A randomized, double-blind, placebo-controlled trial of deprenyl and thioctic acid in human immunodeficiency virus-associated cognitive impairment. Dana Consortium on the Therapy of HIV Dementia and Related Cognitive Disorders.

Abstract:

:Cognitive impairment is a frequent manifestation of advanced human immunodeficiency virus (HIV) infection. The response to antiretroviral medication is often partial and poorly sustained. Recent studies suggest that free radical production within the CNS and neuronal apoptosis may play important roles in the pathogenesis of HIV dementia. We conducted a randomized double-blind, placebo-controlled trial using a parallel group, 2 x 2 factorial design evaluating deprenyl, a monoamine oxidase B inhibitor and putative anti-apoptotic agent, and thioctic acid, an antioxidant, in 36 patients with HIV-associated cognitive impairment. Both deprenyl and thioctic acid were well tolerated with few adverse events. Deprenyl recipients showed significant improvement on tests of verbal memory compared with patients not taking deprenyl. Thioctic acid treatment did not improve cognitive function. These results suggest that deprenyl treatment is associated with cognitive improvement in subjects with mild HIV-associated cognitive impairment, whereas thioctic acid has no benefit. A larger efficacy trial is needed to assess the long-term effect of deprenyl on cognitive performance in patients with HIV infection.

journal_name

Neurology

journal_title

Neurology

authors

doi

10.1212/wnl.50.3.645

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

645-51

issue

3

eissn

0028-3878

issn

1526-632X

journal_volume

50

pub_type

临床试验,杂志文章,随机对照试验
  • The juvenile and chronic forms of GM2 gangliosidosis: clinical and enzymatic heterogeneity.

    abstract::We report the cases of 5 patients from 2 sibships with the "adult" or chronic form of GM2 gangliosidosis and 2 patients from another sibship with the juvenile form. We demonstrated hexosaminidase A deficiency in all cases but in 1 sibship the enzymatic profile was identical to that in Tay-Sachs disease, whereas in the...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.1.145

    authors: Specola N,Vanier MT,Goutières F,Mikol J,Aicardi J

    更新日期:1990-01-01 00:00:00

  • Statin use and outcome after intracerebral hemorrhage: case-control study and meta-analysis.

    abstract:OBJECTIVES:Intracerebral hemorrhage (ICH) is a highly lethal disease of the elderly. Use of statins is increasingly widespread among the elderly, and therefore common in patients who develop ICH. Accumulating data suggests that statins have neuroprotective effects, but their association with ICH outcome has been incons...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析

    doi:10.1212/WNL.0b013e3182194be9

    authors: Biffi A,Devan WJ,Anderson CD,Ayres AM,Schwab K,Cortellini L,Viswanathan A,Rost NS,Smith EE,Goldstein JN,Greenberg SM,Rosand J

    更新日期:2011-05-03 00:00:00

  • Metabolic correlates of levodopa response in Parkinson's disease.

    abstract:OBJECTIVE:To assess the effects of levodopa on resting-state brain metabolism in PD. BACKGROUND:In previous studies the authors used [18F] fluorodeoxyglucose (FDG) and PET to quantify regional metabolic abnormalities in PD. They found that this disease is characterized reproducibly by a specific abnormal PD-related pa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.11.2083

    authors: Feigin A,Fukuda M,Dhawan V,Przedborski S,Jackson-Lewis V,Mentis MJ,Moeller JR,Eidelberg D

    更新日期:2001-12-11 00:00:00

  • A Roma founder BIN1 mutation causes a novel phenotype of centronuclear myopathy with rigid spine.

    abstract:OBJECTIVE:To describe a large series of BIN1 patients, in which a novel founder mutation in the Roma population of southern Spain has been identified. METHODS:Patients diagnosed with centronuclear myopathy (CNM) at 5 major reference centers for neuromuscular disease in Spain (n = 53) were screened for BIN1 mutations. ...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000005862

    authors: Cabrera-Serrano M,Mavillard F,Biancalana V,Rivas E,Morar B,Hernández-Laín A,Olive M,Muelas N,Khan E,Carvajal A,Quiroga P,Diaz-Manera J,Davis M,Ávila R,Domínguez C,Romero NB,Vílchez JJ,Comas D,Laing NG,Laporte J,Ka

    更新日期:2018-07-24 00:00:00

  • Acquired aphasia with convulsive disorder: course and prognosis.

