Randomized trials of dichlorphenamide in the periodic paralyses. Working Group on Periodic Paralysis.

Abstract:

:Although the carbonic anhydrase inhibitors have been used in the treatment of the primary periodic paralyses (PPs), their efficacy has not been demonstrated in double-blind, placebo-controlled trials. Therefore, we tested the efficacy of dichlorphenamide (DCP; Daranide), a potent carbonic anhydrase inhibitor, in the treatment of episodic weakness in the primary PPs. We performed two multicenter, randomized, double-blind, placebo-controlled crossover trials, one involving 42 subjects with hypokalemic periodic paralysis (HypoPP) and the other involving 31 subjects with potassium-sensitive periodic paralysis (PSPP). In each trial, two 8-week treatment periods were separated by an active washout period of at least 9 weeks. The primary outcome variable in the HypoPP trial was the occurrence of an intolerable increase in attack severity or frequency (end point). The primary outcome variable in the PSPP trial was the number of attacks per week. In the HypoPP trial, there were 13 subjects who exhibited a preference (in terms of the end point) for either DCP or placebo, and 11 of these preferred DCP. In the PSPP trial, DCP significantly reduced attack rates relative to placebo. DCP also significantly reduced attack rates relative to placebo in the HypoPP subjects. We conclude that DCP is effective in the prevention of episodic weakness in both HypoPP and PSPP.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Tawil R,McDermott MP,Brown R Jr,Shapiro BC,Ptacek LJ,McManis PG,Dalakas MC,Spector SA,Mendell JR,Hahn AF,Griggs RC

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

46-53

issue

1

eissn

0364-5134

issn

1531-8249

journal_volume

47

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
  • Augmented anti-acetylcholine receptor response following long-term penicillamine administration.

    abstract::Because of the association of D-penicillamine (DP) therapy with myasthenia gravis, we have studied long-term DP treatment in five inbred strains of mice with doses comparable to those used in patients with rheumatoid arthritis. No clinical weakness or anti-acetylcholine receptor (AChR) antibody developed with up to 6 ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410160103

    authors: Bever CT Jr,Dretchen KL,Blake GJ,Chang HW,Penn AS,Asofsky R

    更新日期:1984-07-01 00:00:00

  • Animal models and therapeutic prospects for Charcot-Marie-Tooth disease.

    abstract::Charcot-Marie-Tooth (CMT) neuropathies are inherited neuromuscular disorders caused by a length-dependent neurodegeneration of peripheral nerves. More than 900 mutations in 60 different genes are causative of the neuropathy. Despite significant progress in therapeutic strategies, the disease remains incurable. The inc...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.23987

    authors: Bouhy D,Timmerman V

    更新日期:2013-09-01 00:00:00

  • Potential of gene therapy for pediatric neurotransmitter diseases: lessons from Parkinson's disease.

    abstract::Gene therapy methods have continued to develop rapidly, and many initial limitations that hampered clinical application have been overcome. Thus serious consideration of clinical application of gene therapy is warranted for selected disorders in which the pathogenesis is well defined. Parkinson's disease has been the ...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.10654

    authors: Kang UJ,Nakamura K

    更新日期:2003-01-01 00:00:00

  • Congenital hypomyelinating neuropathy, central dysmyelination, and Waardenburg-Hirschsprung disease: phenotypes linked by SOX10 mutation.

    abstract::A unique phenotype of Waardenburg-Hirschsprung disease (WS4) accompanied by peripheral neuropathy and central dysmyelination has been recognized recently in association with SOX10 mutations. We report an infant boy with lethal congenital hypomyelinating neuropathy and WS4 who had a heterozygous SOX10 mutation (Q250X)....

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10404

    authors: Inoue K,Shilo K,Boerkoel CF,Crowe C,Sawady J,Lupski JR,Agamanolis DP

    更新日期:2002-12-01 00:00:00

  • Levodopa induces dyskinesias in normal squirrel monkeys.

    abstract::This study assessed whether or not levodopa induces dyskinesias in normal (ie, unlesioned) squirrel monkeys. All six animals treated twice daily with levodopa (15 mg/kg with carbidopa by oral gavage) for two weeks developed choreoathetoid dyskinesias, whereas none of the vehicle-treated animals displayed any abnormal ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.1099

    authors: Togasaki DM,Tan L,Protell P,Di Monte DA,Quik M,Langston JW

    更新日期:2001-08-01 00:00:00

  • Blood biomarkers of carbohydrate, lipid, and apolipoprotein metabolisms and risk of amyotrophic lateral sclerosis: A more than 20-year follow-up of the Swedish AMORIS cohort.

