[Pentoxifylline: is it useful in multiple sclerosis?].

Abstract:

INTRODUCTION:Pentoxifylline (PTX) is a phosphodiesterase inhibitor which has been found in studies in vitro to inhibit the production of Th-1 cytokines. It has been postulated that it might be used as a possible coadjuvant treatment for interferon in patients with multiple sclerosis. This would also reduce the potential side effects of interferon. OBJECTIVE. To show the efficacy of PTX in reducing the side effects of interferon, and in the functional improvement of these patients. PATIENTS AND METHODS:We studied 18 patients with remitting-relapsing multiple sclerosis over a period of 18 months; nine patients were given PTX and interferon 800 mg/day simultaneously, and nine patients were treated with interferon alone. The clinical condition was evaluated every three months using the Expanded Disability Status Scale (EDSS) and the Neurological Score (NRS) scales. RESULTS:We found no statistical improvement in the clinical course of EDSS and NRS in either group of patients after treatment for 18 months. The patients treated with PTX have fewer secondary effects due to interferon (fever and myalgia) during the first three months, but these differences between the groups subsequently disappear. In two patients PTX caused transient gastralgias and nauseas. CONCLUSIONS:PTX may be useful as a coadjuvant drug with interferon during the first three months of treatment since some of the side effects of interferon may thus be reduced. However, there seems no justification for using PTX for a longer period since there is no functional improvement.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

Prieto JM,Dapena D,Lema M,Ares B,Cacabelos P,Noya M

subject

Has Abstract

pub_date

2001-03-16 00:00:00

pages

529-31

issue

6

eissn

0210-0010

issn

1576-6578

journal_volume

32

pub_type

临床试验,杂志文章,随机对照试验
  • [Bilateral medial bulbar infarct related to dolichoectasia of the vertebral artery].

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  • [The influence of social stress on the reinforcing effect of ecstasy under the conditioned place preference paradigm: the role played by age, dose and type of stress].

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    pub_type: 杂志文章,评审

    doi:

    authors: Mejía-Toiber J,Castillo CG,Giordano M

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    doi:

    authors: Cuende E,Gómez-Rz de Mendarozqueta M,Vesga JC,Saracíbar N,Ibáñez-Avilés A,Castellano-Hurtado C

    更新日期:1996-12-01 00:00:00

  • [Hemangiomas, and cutaneous and intracranial vascular deformations (Pascual-Castroviejo syndrome tipe II ). A case report].

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    pub_type: 杂志文章

    doi:

    authors: Pascual-Castroviejo I,Pascual-Pascual SI,Rafia S,Viaño J

    更新日期:2002-12-01 00:00:00

  • [Management of multiple cerebral cavernomatosis].

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    doi:

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  • [Genetic studies in communication disorders].

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    pub_type: 杂志文章,评审

    doi:

    authors: Narbona J,Patiño A

    更新日期:2002-07-01 00:00:00

  • [Improvements in the symptoms of olivopontocerebellar atrophy with gabapentin].

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    pub_type: 杂志文章

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  • [Adopted children: risk factors and neuropsychological problems].

    abstract::In recent years there has been a striking increase in the number of transnational adoptions in our country, which follows the trend already observed in other developed European countries. Major contributing factors to this phenomenon have been the improvements in socioeconomic conditions in our country, the drop in th...

    journal_title:Revista de neurologia

    pub_type: 杂志文章,评审

    doi:

    authors: Hernández-Muela S,Mulas F,Téllez de Meneses M,Roselló B

    更新日期:2003-02-01 00:00:00

  • [Effectiveness and safety of levetiracetam in patients with essential tremor: data from an open 11-week follow-up trial].

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    journal_title:Revista de neurologia

    pub_type: 临床试验,杂志文章

    doi:

    authors: Sanz-Cartagena P,Fossas P,Floriach-Robert M,Serra-Prat M,Cano A,Palomeras E

    更新日期:2007-08-01 00:00:00

  • [The phenomenon of immigration within the European Community and its impact on neurological care in the Marina Baixa area, Alicante].

    abstract:INTRODUCTION:Immigration is shaping a new model of society, with new needs and demands, whose characteristics must guide health-care policies. AIM. To determine the repercussions of the phenomenon of immigration on the extra-hospital neurological care carried out in Department 16 of the Agencia Valenciana de Salud (Val...

    journal_title:Revista de neurologia

    pub_type: 杂志文章

    doi:

    authors: Pérez-Carmona N,Sánchez-Pérez RM,Abellán-Miralles I,Díaz-Marín C

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  • [Changes in gait in the elderly].

    abstract::Disorders of gait are a common problem in elderly people. It is estimated that over 15% of people aged over 65 years have disorders of gait. Disorders of balance are also common in old age, with increased risk of falling and lesions due to falls. Every year 20-30% of the elderly people living alone have falls. The cau...

    journal_title:Revista de neurologia

    pub_type: 杂志文章,评审

    doi:

    authors: Franch-Ubia O

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  • [Knowledge of vascular status for therapeutic decision-making in acute ischemic stroke: which is the role of neurosonology?].

    abstract::In the last years there is an increasing interest in the knowledge of vascular status in patients with acute stroke. Detection and localization of an artery occlusion is of great interest for an accurate prognosis and the selection of the most appropriate recanalizing therapy. Neurosonology is a useful diagnostic tool...