    abstract::Acquired aphasia with convulsive disorder is an unusual condition in childhood, characterized by loss of language function associated with a paroxysmal electroencephalogram. To determine the course and outcome of this disorder, we evaluated nine patients 10 to 28 years after the onset of aphasia. Four patients had rec...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.5.524

    authors: Mantovani JF,Landau WM

    更新日期:1980-05-01 00:00:00

  • Multifocal visual evoked potentials are influenced by variable contrast stimulation in MS.

    abstract:OBJECTIVE:To test the hypothesis that patients with multiple sclerosis (MS) with intereye asymmetry on low contrast letter acuity, and thickness of the retinal nerve fiber layer (RNFL), would exhibit corresponding changes in cortical timing and amplitude responses on pattern reversal multifocal visual evoked potentials...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182661edc

    authors: Frohman AR,Schnurman Z,Conger A,Conger D,Beh S,Greenberg B,Sutter E,Calabresi PA,Balcer LJ,Frohman TC,Frohman EM

    更新日期:2012-08-21 00:00:00

  • Arterial wall properties in carotid artery dissection: an ultrasound study.

    abstract:BACKGROUND:Cervical artery dissection is often attributed to an underlying arteriopathy related to a generalized extracellular matrix defect. OBJECTIVE:The authors compared the hemodynamic and morphologic properties of the carotid artery, as assessed noninvasively by ultrasonography, in patients with spontaneous inter...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.55.5.663

    authors: Guillon B,Tzourio C,Biousse V,Adraï V,Bousser MG,Touboul PJ

    更新日期:2000-09-12 00:00:00

  • Migraine and cardiovascular disease: possible mechanisms of interaction.

    abstract::Migraine, especially migraine with aura (MA), is an established risk factor for ischemic lesions of the brain. Recent evidence has also linked migraine to a broader range of ischemic vascular disorders including angina, myocardial infarction, coronary revascularization, claudication, and cardiovascular mortality. The ...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0b013e3181a71220

    authors: Bigal ME,Kurth T,Hu H,Santanello N,Lipton RB

    更新日期:2009-05-26 00:00:00

  • Silent MRI infarcts and the risk of future stroke: the cardiovascular health study.

    abstract:BACKGROUND:Silent infarcts are commonly discovered on cranial MRI in the elderly. OBJECTIVE:To examine the association between risk of stroke and presence of silent infarcts, alone and in combination with other stroke risk factors. METHODS:Participants (3,324) in the Cardiovascular Health Study (CHS) without a histor...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.7.1222

    authors: Bernick C,Kuller L,Dulberg C,Longstreth WT Jr,Manolio T,Beauchamp N,Price T,Cardiovascular Health Study Collaborative Reseach Group.

    更新日期:2001-10-09 00:00:00

  • Predictive factors of in-hospital CNS complications following liver transplantation.

    abstract::We prospectively evaluated 84 consecutive adult patients with chronic liver disease before and after liver transplantation to define the type and frequency of post-transplant neurologic complications, and to assess possible pretransplant and operative variables associated with in-hospital CNS complications. There were...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.7.1226

    authors: Pujol A,Graus F,Rimola A,Beltrán J,Garcia-Valdecasas JC,Navasa M,Grande L,Galofré J,Visa J,Rodés J

    更新日期:1994-07-01 00:00:00

  • Motor axon loss is associated with hand dysfunction in Charcot-Marie-Tooth disease 1a.

    abstract:BACKGROUND:Charcot Marie Tooth type 1a (CMT1a) is a primarily demyelinating neuropathy, characterized by slowly progressive muscle weakness, atrophy, and sensory loss, and is most pronounced in both feet and hands. There is increasing evidence that muscle weakness is determined by motor axonal dysfunction. OBJECTIVE:T...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000327643.05073.eb

    authors: Videler AJ,van Dijk JP,Beelen A,de Visser M,Nollet F,van Schaik IN

    更新日期:2008-10-14 00:00:00

  • Search for autonomously proliferating spinal fluid lymphocytes in patients with multiple sclerosis.

    abstract::Recently published reports have suggested that multiple sclerosis (MS) may be associated with human retrovirus infection. Indeed, an autonomously proliferating T-cell clone was isolated from the CSF of an MS patient, an observation interpreted as indicating an infection with human T lymphotropic virus I (HTLV I). In v...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.1.28

    authors: Birnbaum G,Aubitz S,Kotilinek L

    更新日期:1988-01-01 00:00:00

  • Homonymous hemianopias: clinical-anatomic correlations in 904 cases.

    abstract:OBJECTIVE:To describe the clinical characteristics and clinical-anatomic correlations of homonymous hemianopia (HH). BACKGROUND:Homonymous hemianopia impairs visual function and frequently precludes driving. Most knowledge of HH is based on relatively few cases with clinical-anatomic correlations. METHODS:The authors...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000203913.12088.93

    authors: Zhang X,Kedar S,Lynn MJ,Newman NJ,Biousse V

    更新日期:2006-03-28 00:00:00

  • Cerebral atrophy and functional deficits in alcoholics without clinically apparent liver disease.

