Double-blind, randomized, placebo-controlled study of oral, high-dose methylprednisolone in attacks of MS.

Abstract:

OBJECTIVE:There is only limited evidence from adequately controlled clinical trials to support high-dose methylprednisolone therapy for attacks of multiple sclerosis (MS) and none supporting oral administration. We assessed the effect of oral high-dose methylprednisolone therapy in attacks of MS. METHODS:Twenty-five patients with an attack of MS lasting less than 4 weeks were randomized to placebo treatment. Twenty-six patients received oral methylprednisolone (500 mg once a day for 5 days with a 10-day tapering period). The patients received scores on the Scripps Neurological Rating Scale (NRS) and Kurtzke Expanded Disability Status Scale. The symptoms were scored on a visual analog scale (VAS) before treatment and after 1, 3, and 8 weeks of treatment. Primary efficacy measures were NRS and VAS scores in the first 3 weeks and changes in NRS score and answers to an efficacy questionnaire administered after 8 weeks of treatment. RESULTS:Changes in NRS scores among methylprednisolone- and placebo-treated patients differed significantly in the first 3 weeks and after 8 weeks (p = 0.005 and p = 0.0007). VAS scores the first 3 weeks and treatment efficacy after 8 weeks also favored a beneficial effect of methylprednisolone treatment (p = 0.02 and p = 0.05). After 1, 3, and 8 weeks, 4%, 24%, and 32% in the placebo group and 31%, 54%, and 65% in the methylprednisolone group had improved one point on the Expanded Disability Status Scale score (all p < 0.05). No serious adverse events were seen. CONCLUSION:Oral high-dose methylprednisolone is recommended for managing attacks of MS.

journal_name

Neurology

journal_title

Neurology

authors

Sellebjerg F,Frederiksen JL,Nielsen PM,Olesen J

doi

10.1212/wnl.51.2.529

subject

Has Abstract

pub_date

1998-08-01 00:00:00

pages

529-34

issue

2

eissn

0028-3878

issn

1526-632X

journal_volume

51

pub_type

临床试验,杂志文章,随机对照试验
  • Ring and nodular multiple sclerosis lesions: a retrospective natural history study.

    abstract:BACKGROUND:In patients with multiple sclerosis (MS), contrast-enhancing lesions (CELs) on postcontrast MRI are considered markers of the inflammatory responses associated with blood-brain barrier breakdown. Based upon shape, CELs may be defined as nodular (nCEL) or ring (rCEL) lesions. Several short-term studies pointe...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181d31df5

    authors: Davis M,Auh S,Riva M,Richert ND,Frank JA,McFarland HF,Bagnato F

    更新日期:2010-03-09 00:00:00

  • Relative utility of 1H spectroscopic imaging and hippocampal volumetry in the lateralization of mesial temporal lobe epilepsy.

    abstract:OBJECTIVES:To determine the relative utility of 1H MRSI and hippocampal volumetry for the lateralization of mesial temporal lobe epilepsy (MTLE) in patients with intractable epilepsy. BACKGROUND:MTLE is the most common partial-onset seizure disorder in patients undergoing temporal lobe epilepsy surgery. MR volumetry a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.51.1.66

    authors: Kuzniecky R,Hugg JW,Hetherington H,Butterworth E,Bilir E,Faught E,Gilliam F

    更新日期:1998-07-01 00:00:00

  • A placebo-controlled trial of insulin-like growth factor-I in amyotrophic lateral sclerosis. European ALS/IGF-I Study Group.

    abstract::To test the safety and efficacy of recombinant human insulin-like growth factor-I (rhIGF-I) in ALS, 183 patients from eight European centers were randomized to receive double-blind placebo (n = 59) or rhIGF-I 0.1 mg/kg/day (n = 124) subcutaneously for 9 months. At study completion, the primary efficacy outcome measure...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1212/wnl.51.2.583

    authors: Borasio GD,Robberecht W,Leigh PN,Emile J,Guiloff RJ,Jerusalem F,Silani V,Vos PE,Wokke JH,Dobbins T

