Long-term acetyl-L-carnitine treatment in Alzheimer's disease.

Abstract:

:In a double-blind, placebo-controlled, parallel-group, randomized clinical trial, we studied the efficacy of long-term (1-year) oral treatment with acetyl-L-carnitine in 130 patients with a clinical diagnosis of Alzheimer's disease. We employed 14 outcome measures to assess functional and cognitive impairment. After 1 year, both the treated and placebo groups worsened, but the treated group showed a slower rate of deterioration in 13 of the 14 outcome measures, reaching statistical significance for the Blessed Dementia Scale, logical intelligence, ideomotor and buccofacial apraxia, and selective attention. Adjusting for initial scores with analysis of covariance, the treated group showed better scores on all outcome measures, reaching statistical significance for the Blessed Dementia Scale, logical intelligence, verbal critical abilities, long-term verbal memory, and selective attention. The analysis for patients with good treatment compliance showed a greater drug benefit than for the overall sample. Reported adverse events were relatively mild, and there was no significant difference between the treated and placebo groups either in incidence or severity.

journal_name

Neurology

journal_title

Neurology

authors

Spagnoli A,Lucca U,Menasce G,Bandera L,Cizza G,Forloni G,Tettamanti M,Frattura L,Tiraboschi P,Comelli M

doi

10.1212/wnl.41.11.1726

subject

Has Abstract,Author List Incomplete

pub_date

1991-11-01 00:00:00

pages

1726-32

issue

11

eissn

0028-3878

issn

1526-632X

journal_volume

41

pub_type

临床试验,杂志文章,随机对照试验
  • Psychosocial aspects of Parkinson's disease.

    abstract::Although Parkinson's disease has a definite neurologic basis, patients and relatives experience a multitude of stresses, only partly related to motor symptoms. Subjective and behavioral problems may be regarded as secondary disease symptoms. In an integrated approach, patients and relatives receive psychological couns...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:

    authors: Ellgring H,Seiler S,Perleth B,Frings W,Gasser T,Oertel W

    更新日期:1993-12-01 00:00:00

  • Syringobulbia-myelia with obstructive sleep apnea.

    abstract::Central nervous system disorders may cause obstructive sleep apnea, but this sleep-related breathing disorder is rarely associated with a structural abnormality of the medulla. We present a patient with obstructive apnea resulting from autopsy-proven syringobulbia-myelia. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.8.1046

    authors: Haponik EF,Givens D,Angelo J

    更新日期:1983-08-01 00:00:00

  • Effects of breastfeeding in children of women taking antiepileptic drugs.

    abstract:BACKGROUND:Breastfeeding is known to have beneficial effects, but there is concern that breastfeeding during antiepileptic drug (AED) therapy may be harmful to cognitive development. Animal and human studies have demonstrated that some AEDs can adversely affect the immature brain. However, no investigation has examined...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e3181ffe4a9

    authors: Meador KJ,Baker GA,Browning N,Clayton-Smith J,Combs-Cantrell DT,Cohen M,Kalayjian LA,Kanner A,Liporace JD,Pennell PB,Privitera M,Loring DW,NEAD Study Group.

    更新日期:2010-11-30 00:00:00

  • CSF biomarkers predict a more malignant outcome in Alzheimer disease.

    abstract:OBJECTIVE:To investigate if patterns of CSF biomarkers (T-tau, P-tau, and Abeta42) can predict cognitive progression, outcome of cholinesterase inhibitor (ChEI) treatment, and mortality in Alzheimer disease (AD). METHODS:We included outpatients with AD (n = 151) from a prospective treatment study with ChEI. At baselin...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181dd4dd8

    authors: Wallin AK,Blennow K,Zetterberg H,Londos E,Minthon L,Hansson O

    更新日期:2010-05-11 00:00:00

  • Manganese intoxication in the rhesus monkey: a clinical, imaging, pathologic, and biochemical study.

    abstract::We gave three adult rhesus monkeys seven IV injections of manganese chloride at approximately 1-week intervals. We evaluated neurologic status by serial clinical examinations and performed a levodopa test if the animal developed features of basal ganglia dysfunction. After the animals were killed, we performed neuropa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.46.2.492

    authors: Olanow CW,Good PF,Shinotoh H,Hewitt KA,Vingerhoets F,Snow BJ,Beal MF,Calne DB,Perl DP

    更新日期:1996-02-01 00:00:00

  • The effects of acute and chronic ethanol administration on twitch and tetanic force production by rat gastrocnemius muscle in situ.