    abstract:OBJECTIVE:To assess the associations of blood biomarkers of carbohydrate, lipid, and apolipoprotein metabolisms with the future risk of amyotrophic lateral sclerosis (ALS). METHODS:In the Apolipoprotein-related MOrtality RISk study, we enrolled 636,132 men and women during 1985-1996 in Stockholm, Sweden, with measurem...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24936

    authors: Mariosa D,Hammar N,Malmström H,Ingre C,Jungner I,Ye W,Fang F,Walldius G

    更新日期:2017-05-01 00:00:00

  • Novel approaches and challenges to treatment of central nervous system viral infections.

    abstract::Existing and emerging viral central nervous system (CNS) infections are major sources of human morbidity and mortality. Treatments of proven efficacy are currently limited predominantly to herpesviruses and human immunodeficiency virus (HIV). Development of new therapies has been hampered by the lack of appropriate an...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.23988

    authors: Nath A,Tyler KL

    更新日期:2013-09-01 00:00:00

  • Central levodopa metabolism in Parkinson's disease after administration of stable isotope-labeled levodopa.

    abstract::We report the use of a new stable isotope-labeled form of levodopa (LD) to examine in vivo central LD metabolism in Parkinson's disease (PD). Eight patients representing a wide spectrum of disease severity were administered 50 mg of carbidopa orally followed in 1 hour by an intravenous bolus of 150 mg of stable isotop...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410420305

    authors: Durso R,Evans JE,Josephs E,Szabo GK,Evans BA,Handler JS,Jennings D,Browne TR

    更新日期:1997-09-01 00:00:00

  • Hemophilus influenzae meningitis in the rat: behavioral, electrophysiological, and biochemical consequences.

    abstract::Hemophilus influenzae is the most common cause of bacterial meningitis in children, and a high percentage of survivors are at risk for long-term sequelae. To explore the mechanisms responsible for these sequelae, a neonatal rat model was used to define the behavioral, electrophysiological, and biochemical changes foll...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410210407

    authors: Konkol RJ,Chapman L,Breese GR,Collier AM,Kilts C,Finley C,Vogel RR,Mailman RB,Bendeich EG

    更新日期:1987-04-01 00:00:00

  • Outcome of neonatal intraventricular hemorrhage with periventricular echodense lesions.

    abstract::The incidence of periventricular-intraventricular hemorrhage (PV-IVH) in a group of 460 preterm infants with birth weight less than 2,250 gm, studied by cranial ultrasonography, was 39%. Sixty-four (36%) of the infants with periventricular-intraventricular hemorrhage had, in addition, periventricular intraparenchymal ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410150315

    authors: McMenamin JB,Shackelford GD,Volpe JJ

    更新日期:1984-03-01 00:00:00

  • Congenital fiber type disproportion in identical twins.

    abstract::Eighteen-month-old identical twins with the muscle histological characteristics of congenital fiber type disproportion are reported. The fiber typing system of pH-dependent adenosine triphosphatase was used to analyze the size and percentage of type 1, 2A, and 2B fibers in muscle tissue obtained by needle biopsy. Both...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410020603

    authors: Curless RG,Nelson MB

    更新日期:1977-12-01 00:00:00

  • Thrombolysis induces cerebral hemorrhage in a mouse model of cerebral amyloid angiopathy.

    abstract::We studied the impact of cerebral amyloid angiopathy on tissue plasminogen activator-induced cerebral hemorrhages in APP23 transgenic mice. Results show that the intravenous administration of tissue plasminogen activator in APP23 mice leads to an increase in cerebral amyloid angiopathy-associated microhemorrhages and ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10210

    authors: Winkler DT,Biedermann L,Tolnay M,Allegrini PR,Staufenbiel M,Wiessner C,Jucker M

    更新日期:2002-06-01 00:00:00

  • Plasma concentrations of sodium valproate: their clinical value.

    abstract::Plasma valproate concentrations were monitored prospectively in 54 previously untreated adult patients with epilepsy. Dose and plasma concentration were highly correlated. Adverse effects were common in association with plasma levels above 100 micrograms/ml. In patients suffering tonic-clonic seizures without focal sy...

    journal_title:Annals of neurology

    pub_type: 临床试验,杂志文章

    doi:10.1002/ana.410140107

    authors: Turnbull DM,Rawlins MD,Weightman D,Chadwick DW

    更新日期:1983-07-01 00:00:00

  • Familial episodic ataxia: clinical heterogeneity in four families linked to chromosome 19p.