    更新日期:1998-08-01 00:00:00

  • A case-control study of Alzheimer's disease in China.

    abstract::We conducted a case-control study to assess possible factors associated with Alzheimer's disease (AD) with 70 clinically diagnosed AD patients and 140 age- and sex-matched nondemented neighborhood controls in China. Factors significantly associated with AD cases were family history of dementia in first-degree relative...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.8.1481

    authors: Li G,Shen YC,Li YT,Chen CH,Zhau YW,Silverman JM

    更新日期:1992-08-01 00:00:00

  • Basal ganglia dysmorphism in patients with Aicardi syndrome.

    abstract:OBJECTIVE:Aiming to detect associations between neuroradiologic and EEG evaluations and long-term clinical outcome in order to detect possible prognostic factors, a detailed clinical and neuroimaging characterization of 67 cases of Aicardi syndrome (AIC), collected through a multicenter collaboration, was performed. M...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000011237

    authors: Masnada S,Pichiecchio A,Formica M,Arrigoni F,Borrelli P,Accorsi P,Bonanni P,Borgatti R,Bernardina BD,Danieli A,Darra F,Deconinck N,De Giorgis V,Dulac O,Gataullina S,Giordano L,Guerrini R,La Briola F,Mastrangelo M,Mo

    更新日期:2020-12-04 00:00:00

  • Spatial-temporal functional mapping of language at the bedside with electrocorticography.

    abstract:OBJECTIVE:To investigate the feasibility and clinical utility of using passive electrocorticography (ECoG) for online spatial-temporal functional mapping (STFM) of language cortex in patients being monitored for epilepsy surgery. METHODS:We developed and tested an online system that exploits ECoG's temporal resolution...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002525

    authors: Wang Y,Fifer MS,Flinker A,Korzeniewska A,Cervenka MC,Anderson WS,Boatman-Reich DF,Crone NE

    更新日期:2016-03-29 00:00:00

  • Controlled study of the antiparkinsonian activity and tolerability of cabergoline.

    abstract::Cabergoline, a new ergoline derivative, is a D2-specific dopaminergic agonist that is more potent and longer-acting than other agonist agents. We conducted a randomized, double-blind study of increasing doses of cabergoline taken once a day. Twenty-five patients with Parkinson's disease taking stable doses of levodopa...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.43.3_part_1.613

    authors: Hutton JT,Morris JL,Brewer MA

    更新日期:1993-03-01 00:00:00

  • Focal Alzheimer's disease.

    abstract::Alzheimer's disease is characterized by relative sparing of primary sensory and motor cortex and a lack of sensory or motor symptomatology. We report a case of presenile onset dementia accompanied by a slowly progressive hemiparesis. Autopsy examination showed severe pathologic involvement of somatosensory cortex with...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.1.14

    authors: Jagust WJ,Davies P,Tiller-Borcich JK,Reed BR

    更新日期:1990-01-01 00:00:00

  • Peripheral neuropathy in classic Niemann-Pick disease: ultrastructure of nerves and skeletal muscles.

    abstract::A patient with classic (type A) Niemann-Pick disease had the usual clinical signs of failure to thrive, hepatosplenomegaly, and intellectual deterioration in the first year of life. In addition, there was striking hypotonia, areflexia, and abnormal nerve conduction velocities. Pathologically, the Schwann cells were fi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.25.2.107

    authors: Gumbinas M,Larsen M,Mei Liu H

    更新日期:1975-02-01 00:00:00

  • Juan Valverde de Hamusco's unauthorized reproduction of a brain dissection by Andreas Vesalius.

    abstract:OBJECTIVE:The objective of the present work is to examine images of the brain dissection by Flemish-born anatomist Andreas Vesalius (1514-1564) as originally represented in the Fabrica (1543), and later copied without Vesalius' permission by Spanish anatomist Juan Valverde de Hamusco (c1525-c1587) in Historia de la com...