    abstract::The effects of acute ethanol injection on force production were measured in normal and chronic alcoholic rats. Acutely injected normal rats, acutely injected chronic alcoholic rats, and noninjected chronic alcoholic rats were compared with control groups: normal nonalcoholic rats and a dietetically deprived control gr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.2.139

    authors: Martyn DA,Munsat TL

    更新日期:1980-02-01 00:00:00

  • Selective reduction of N-acetylaspartate in medial temporal and parietal lobes in AD.

    abstract:BACKGROUND:Both AD and normal aging cause brain atrophy, limiting the ability of MRI to distinguish between AD and age-related brain tissue loss. MRS imaging (MRSI) measures the neuronal marker N-acetylaspartate (NAA), which could help assess brain change in AD and aging. OBJECTIVES:To determine the effects of AD on c...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/wnl.58.6.928

    authors: Schuff N,Capizzano AA,Du AT,Amend DL,O'Neill J,Norman D,Kramer J,Jagust W,Miller B,Wolkowitz OM,Yaffe K,Weiner MW

    更新日期:2002-03-26 00:00:00

  • Pharmacodynamics of the long-duration response to levodopa in PD.

    abstract:OBJECTIVE:To determine the latency, magnitude, and duration of the long-duration response (LDR) to levodopa in PD in relationship to the administration of levodopa at different interdose intervals. METHODS:In six patients with PD, two different 15-day treatment regimens were used in which the drug was administered wit...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.3.557

    authors: Zappia M,Bosco D,Plastino M,Nicoletti G,Branca D,Oliveri RL,Aguglia U,Gambardella A,Quattrone A

    更新日期:1999-08-11 00:00:00

  • Familial clustering of seizure types within the idiopathic generalized epilepsies.

    abstract:OBJECTIVE:To examine the genetic relationships among epilepsies with different seizure types--myoclonic, absence, and generalized tonic-clonic--within the idiopathic generalized epilepsies (IGEs). BACKGROUND:Careful phenotype definition in the epilepsies may allow division into groups that share susceptibility genes. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000172920.34994.63

    authors: Winawer MR,Marini C,Grinton BE,Rabinowitz D,Berkovic SF,Scheffer IE,Ottman R

    更新日期:2005-08-23 00:00:00

  • Primary dural lymphomas: a clinicopathologic study of treatment and outcome in eight patients.

    abstract::The authors report eight patients with primary dural lymphoma (PDL). All patients had extra-axial masses on MRI that diffusely enhanced after gadolinium. Pathology revealed low-grade non-Hodgkin lymphoma (marginal zone lymphoma of MALT [mucosa-associated lymphoid tissue] type) in all patients. All patients underwent r...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000218284.23872.eb

    authors: Iwamoto FM,DeAngelis LM,Abrey LE

    更新日期:2006-06-13 00:00:00

  • Is there a link between alertness and fatigue in patients with traumatic brain injury?

    abstract:OBJECTIVES:Many patients with traumatic brain injury (TBI) report chronic fatigue, and previous studies showed a potential relationship between sleepiness and fatigue in these patients. Our study first looked at the impact of objective and subjective sleepiness on fatigue in patients with TBI. We then investigated how ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000334753.49193.48

    authors: Chaumet G,Quera-Salva MA,Macleod A,Hartley S,Taillard J,Sagaspe P,Mazaux JM,Azouvi P,Joseph PA,Guilleminault C,Bioulac B,Léger D,Philip P

    更新日期:2008-11-11 00:00:00

  • Serum and muscle potassium in experimental alcoholic myopathy.

    abstract::We investigated the possible role of potassium deficiency, a recognized cause of myopathy, in the pathogenesis of experimental acute alcoholic myopathy (EAM) in the rat. Alcohol-treated animals receiving the same dietary potassium as controls developed mild hypokalemia; however, muscle potassium was preserved or eleva...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.4.529

    authors: Haller RG,Carter NW,Ferguson E,Knochel JP

    更新日期:1984-04-01 00:00:00

  • Corticospinal excitability in human sleep as assessed by transcranial magnetic stimulation.

    abstract::The excitability of the corticospinal system was studied in 23 healthy subjects in sleep stages NREM2, NREM4, REM, and wakefulness using transcranial magnetic stimulation. Assessment of motor thresholds, stimulus-response curves, and latencies of motor evoked potentials shows activation of the fast-conducting corticos...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/01.wnl.0000038762.11894.da

    authors: Grosse P,Khatami R,Salih F,Kühn A,Meyer BU

    更新日期:2002-12-24 00:00:00

  • Head growth and neurodevelopment of infants born to HIV-1-infected drug-using women.

    abstract:OBJECTIVE:To describe neurodevelopment and head growth in HIV-1-infected and exposed uninfected infants with and without in utero exposure to opiates and cocaine. METHODS:Using data from a multicenter cohort study of HIV-1-infected women and their children, the authors fit repeated measures regression models to estima...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/wnl.57.8.1402

    authors: Macmillan C,Magder LS,Brouwers P,Chase C,Hittelman J,Lasky T,Malee K,Mellins CA,Velez-Borras J