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    authors: García-Pastor A

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    authors: Crespo-Eguílaz N,Narbona J

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  • [Morphological changes of mitochondrial myopathies].

    abstract::By means of the modified trichromic method of Gomori, introduced by Engel and Cunningham in 1963 [1], it has been possible to demonstrate the presence of ragged-red fibers (RRF) in the mitochondrial myopathies. At present, to study these disorders in muscle biopsies, one may also use morphological, ultrastructural, hi...

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  • [Congenital insensitivity to pain with anhidrosis associated with congenital myasthenic syndrome].

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  • [Review of cases of zoophilia in patients with Parkinson's disease].

    abstract:INTRODUCTION:Parkinson's disease (PD) is characterized by motor symptoms such as bradykinesia, rigidity, alteration of postural reflexes and tremor at rest and other non-motor symptoms such as changes in sleep patterns and sexual behavior. However, little is known about paraphilic sexual behaviors. AIM:To summarize th...

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    authors: Campo-Arias A,Castillo-Tamara EE,Herazo E

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  • [Statins (HMG-CoA reductase inhibitors), cholesterol and stroke].

    abstract::The HMG-CoA reductase inhibitors (known as statins) have been shown to reduce morbi-mortality of vascular origin, including transitory ischemic accidents and cerebral infarcts, in a large group of patients. The implications, both clinical and of costs, oblige us to consider analysis of the existing evidence and the an...

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    authors: Marta-Moreno J,Echeandia C,Oliveros-Cid A,Figuerola A,Mola S

    更新日期:1998-11-01 00:00:00

  • [A neuropsychological study of Huntington's disease in families in Antioquia, Colombia].

    abstract:INTRODUCTION:Various neuropsychological studies have been conducted to determine the cognitive functioning of patients with Huntington s disease and their results have shown that the pattern of cognitive decline is thought to be typical of a frontal subcortical dementia. OBJECTIVES:To determine if significant differen...

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    authors: Arango-Lasprilla JC,Iglesias-Dorado J,Moreno S,Lopera F

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  • [Osteochondroma of the atlantooccipital joint. Extreme lateral transcondylar approach. A case description].

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    authors: López-Flores G,Cruz-García O,Fernández-Melo R,Fernández-Alban M,Alfonzo-Sabatier C,Bouza-Molina W,Fermín-Hernández E,Castillo-Hernández JE

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  • [Demyelinating disease and vaccination of the human papillomavirus].

    abstract:INTRODUCTION:Primary prevention by prophylactic vaccination against the major cause of cervical cancer, the carcinogenic human papillomavirus (HPV) types 16 and 18, is now available worldwide. Postlicensure adverse neurological effects have been described. The studies realized after the license are descriptive and limi...

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  • [Infection, atherosclerosis and acute ischemic cerebrovascular disease].

    abstract::The established risk factors for ischemic stroke do not sufficiently explain all clinical and epidemiological features of the disease, such as the winter peak of stroke incidence, the decline of stroke during this century and the time point of cerebral ischemia. A role of infectious disease as stroke risk factor may p...

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    pub_type: 杂志文章,评审

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    authors: Grau A,Buggle F

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  • [Voluntary changes of visual evoked potentials in cases with hysteria and/or simulation].

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  • [Treatment of headaches among the Aborigines of Tierra de Fuego. A comparison with other anthropological studies].

    abstract:SUMMARY INTRODUCTION:Several different indigenous groups (Yamana, Selk'nam, Alacaluf, Haush) used to inhabit the Patagonian region of Tierra de Fuego, but are now extinct. AIM:To analyse the healing practices that these prehistoric aborigines used to treat headaches and to compare them with those observed in other ant...

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    pub_type: 历史文章,杂志文章

    doi:

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  • [A descriptive analysis of the demand for ambulatory neurological care in the health district of Huelva].

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    pub_type: 杂志文章

    doi:

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    pub_type: 杂志文章

    doi:

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  • [Incidence of breast cancer in women with multiple sclerosis: systematic review and meta-analysis of observational cohort studies].

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    pub_type: 杂志文章,meta分析,评审

    doi:

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    pub_type: 杂志文章

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    pub_type: 杂志文章,评审

    doi:

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