Efficacy and safety of tizanidine in the treatment of spasticity in patients with spinal cord injury. North American Tizanidine Study Group.

Abstract:

:Tizanidine, an imidazoline that acts as an agonist at alpha 2-adrenergic receptors, has been shown to be effective in reducing spasticity caused by MS. This multicenter study (14 sites) assessed the efficacy and safety of oral tizanidine in patients who had spinal cord injury of > 12 months' duration. Of the 124 patients admitted to the study, 78 completed it. Tizanidine was titrated to an optimized dosage in each patient to a maximum of 36 mg/d. Muscle tone, assessed by Ashworth score, was significantly reduced (p = 0.0001) by tizanidine treatment in comparison with placebo. Video motion analysis of the pendulum test showed improvement in the tizanidine-treated patients vs placebo (p = 0.04) and showed a significant correlation with the Ashworth score (p < 0.001). No significant alterations in muscle strength or vital signs were noted in either treatment group. The most common adverse events during tizanidine treatment were somnolence, xerostomia, and fatigue. It was concluded that, overall, tizanidine is effective in reducing spasticity in patients with spinal cord injury.

journal_name

Neurology

journal_title

Neurology

authors

Nance PW,Bugaresti J,Shellenberger K,Sheremata W,Martinez-Arizala A

subject

Has Abstract

pub_date

1994-11-01 00:00:00

pages

S44-51; discussion S51-2

issue

11 Suppl 9

eissn

0028-3878

issn

1526-632X

journal_volume

44

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
  • Methylprednisolone selectively affects dystrophin expression in human muscle cultures.

    abstract::Glucocorticoid therapy slows the progression of Duchenne muscular dystrophy. In muscle cultures, the addition of the glucocorticoid methylprednisolone increases myogenesis in most normal mixed and clonal cultures. Conversely, in some normal clonal and most dystrophic cultures, methylprednisolone inhibits fusion. Howev...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.2.342

    authors: Hardiman O,Sklar RM,Brown RH Jr

    更新日期:1993-02-01 00:00:00

  • Exercise-induced membrane failure in paramyotonia congenita.

    abstract::A marked decrease in the amplitude of the evoked thenar compound muscle action potential followed brief exercise at room temperature in two patients with paramyotonia congenita. This decline was more rapid and pronounced in our patient with coexistent thyrotoxicosis. The prolonged recovery period in paramyotonia conge...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.1.130

    authors: Gutmann L,Riggs JE,Brick JF

    更新日期:1986-01-01 00:00:00

  • Correlation between NF1 genotype and imaging phenotype on whole-body MRI: NF1 radiogenomics.

    abstract:OBJECTIVE:To investigate the genotype-phenotype correlation between neurofibromatosis 1 (NF1) germline mutations and imaging features of neurofibromas on whole-body MRI (WBMRI) by using radiomics image analysis techniques. MATERIALS AND METHODS:Twenty-nine patients with NF1 who had known germline mutations determined ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009490

    authors: Liu Y,Jordan JT,Bredella MA,Erdin S,Walker JA,Vangel M,Harris GJ,Plotkin SR,Cai W

    更新日期:2020-06-16 00:00:00

  • Apolipoprotein E and functional recovery from brain injury following postacute rehabilitation.

    abstract:OBJECTIVE:APOE epsilon4 has been associated with late-onset familial and sporadic AD and delayed recovery from head injury. The authors examined the relationship between functional recovery of patients with head injury and the APOE alleles. METHODS:Thirty-one patients with head injury who had completed the Acute Neuro...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.55.10.1536

    authors: Lichtman SW,Seliger G,Tycko B,Marder K

    更新日期:2000-11-28 00:00:00

  • Comparison of Phenotypic Characteristics and Prognosis Between Black and White Patients in a Tertiary ALS Clinic.

    abstract:OBJECTIVE:To compare characteristics between Black and White patients with amyotrophic lateral sclerosis (ALS) in order to identify disparities and phenotypic variability. METHODS:We performed database review for patients seen between 1997 and 2020 at the Emory ALS Center in Atlanta, Georgia. Patients with ALS were in...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000011396

    authors: Brand D,Polak M,Glass JD,Fournier CN

    更新日期:2020-12-28 00:00:00

  • Antibodies to brain antigens following stroke.