    journal_title:Neurology

    pub_type: 传,历史文章,杂志文章

    doi:10.1212/WNL.0b013e31828407dc

    authors: Lanska DJ,Lanska JR

    更新日期:2013-02-26 00:00:00

  • Clinical and electroencephalographic correlation of independent multifocal spike discharges.

    abstract::One hundred and eight patients with independent, multifocal, spike discharges in the EEG were studied. The abnormality occurred at all ages but was more frequent between 4 and 7 years. The basic EEG activity in wake tracing was invariably slow for the age of the patient. The majority of the patients with independent m...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.26.7.667

    authors: Noriega-Sanchez A,Markand ON

    更新日期:1976-07-01 00:00:00

  • Cranial dystonia: double-blind crossover study of anticholinergics.

    abstract::In patients with cranial dystonia, we compared the effects of central anticholinergic, peripheral anticholinergic, and placebo treatments in a double-blind crossover study. One of the nine patients who completed the study improved markedly with central anticholinergic therapy. The three treatments were indistinguishab...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.34.2.215

    authors: Nutt JG,Hammerstad JP,deGarmo P,Carter J

    更新日期:1984-02-01 00:00:00

  • Brain volume loss in MCI predicts dementia.

    abstract::Rates of temporal horn volume change were significantly greater in the subjects with mild cognitive impairment who were developing dementia vs those who remained stable. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000194213.50222.1a

    authors: Erten-Lyons D,Howieson D,Moore MM,Quinn J,Sexton G,Silbert L,Kaye J

    更新日期:2006-01-24 00:00:00

  • Forced collectionism after orbitofrontal damage.

    abstract::A collector is a person who collects things on purpose, either as a hobby or business, or for personal satisfaction, e.g., stamp, coin, or art collector. In such instances, the act of collecting things represents voluntary, controlled, goal-directed, selective searching. Pathologic patterns of collecting have been obs...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.3.488

    authors: Volle E,Beato R,Levy R,Dubois B

    更新日期:2002-02-12 00:00:00

  • Ketotic hyperglycemia and epilepsia partialis continua.

    abstract::Epilepsia partialis continua (EPC) may occur during nonketotic hyperglycemia but has not been described with diabetic ketoacidosis. The authors report a patient with EPC associated with ketotic hyperglycemia. Brain MRI showed two areas of abnormal signal intensity in the left precentral gyrus and in the right cerebell...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.3.534

    authors: Placidi F,Floris R,Bozzao A,Romigi A,Baviera ME,Tombini M,Izzi F,Sperli F,Marciani MG

    更新日期:2001-08-14 00:00:00

  • Dialysis encephalopathy: a possible seizure disorder.

    abstract::Dialysis encephalopathy is a progressive, fatal condition that occurs in patients receiving hemodialysis. It is characterized by abnormalities in speech, myoclonic jerks, and striking changes on the electroencephalogram. We observed dramatic reversal of the clinical symptoms and electroencephalographic abnormalities i...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.26.12.1130

    authors: Nadel AM,Wilson WP

    更新日期:1976-12-01 00:00:00

  • Domain-dependent clustering and genotype-phenotype analysis of LGI1 mutations in ADPEAF.

    abstract:OBJECTIVE:In families with autosomal dominant partial epilepsy with auditory features (ADPEAF) with mutations in the LGI1 gene, we evaluated clustering of mutations within the gene and associations of penetrance and phenotypic features with mutation location and predicted effect (truncation or missense). METHODS:We ab...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318247ccbf

    authors: Ho YY,Ionita-Laza I,Ottman R

    更新日期:2012-02-21 00:00:00

  • Opioidergic changes in the pineal gland and hypothalamus in cluster headache: a ligand PET study.

    abstract::Using PET with the opioidergic ligand [11C]diprenorphine, the authors demonstrate decreased tracer binding in the pineal gland of cluster headache patients vs healthy volunteers. Opioid receptor availability in the hypothalamus and cingulate cortex depended on the duration of the headache disorder. Therefore, the path...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000204225.15947.f8

    authors: Sprenger T,Willoch F,Miederer M,Schindler F,Valet M,Berthele A,Spilker ME,Förderreuther S,Straube A,Stangier I,Wester HJ,Tölle TR

