onset.
  • Seven patients received a second CBF-SPECT after intravenous nimodipine infusion.

Related Experiment Videos

  • Correlation analysis was performed between CBF, neurological deficit, CT findings, and outcomes.
  • Main Results:

    • Greater CBF impairment was associated with severe neurological deficit, poor outcome, cerebral arterial occlusion, and large CT hypodensity.
    • Nimodipine treatment led to a significant increase in CBF at the periphery of the ischemic zone.
    • These findings suggest nimodipine's potential efficacy in targeting the ischemic penumbra.

    Conclusions:

    • CBF impairment severity is linked to clinical and radiological indicators of stroke severity and prognosis.
    • Nimodipine demonstrates potential therapeutic effects on the ischemic penumbra in acute ischemic stroke.
    • CBF-SPECT is a valuable tool for assessing stroke severity and treatment response.