    abstract::Cerebral necrosis following stroke exposes brain antigens to the immune system, potentially initiating an antibody response. The authors measured levels of antibodies to specific neuronal antigens, neurofilaments (NF), and a ubiquitous antigen, cardiolipin (CL), in 45 patients following an acute first-ever stroke, wit...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.4.529

    authors: Bornstein NM,Aronovich B,Korczyn AD,Shavit S,Michaelson DM,Chapman J

    更新日期:2001-02-27 00:00:00

  • Association of orthostatic hypotension with incident dementia, stroke, and cognitive decline.

    abstract:OBJECTIVE:To examine associations of orthostatic hypotension (OH) with dementia and long-term cognitive decline and to update previously published results in the same cohort for stroke with an additional 16 years of follow-up. METHODS:We analyzed data from 11,709 participants without a history of coronary heart diseas...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000006027

    authors: Rawlings AM,Juraschek SP,Heiss G,Hughes T,Meyer ML,Selvin E,Sharrett AR,Windham BG,Gottesman RF

    更新日期:2018-08-21 00:00:00

  • Recent advances in the treatment of orthostatic hypotension.

    abstract::Orthostatic hypotension is a fall in blood pressure on standing that causes symptoms of dizziness, visual changes, and discomfort in the head and neck. The goal of treatment is the improvement of the patient's functional capacity, rather than a target blood pressure. For treatment to be successful, it must be individu...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Robertson D,Davis TL

    更新日期:1995-04-01 00:00:00

  • Symptomatic spinal epidural lipomatosis in a patient with Cushing's disease.

    abstract::Spinal epidural lipomatosis (SEL) is a rare complication of iatrogenic Cushing's syndrome (CS). There is only one case reported of symptomatic SEL in association with endogenous CS. We present a patient with compressive myeloradiculopathy due to SEL and Cushing's disease and suggest that in SEL of hypercortisolism, th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.12.2281

    authors: Sivakumar K,Sheinart K,Lidov M,Cohen B

    更新日期:1995-12-01 00:00:00

  • Readmission to a different hospital following acute stroke is associated with worse outcomes.

    abstract:OBJECTIVE:There is a high risk of readmission within 30 days of index acute ischemic stroke (AIS), but effect of readmission to a different hospital is not known. We performed a retrospective cohort study to assess our hypothesis that 30-day readmission outcomes after AIS are worse for those readmitted to another hospi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008446

    authors: Stein LK,Agarwal P,Thaler A,Kwon CS,Jette N,Dhamoon MS

    更新日期:2019-11-12 00:00:00

  • Relation of cerebral infarctions to dementia and cognitive function in older persons.

    abstract:BACKGROUND:Cerebral infarctions are common in older persons but their relationship with dementia and cognitive function remains controversial. METHODS:Participants were 164 older Catholic nuns, priests, and brothers who underwent annual clinical evaluation and brain autopsy at death. The authors quantified number and ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000055863.87435.b2

    authors: Schneider JA,Wilson RS,Cochran EJ,Bienias JL,Arnold SE,Evans DA,Bennett DA

    更新日期:2003-04-08 00:00:00

  • Cutaneous adverse events in multiple sclerosis patients treated with daclizumab.

    abstract:OBJECTIVE:To analyze the spectrum and mechanisms of cutaneous adverse events (AEs) in patients with multiple sclerosis treated with daclizumab high-yield process (DAC-HYP). METHODS:A total of 31 participants in an institutional review board-approved open-label phase I study of DAC-HYP (NCT01143441) were prospectively ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002417

    authors: Cortese I,Ohayon J,Fenton K,Lee CC,Raffeld M,Cowen EW,DiGiovanna JJ,Bielekova B

    更新日期:2016-03-01 00:00:00

  • Functional hemispherectomy: EEG findings, spiking from isolated brain postoperatively, and prediction of outcome.

    abstract::We reviewed the prognostic significance of preoperative EEG findings in 25 patients who underwent functional hemispherectomy. Bilateral independent epileptogenic foci, found in five patients, generally indicate a less satisfactory outcome, with only three of the five patients becoming seizure free following hemisphere...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.11.1790

    authors: Smith SJ,Andermann F,Villemure JG,Rasmussen TB,Quesney LF

    更新日期:1991-11-01 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

  • Angioplasty and stenting for stroke prevention: good questions that need answers.