    abstract::We describe the clinical and oculographic findings in 4 families with episodic ataxia and interictal nystagmus (EA-2) linked to chromosome 19p. Episodes varied from pure ataxia to combinations of symptoms suggesting involvement of the cerebellum, brainstem, and cortex. Some affected individuals exhibited a progressive...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410410105

    authors: Baloh RW,Yue Q,Furman JM,Nelson SF

    更新日期:1997-01-01 00:00:00

  • The T-cell response to myelin basic protein in familial multiple sclerosis: diversity of fine specificity, restricting elements, and T-cell receptor usage.

    abstract::Indirect evidence suggests that an autoimmune response to myelin basic protein (MBP) may be involved in the pathogenesis of multiple sclerosis (MS). In MS, several reports have suggested that restricted T-cell populations respond to MPB, as in inbred rodents with the MS disease model experimental allergic encephalomye...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410340313

    authors: Joshi N,Usuku K,Hauser SL

    更新日期:1993-09-01 00:00:00

  • Single skinned muscle fibers in Duchenne muscular dystrophy generate normal force.

    abstract::We measured the intrinsic mechanical properties and protein content of single skinned muscle fibers obtained from patients who had Duchenne muscular dystrophy. To check for possible nonspecific changes caused by muscle disease per se, we also studied the properties of muscle fibers obtained from patients exhibiting se...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410270609

    authors: Horowits R,Dalakas MC,Podolsky RJ

    更新日期:1990-06-01 00:00:00

  • Vulnerable neuronal subsets in Alzheimer's and Pick's disease are distinguished by their tau isoform distribution and phosphorylation.

    abstract::Aggregated tau proteins constitute the basic matrix of neuronal inclusions specific to numerous neurodegenerative disorders. Monodimensional and two-dimensional Western blot analyses performed on cortical brain homogenates allowed discrimination between disease-specific tau protein profiles. These observations raised ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410430209

    authors: Delacourte A,Sergeant N,Wattez A,Gauvreau D,Robitaille Y

    更新日期:1998-02-01 00:00:00

  • Undecussated innervation to the sternocleidomastoid muscle: a reinstatement.

    abstract::Clinical evidence is presented to support the contention that the sternocleidomastoid muscle is innervated primarily by undecussated fibers from the ipsilateral hemisphere. Stroke patients often show contralateral hemiparesis accompanied by weakness in head turning to the side of the paresis. ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410070116

    authors: Balagura S,Katz RG

    更新日期:1980-01-01 00:00:00

  • Putamen volume reduction on magnetic resonance imaging exceeds caudate changes in mild Huntington's disease.

    abstract::The characteristic pathological features of Huntington's disease (HD) are neostriatal atrophy and neuronal loss. Although neuroradiological studies often show caudate atrophy in patients with moderate HD, frequently no caudate atrophy is found early in the illness. There have been no quantitative reports to date on in...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410310113

    authors: Harris GJ,Pearlson GD,Peyser CE,Aylward EH,Roberts J,Barta PE,Chase GA,Folstein SE

    更新日期:1992-01-01 00:00:00

  • Depth electrode studies and intracellular dentate granule cell recordings in temporal lobe epilepsy.

    abstract::Hippocampal depth electrodes are often used to localize seizure onset in patients who may have temporal lobe epilepsy (TLE). A number of features of the spontaneous seizures and of their ictal onset patterns can be analyzed from these recordings. We compared a number of the typical electroencephalographic (EEG) change...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410380513

    authors: Williamson A,Spencer SS,Spencer DD

    更新日期:1995-11-01 00:00:00

  • Expanded disability status scale progression assessment heterogeneity in multiple sclerosis according to geographical areas.

    abstract::Using placebo data from 3 randomized multiple sclerosis (MS) trials with uniform inclusion criteria, we investigated heterogeneity of Expanded Disability Status Scale (EDSS) progression by geographical areas. Our analysis revealed a significantly lower EDSS progression in Eastern European countries (10.8%) compared wi...

    journal_title:Annals of neurology

    pub_type: 杂志文章,meta分析

    doi:10.1002/ana.25323

    authors: Bovis F,Signori A,Carmisciano L,Maietta I,Steinerman JR,Li T,Tansy AP,Sormani MP

    更新日期:2018-10-01 00:00:00

  • Anti-GM1 IgG antibodies induce leukocyte effector functions via Fcgamma receptors.

    abstract::Guillain-Barré syndrome (GBS) is an immune-mediated neuropathy, in which leukocytes and humoral components of the immune system proposedly initiate localized inflammation. An important pathogenic role for anti-GM1 ganglioside antibodies has been suggested. Therefore, we evaluated anti-GM1 IgG antibody-induced leukocyt...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10503

    authors: van Sorge NM,van den Berg LH,Geleijns K,van Strijp JA,Jacobs BC,van Doorn PA,Wokke JH,van de Winkel JG,Leusen JH,van der Pol WL