    abstract::Ninety-seven chronic alcoholics, both impaired and unimpaired, without clinically evident liver disease, showed significantly more cerebral atrophy on computed tomography than age-matched neurologic controls. Age was the variable most highly correlated with cerebral atrophy measurements, and it accounted for most of t...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.4.377

    authors: Carlen PL,Wilkinson DA,Wortzman G,Holgate R,Cordingley J,Lee MA,Huszar L,Moddel G,Singh R,Kiraly L,Rankin JG

    更新日期:1981-04-01 00:00:00

  • Combined azathioprine and prednisone in chronic inflammatory-demyelinating polyneuropathy.

    abstract::Twenty-seven patients with static or worsening chronic inflammatory-demyelinating polyradiculoneuropathy were randomly assigned to alternate day decremental prednisone therapy alone or with azathioprine (2 mg/kg) for 9 months. No statistically significant alterations were demonstrated between these treatment schedules...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.35.8.1173

    authors: Dyck PJ,O'Brien P,Swanson C,Low P,Daube J

    更新日期:1985-08-01 00:00:00

  • Familial hemiplegic migraine versus migraine with prolonged aura: an uncertain diagnosis in a family report.

    abstract::Four of five members of a family complained of repeated attacks of hemiplegic migraine, migraine with aura of different types, or migraine without aura. The hemiplegia always outlasted the headache and was often accompanied by altered consciousness, aphasia, and, in one patient, coma; in this latter patient, the ictal...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.1.33

    authors: Marchioni E,Galimberti CA,Soragna D,Ferrandi D,Maurelli M,Ratti MT,Bo P,Montalbetti L,Albergati A,Savoldi F

    更新日期:1995-01-01 00:00:00

  • Anti-neutral glycolipid antibodies in encephalomyeloradiculoneuropathy.

    abstract:OBJECTIVE:The aim of this study was to review 4 patients with encephalomyeloradiculoneuropathy (EMRN) and assess for autoantibodies against neutral glycolipids. METHODS:We studied the progression of clinical, radiologic, neurophysiologic, and CSF findings, as well as anti-neutral glycolipid antibodies in sera. RESULT...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000015

    authors: Shima S,Kawamura N,Ishikawa T,Masuda H,Iwahara C,Niimi Y,Ueda A,Iwabuchi K,Mutoh T

    更新日期:2014-01-14 00:00:00

  • Magnesium, hemostasis, and outcomes in patients with intracerebral hemorrhage.

    abstract:OBJECTIVE:We tested the hypothesis that admission serum magnesium levels are associated with hematoma volume, hematoma growth, and functional outcomes in patients with intracerebral hemorrhage (ICH). METHODS:Patients presenting with spontaneous ICH were enrolled in an observational cohort study that prospectively coll...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000004249

    authors: Liotta EM,Prabhakaran S,Sangha RS,Bush RA,Long AE,Trevick SA,Potts MB,Jahromi BS,Kim M,Manno EM,Sorond FA,Naidech AM,Maas MB

    更新日期:2017-08-22 00:00:00

  • Central nervous system disease in patients with systemic lupus erythematosus.

    abstract::Central nervous system (CNS) dysfunction in patients with systemic lupus erythematosus (SLE) is highly variable, although it is often described under a single heading of "neuropsychiatric" or "CNS" SLE. To clarify these CNS abnormalities, we studied 91 lupus patients, 63 of whom had CNS symptoms or signs, over 599 pat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.9.1649

    authors: Futrell N,Schultz LR,Millikan C

    更新日期:1992-09-01 00:00:00

  • Obturator mononeuropathy caused by pelvic cancer: six cases.

    abstract:OBJECTIVE:To report the clinical and pelvic CT findings in six patients with obturator mononeuropathy caused by cancer. DESIGN:A clinical case series of six patients followed for 2 months to 10 years (one patient lost to follow-up). SETTING:Three referral centers. PATIENTS:Three men and three women, ages 52 to 81 ye...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.8.1489

    authors: Rogers LR,Borkowski GP,Albers JW,Levin KH,Barohn RJ,Mitsumoto H

    更新日期:1993-08-01 00:00:00

  • Antiplatelets, ACE inhibitors, and statins combination reduces stroke severity and tissue at risk.