    abstract::Extracranial and intracranial angioplasty and stenting of the cerebral vessels are being performed more frequently. One clinical trial demonstrated equivalent outcomes between extracranial carotid angioplasty and carotid endarterectomy, but the results in both groups were suboptimal. Concerns remain about the iatrogen...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.59.5.664

    authors: Chaturvedi S,Fessler R

    更新日期:2002-09-10 00:00:00

  • Biopsy-proven cerebral vasculitis associated with cocaine abuse.

    abstract::We report cerebral vasculitis in 2 cocaine users who developed symptoms (transient blindness and persistent headache) while smoking "crack," followed by progressive widespread cerebral dysfunction with focal signs over the next few weeks. One patient had smoked crack exclusively, and the other also used cocaine intrav...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.7.1092

    authors: Krendel DA,Ditter SM,Frankel MR,Ross WK

    更新日期:1990-07-01 00:00:00

  • Neuromuscular effects distant from the site of botulinum neurotoxin injection.

    abstract::We assessed the severity and temporal profile of distant neuromuscular effects from a single dose (280 units) of botulinum neurotoxin injected into neck muscles for torticollis. We performed single-fiber EMG studies on the biceps brachii of six patients to measure jitter (20 pairs) and fiber density on the initial tre...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.11.1780

    authors: Olney RK,Aminoff MJ,Gelb DJ,Lowenstein DH

    更新日期:1988-11-01 00:00:00

  • Serum and CSF vitamin A concentrations in idiopathic intracranial hypertension.

    abstract:BACKGROUND:Elevated serum retinol, CSF retinol, and serum retinol binding protein (RBP) levels have been found in some patients with idiopathic intracranial hypertension (IIH), but serum and CSF retinol levels have not been studied in matched serum and CSF samples in patients with IIH. OBJECTIVE:To determine whether s...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000163556.31080.98

    authors: Tabassi A,Salmasi AH,Jalali M

    更新日期:2005-06-14 00:00:00

  • Hippocampal removal affects visual but not auditory naming.

    abstract:OBJECTIVE:Dominant, left anteromedial temporal lobe resection (AMTLR) for seizure control carries risks to verbal episodic memory and visual object naming. Consistent with traditional thinking, verbal memory decline is considered a consequence of hippocampal removal and naming decline has been attributed to lateral tem...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181dd40f0

    authors: Hamberger MJ,Seidel WT,McKhann GM 2nd,Goodman RR

    更新日期:2010-05-11 00:00:00

  • The lower hippocampus global connectivity, the higher its local metabolism in Alzheimer disease.

    abstract:OBJECTIVES:Based on the hippocampus disconnection hypothesis in Alzheimer disease (AD), which postulates that uncoupling from cortical inputs contributes to disinhibition-like changes in hippocampus activity, we suggested that in patients with AD, the more the intrinsic functional connectivity between hippocampus and p...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001575

    authors: Tahmasian M,Pasquini L,Scherr M,Meng C,Förster S,Mulej Bratec S,Shi K,Yakushev I,Schwaiger M,Grimmer T,Diehl-Schmid J,Riedl V,Sorg C,Drzezga A

    更新日期:2015-05-12 00:00:00

  • Treatment of inclusion-body myositis with high-dose intravenous immunoglobulin.

    abstract::We report the treatment of four patients with inclusion-body myositis (IBM) and severe slowly progressive weakness using high-dose intravenous immunoglobulin (IVIg). After two monthly infusions, the strength of the proximal and less atrophic muscle groups improved or normalized in three of the four patients. The impro...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.5.876

    authors: Soueidan SA,Dalakas MC

    更新日期:1993-05-01 00:00:00

  • Endothelial progenitor cells correlate with lesion volume and growth in acute stroke.

    abstract:OBJECTIVES:Circulating endothelial progenitor cells (EPC) are markers of vascular injury and their numbers decrease in acute stroke. However, the relation of EPC levels to stroke severity has not been quantified. MRI measurements of lesion volume provide an objective method for stroke severity assessment and outcome pr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318200d741

    authors: Bogoslovsky T,Chaudhry A,Latour L,Maric D,Luby M,Spatz M,Frank J,Warach S