    更新日期:2003-05-01 00:00:00

  • Motor conduction studies in Guillain-Barré syndrome: description and prognostic value.

    abstract::The North American study of plasmapheresis in Guillain-Barré syndrome (GBS) included early, standardized electrodiagnostic testing in 210 of the 245 patients. To determine the types of abnormalities and the relation to outcome, we analyzed the prospectively collected motor conduction data obtained during the first 30 ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410230407

    authors: Cornblath DR,Mellits ED,Griffin JW,McKhann GM,Albers JW,Miller RG,Feasby TE,Quaskey SA

    更新日期:1988-04-01 00:00:00

  • Involvement of lysosomes in the pathogenesis of CAG repeat diseases.

    abstract::In CAG repeat diseases, affected neurons possess many cytoplasmic granules immunopositive for expanded polyglutamine stretches. Electron microscopic immunohistochemistry showed that the granules corresponded to lysosomes of primitive type. The results suggest that, in addition to the ubiquitin/proteasome pathway, muta...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10328

    authors: Yamada M,Tsuji S,Takahashi H

    更新日期:2002-10-01 00:00:00

  • A storm of fast (40-150Hz) oscillations during hypsarrhythmia in West syndrome.

    abstract:OBJECTIVE:Fast oscillations (FOs) were first explored from scalp electroencephalographic (EEG) data from hypsarrhythmia in West syndrome (infantile spasms) to investigate the meaning of FOs in this epileptic encephalopathy. METHODS:In 17 infants with West syndrome, we conservatively detected fast frequency peaks that ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24299

    authors: Kobayashi K,Akiyama T,Oka M,Endoh F,Yoshinaga H

    更新日期:2015-01-01 00:00:00

  • In vivo characterization of white matter pathology in premanifest huntington's disease.

    abstract:OBJECTIVE:Huntington's disease (HD) is a monogenic, fully penetrant neurodegenerative disorder, providing an ideal model for understanding brain changes occurring in the years prior to disease onset. Diffusion tensor imaging (DTI) studies show widespread white matter disorganization in the early premanifest stages (pre...

    journal_title:Annals of neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/ana.25309

    authors: Zhang J,Gregory S,Scahill RI,Durr A,Thomas DL,Lehericy S,Rees G,Tabrizi SJ,Zhang H,TrackOn-HD investigators.

    更新日期:2018-10-01 00:00:00

  • Dopaminergic dsyfunction in Tourette syndrome.

    abstract::A prospective clinical and biochemical study on the effects of treatment with haloperidol has been performed in seven patients with Tourette syndrome. Pretreatment cerebrospinal fluid levels of homovanillic acid (CSF HVA) were significantly reduce in all patients, whereas 5-hydroxyindoleacetic acid was reduced in only...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410120408

    authors: Singer HS,Butler IJ,Tune LE,Seifert WE Jr,Coyle JT

    更新日期:1982-10-01 00:00:00

  • Diagnostic considerations in Guillain-Barré syndrome.

    abstract::Guillain-Barré syndrome (GBS) is a recognized entity for which the basis for diagnosis is descriptive in our present state of knowledge. Diagnosis rests upon pattern recognition of the clinical picture plus other features including elevated cerebrospinal fluid protein level, electrophysiological changes of marked slow...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410090703

    authors: Asbury AK

    更新日期:1981-01-01 00:00:00

  • Seizure-induced brain-borne inflammation sustains seizure recurrence and blood-brain barrier damage.

    abstract:OBJECTIVE:Epilepsy is a common neurological disorder characterized by recurrent seizures often unresponsive to pharmacological treatment. Brain inflammation is considered a crucial etiopathogenetic mechanism of epilepsy that could be targeted to control seizures. Specific inflammatory mediators overexpressed in human e...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.23567

    authors: Librizzi L,Noè F,Vezzani A,de Curtis M,Ravizza T

    更新日期:2012-07-01 00:00:00

  • Seizures induced by thinking.

    abstract::A patient with generalized convulsions noted that seizures were reliably precipitated by mental arithmetic. The interictal electroencephalogram revealed only a mild, diffuse, nonspecific disturbance, but bursts of generalized epileptiform activity with no obvious clinical expression accompanied efforts at mental arith...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410110609

    authors: Wilkins AJ,Zifkin B,Andermann F,McGovern E

    更新日期:1982-06-01 00:00:00