    更新日期:2006-04-11 00:00:00

  • Residual function in motor cortex contralateral to amputated hand.

    abstract:OBJECTIVE:To investigate residual function of the motor cortex corresponding to the hand of the amputated arm (MCamp). METHODS:Focal transcranial magnetic stimulation (TMS) of MCamp was performed in 10 patients 22 to 52 years after arm amputation to inhibit tonic muscle contraction in the intact hand ipsilateral to co...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.4.984

    authors: Röricht S,Meyer BU

    更新日期:2000-02-22 00:00:00

  • Long-term antithrombotic treatment in intracranial hemorrhage survivors with atrial fibrillation.

    abstract:OBJECTIVE:To perform a systematic review and meta-analysis of studies reporting recurrent intracranial hemorrhage (ICH) and ischemic stroke (IS) in ICH survivors with atrial fibrillation (AF) during long-term follow-up. METHODS:A comprehensive literature search including MEDLINE, EMBASE, Cochrane library, clinical tri...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1212/WNL.0000000000004235

    authors: Korompoki E,Filippidis FT,Nielsen PB,Del Giudice A,Lip GYH,Kuramatsu JB,Huttner HB,Fang J,Schulman S,Martí-Fàbregas J,Gathier CS,Viswanathan A,Biffi A,Poli D,Weimar C,Malzahn U,Heuschmann P,Veltkamp R

    更新日期:2017-08-15 00:00:00

  • Spinal cord compression by extramedullary hemopoietic tissue in pyruvate-kinase-deficiency-caused hemolytic anemia.

    abstract::Spinal cord compression by extramedullary hemopoietic tissue is a rare complication of hemolytic anemias. This is the first report of this complication in hemolytic anemia caused by pyruvate-kinase deficiency. Indium scan, computed tomography (CT) scan, and myelography were helpful in diagnosis. Surgery and radiothera...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.29.4.510

    authors: Rutgers MJ,van der Lugt PJ,van Turnhout JM

    更新日期:1979-04-01 00:00:00

  • Band heterotopia or double cortex in a male: bridging structures suggest abnormality of the radial glial guide system.

    abstract::A moderately retarded Japanese boy, with a normal male karyotype (46,XY), was diagnosed to have a subcortical band heterotopia or double cortex syndrome. The band heterotopia was relatively thick compared with that of other patients reported. On T2-weighted coronal MR sections, there were numerous radial linear struct...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.48.6.1701

    authors: Ono J,Mano T,Andermann E,Harada K,Sakurai K,Ikeda T,Yoshihara N,Shimizu K,Okada S,Andermann F

    更新日期:1997-06-01 00:00:00

  • Autonomic function in parkinsonian patients relates to duration of disease.

    abstract::Autonomic functions were studied after withdrawal of all medication in parkinsonian out-patients with short and long duration of disease and in age-matched healthy control subjects. Vagal heart control and noradrenergic response to standing were impaired and related to duration of symptoms of idiopathic parkinsonism. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.7.1173

    authors: Orskov L,Jakobsen J,Dupont E,de Fine Olivarius B,Christensen NJ

    更新日期:1987-07-01 00:00:00

  • Short- and long-term outcome of chronic pallidal neurostimulation in monogenic isolated dystonia.

    abstract:OBJECTIVES:Deep brain stimulation of the internal pallidum (GPi-DBS) is an established therapeutic option in treatment-refractory dystonia, and the identification of factors predicting surgical outcome is needed to optimize patient selection. METHODS:In this retrospective multicenter study, GPi-DBS outcome of 8 patien...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000001312

    authors: Brüggemann N,Kühn A,Schneider SA,Kamm C,Wolters A,Krause P,Moro E,Steigerwald F,Wittstock M,Tronnier V,Lozano AM,Hamani C,Poon YY,Zittel S,Wächter T,Deuschl G,Krüger R,Kupsch A,Münchau A,Lohmann K,Volkmann J,Kle