    更新日期:2010-12-07 00:00:00

  • Serum creatine phosphokinase and pyruvate kinase in neuromuscular disorders and Duchenne dystrophy carriers.

    abstract::Serum levels of creatine phosphokinase (CPK) and pyruvic kinase (PK) were determined in 42 controls, 57 patients with various neuromuscular disorders, and 23 female relatives of Duchenne dystrophy patients. CPK and PK enzyme activities were increased in comparable numbers of muscle disease patients and female carriers...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.28.10.1047

    authors: Seay AR,Ziter FA,Wu LH,Wu JT

    更新日期:1978-10-01 00:00:00

  • Neuro-Behçet's disease: factors hampering proper diagnosis.

    abstract::We reviewed the clinical course of nine patients with neuro-Behçet's disease to assess difficulties in making this diagnosis. Factors delaying proper diagnosis included lack of accurate history and physical examination, lack of recognition of an underlying systemic syndrome and its relationship to the neurologic sympt...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.9.1754

    authors: Devlin T,Gray L,Allen NB,Friedman AH,Tien R,Morgenlander JC

    更新日期:1995-09-01 00:00:00

  • Branched-chain amino acids and amyotrophic lateral sclerosis: a treatment failure? The Italian ALS Study Group.

    abstract::We initiated a double-blind, placebo-controlled trial to test the efficacy and safety of branched-chain amino acids (BCAA) (L-leucine 12 g, L-isoleucine 6 g, and L-valine 6 g daily) in amyotrophic lateral sclerosis (ALS) patients. There was an excess mortality in subjects randomized to active treatment (24 BCAA, 13 pl...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.43.12.2466

    authors:

    更新日期:1993-12-01 00:00:00

  • Acute myopathy associated with gasoline sniffing.

    abstract::Acute myopathy and myoglobinuria with markedly elevated creatine kinase (CK) activity developed in an 18-year-old boy on two occasions after gasoline sniffing. No signs of CNS involvement were seen, and the symptoms receded in a few days. The amount of lead in blood and urine exceeded the reference value for subjects ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.5.629

    authors: Kovanen J,Somer H,Schroeder P

    更新日期:1983-05-01 00:00:00

  • Is there a neurologist on this flight?

    abstract:OBJECTIVE:To analyze the frequency of neurologic events during commercial airline flights and to assess whether onboard emergency medical kits are adequate for in-flight neurologic emergencies. METHODS:Collaboration of the Mayo Clinic's Departments of Emergency Medicine and Medical Transportation Service and the Divis...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.58.12.1739

    authors: Sirven JI,Claypool DW,Sahs KL,Wingerchuk DM,Bortz JJ,Drazkowski J,Caselli R,Zanick D

    更新日期:2002-06-25 00:00:00

  • The in vivo development of plasma cells: a morphologic study of human cerebrospinal fluid.

    abstract::This is a case study of a patient with the clinical diagnosis of meningoencephalitis. It demonstrates the in vivo development of plasma cells in the central nervous system. All the stages of in vitro mitogen-induced lymphocyte transformation previously described by light and electron microscopy are recapitulated in th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.5.448

    authors: Glasser L,Payne C,Corrigan JJ Jr

    更新日期:1977-05-01 00:00:00

  • Parry-Romberg syndrome: a global survey of 205 patients using the Internet.

    abstract::Parry-Romberg syndrome (PRS) is a rare neurocutaneous disorder characterized by progressive facial hemiatrophy. In this study, 205 patients with PRS were surveyed using the Internet. Estimates of the frequency of limb involvement (19%), epilepsy (11%), and other clinical and etiologic features were obtained. There was...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.61.5.674

    authors: Stone J

    更新日期:2003-09-09 00:00:00

  • Sorivudine: a promising drug for the treatment of varicella-zoster virus infection.

    abstract::Sorivudine provides a unique nucleoside analog with significantly enhanced both in vitro and in vitro activity and enhanced oral bioavailability. Early indications from controlled studies indicate that sorivudine therapy is superior to acyclovir for the treatment of localized zoster in individuals with HIV infection a...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.45.12_suppl_8.s73

    authors: Whitley RJ

    更新日期:1995-12-01 00:00:00