    abstract:BACKGROUND:Antiplatelets (APL), angiotensin-converting enzyme (ACE) inhibitors (ACEI), and statins (STAT) are commonly used for stroke prevention. The authors examined whether combination therapy with these agents has additive protective effects in reducing ischemic stroke severity. METHODS:The authors retrospectively...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000208406.45440.84

    authors: Kumar S,Savitz S,Schlaug G,Caplan L,Selim M

    更新日期:2006-04-25 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

  • Far-field somatosensory evoked potentials after stimulation of the tibial nerve.

    abstract::In 21 normal subjects, far-field somatosensory potentials were recorded from the scalp after stimulation of the tibial nerve at the ankle (tibial SEP). With the use of a knee reference contralateral to the side of stimulation, the tibial SEP consisted of three major positive peaks, P17, P24, and P31, and three additio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.32.10.1151

    authors: Yamada T,Machida M,Kimura J

    更新日期:1982-10-01 00:00:00

  • How redesigning AD clinical trials might increase study partners' willingness to participate.

    abstract:BACKGROUND:Timely recruiting and retaining participants into Alzheimer disease (AD) clinical trials is a challenge. We used conjoint analysis to identify how alterations in attributes of clinical trial design improve willingness to participate: risk, home visits, car service, or increased chance of receiving interventi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000336652.05779.ea

    authors: Karlawish J,Cary MS,Rubright J,Tenhave T

    更新日期:2008-12-02 00:00:00

  • Why do frontal lobe symptoms predominate in vascular dementia with lacunes?

    abstract::We studied 30 necropsy cases of vascular dementia with a lacunar state. Manifestations included dementia, lack of volition, emotional lability, small-stepped gait, dysarthria, urinary incontinence, grasp reflex, pyramidal signs, paraplegia in flexion, and akinetic mutism. Pathologically, there was diffuse incomplete s...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.3.340

    authors: Ishii N,Nishihara Y,Imamura T

    更新日期:1986-03-01 00:00:00

  • Characteristics and predictors of 7- and 30-day hospital readmissions to pediatric neurology.

    abstract:OBJECTIVE:Hospital readmission is an important quality improvement measure that has not been well-studied in pediatric neurology. We examined predictors of 7-day and 30-day readmissions for pediatric patients hospitalized with a neurologic diagnosis. METHODS:This was a retrospective study of hospital readmission rates...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000007280

    authors: Hong A,Shah Y,Singh K,Karkare S,Kothare S

    更新日期:2019-04-16 00:00:00

  • Function of dopamine receptors in Parkinson's disease: prolactin responses.

    abstract::In 64 patients with Parkinson's disease (PD), the basal level of prolactin (PRL) was normal. Bromocriptine (BCT) caused a significant suppression of PRL in all parkinsonian patients and controls. When given after BCT treatment, thyrotropin-releasing hormone (TRH) induced a significantly lower PRL rise in recent-onset ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.3.393

    authors: Laihinen A,Rinne UK

    更新日期:1986-03-01 00:00:00

  • Antimyoclonic effects of alcohol in progressive myoclonus epilepsy.

    abstract::We studied the effect of a single oral intake of 30 to 40 grams of alcohol in 4 consecutive patients presenting with Ramsay Hunt syndrome, the most common type of degenerative progressive myoclonic epilepsy (PME) encountered in southern Europe. Clinical and polygraphic monitoring demonstrated abatement of myoclonus in...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.9.1412

    authors: Genton P,Guerrini R

    更新日期:1990-09-01 00:00:00

  • Kearns-Sayre syndrome and complex II deficiency.

    abstract::A 25-year-old woman with Kearns-Sayre syndrome (KSS) had complete external ophthalmoplegia, short stature, ataxia, cardiac conduction defects, and pigmentary retinopathy. Muscle biopsy revealed ragged-red fibers. Electron microscopy showed increased numbers of mitochondria with disordered structure and paracrystalline...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.5.693

    authors: Rivner MH,Shamsnia M,Swift TR,Trefz J,Roesel RA,Carter AL,Yanamura W,Hommes FA

    更新日期:1989-05-01 00:00:00

  • GABAB receptor autoantibody frequency in service serologic evaluation.

    abstract:OBJECTIVE:Small-cell lung carcinoma (SCLC) and limbic encephalitis are recognized γ-aminobutyric acid-B receptor (GABABR) autoantibody accompaniments. We sought to determine in a diagnostic serology laboratory the frequency and accompaniments (neurologic, oncologic, and serologic) of GABABR-immunoglobulin G (IgG). MET...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182a35271

    authors: Jeffery OJ,Lennon VA,Pittock SJ,Gregory JK,Britton JW,McKeon A

    更新日期:2013-09-03 00:00:00