    更新日期:2015-03-03 00:00:00

  • Simple MRI score aids prediction of dementia in cerebral small vessel disease.

    abstract:OBJECTIVE:To determine whether a simple small vessel disease (SVD) score, which uses information available on rapid visual assessment of clinical MRI scans, predicts risk of cognitive decline and dementia, above that provided by simple clinical measures. METHODS:Three prospective longitudinal cohort studies (SCANS [St...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009141

    authors: Amin Al Olama A,Wason JMS,Tuladhar AM,van Leijsen EMC,Koini M,Hofer E,Morris RG,Schmidt R,de Leeuw FE,Markus HS

    更新日期:2020-03-24 00:00:00

  • DPPX potassium channel antibody: frequency, clinical accompaniments, and outcomes in 20 patients.

    abstract:OBJECTIVE:To describe the detection frequency and clinical associations of immunoglobulin G (IgG) targeting dipeptidyl-peptidase-like protein-6 (DPPX), a regulatory subunit of neuronal Kv4.2 potassium channels. METHODS:Specimens from 20 patients evaluated on a service basis by tissue-based immunofluorescence yielded a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000991

    authors: Tobin WO,Lennon VA,Komorowski L,Probst C,Clardy SL,Aksamit AJ,Appendino JP,Lucchinetti CF,Matsumoto JY,Pittock SJ,Sandroni P,Tippmann-Peikert M,Wirrell EC,McKeon A

    更新日期:2014-11-11 00:00:00

  • Circadian sneezing.

    abstract::Prompted by the observation that a fellow medical student sneezed at about the same time in class every morning, we recorded the time of each of the 118 sneezes she made on 69 days over a 6.5-month period. Analysis of the sneeze times with the goodness-of-fit test revealed a highly nonuniform distribution (p < 0.0001)...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.3_part_1.369

    authors: Grant AC,Roter EP

    更新日期:1994-03-01 00:00:00

  • Controlled-release carbidopa/levodopa (Sinemet 50/200 CR4): clinical and pharmacokinetic studies.

    abstract::Several controlled-release carbidopa/levodopa preparations have been formulated to achieve a more stable and extended antiparkinsonian action. The most effective is Sinemet CR (Sinemet CR4), with an erodible polymer matrix that retards release of levodopa. In 19 parkinsonians with prominent dose-by-dose fluctuations, ...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:

    authors: LeWitt PA,Nelson MV,Berchou RC,Galloway MP,Kesaree N,Kareti D,Schlick P

    更新日期:1989-11-01 00:00:00

  • PRRT2 mutations: a major cause of paroxysmal kinesigenic dyskinesia in the European population.

    abstract:OBJECTIVE:Paroxysmal kinesigenic dyskinesia (PKD) is a rare disorder characterized by recurrent attacks of hyperkinetic movements. PKD can be isolated or associated with benign infantile seizures as part of the infantile convulsions with choreoathetosis (ICCA) syndrome. Mutations in the PRRT2 gene were recently identif...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31825f06c3

    authors: Méneret A,Grabli D,Depienne C,Gaudebout C,Picard F,Dürr A,Lagroua I,Bouteiller D,Mignot C,Doummar D,Anheim M,Tranchant C,Burbaud P,Jedynak CP,Gras D,Steschenko D,Devos D,Billette de Villemeur T,Vidailhet M,Brice A,

    更新日期:2012-07-10 00:00:00

  • Presynaptic failure of neuromuscular transmission and synaptic remodeling in EA2.

    abstract:OBJECTIVE:To further investigate the basis of abnormal neuromuscular transmission in two patients with congenital myasthenic syndrome associated with episodic ataxia type 2 (EA2) using stimulated single fiber EMG (SFEMG) and in vitro microelectrode studies. METHODS:Two patients with genetically characterized EA2 previ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000099748.41130.9a

    authors: Maselli RA,Wan J,Dunne V,Graves M,Baloh RW,Wollmann RL,Jen J

    更新日期:2003-12-23 00:00:00