    更新日期:2001-10-23 00:00:00

  • Tapping linked to function and structure in premanifest and symptomatic Huntington disease.

    abstract:OBJECTIVE:Motor signs are functionally disabling features of Huntington disease. Characteristic motor signs define disease manifestation. Their severity and onset are assessed by the Total Motor Score of the Unified Huntington's Disease Rating Scale, a categorical scale limited by interrater variability and insensitivi...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e3182020123

    authors: Bechtel N,Scahill RI,Rosas HD,Acharya T,van den Bogaard SJ,Jauffret C,Say MJ,Sturrock A,Johnson H,Onorato CE,Salat DH,Durr A,Leavitt BR,Roos RA,Landwehrmeyer GB,Langbehn DR,Stout JC,Tabrizi SJ,Reilmann R

    更新日期:2010-12-14 00:00:00

  • Confusion and memory loss from capsular genu infarction: a thalamocortical disconnection syndrome?

    abstract::We examined six patients with an abrupt change in behavior after infarction involving the inferior genu of the internal capsule. The acute syndrome featured fluctuating alertness, inattention, memory loss, apathy, abulia, and psychomotor retardation, suggesting frontal lobe dysfunction. Contralateral hemiparesis and d...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.10.1966

    authors: Tatemichi TK,Desmond DW,Prohovnik I,Cross DT,Gropen TI,Mohr JP,Stern Y

    更新日期:1992-10-01 00:00:00

  • Inflammatory trigeminal sensory neuropathy mimicking trigeminal neurinoma.

    abstract::Idiopathic trigeminal sensory neuropathy is a benign disorder. We report two patients with transient MRI abnormalities, suggesting transient inflammation of the trigeminal nerve caused temporary facial sensory symptoms. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.46.5.1455

    authors: Rorick MB,Chandar K,Colombi BJ

    更新日期:1996-05-01 00:00:00

  • A randomized crossover study of bee sting therapy for multiple sclerosis.

    abstract:BACKGROUND:Bee sting therapy is increasingly used to treat patients with multiple sclerosis (MS) in the belief that it can stabilize or ameliorate the disease. However, there are no clinical studies to justify its use. METHODS:In a randomized, crossover study, we assigned 26 patients with relapsing-remitting or relaps...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/01.wnl.0000184442.02551.4b

    authors: Wesselius T,Heersema DJ,Mostert JP,Heerings M,Admiraal-Behloul F,Talebian A,van Buchem MA,De Keyser J

    更新日期:2005-12-13 00:00:00

  • Type 3 (adult) GM1 gangliosidosis: case report.

    abstract::GM1 gangliosidosis is usually a pediatric disease caused by hereditary acid beta-galactosidase deficiency. There have been a few cases in adults. We saw a 51-year-old Japanese man with type 3 GM1 gangliosidosis who was manifesting dementia, dysarthria, gait disturbance, and limb rigidity. Radiologic studies showed pla...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.10.1490

    authors: Ohta K,Tsuji S,Mizuno Y,Atsumi T,Yahagi T,Miyatake T

    更新日期:1985-10-01 00:00:00

  • Acute effects of acetazolamide in hyperkalemic periodic paralysis.

    abstract::We studied the effect of acetazolamide on plasma potassium in normals and in two patients with hyperkalemic periodic paralysis. Administration of acetazolamide for 48 hours lowered mean plasma potassium in normals from 4.01 to 3.56 mEq per liter (p less than 0.001) and in the patients from 4.55 to 4.00 mEq per liter (...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.6.725

    authors: Riggs JE,Griggs RC,Moxley RT 3rd,Lewis ED

    更新日期:1981-06-01 00:00:00

  • The ALS-FTD-Q: a new screening tool for behavioral disturbances in ALS.

    abstract:OBJECTIVE:The assessment of behavioral disturbances in amyotrophic lateral sclerosis (ALS) is important because of the overlap with the behavioral variant of frontotemporal dementia (ALS-bvFTD). Motor symptoms and dysarthria are not taken into account in currently used behavioral questionnaires. We examined the clinime...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31826c1aa1

    authors: Raaphorst J,Beeldman E,Schmand B,Berkhout J,Linssen WH,van den Berg LH,Pijnenburg YA,Grupstra HF,Weikamp JG,Schelhaas HJ,Papma JM,van Swieten JC,de Visser M,de Haan RJ

    更新日期:2012-09-25 00:00:00

  • Neurofilament and glial fibrillary acidic protein in multiple sclerosis.

    abstract:OBJECTIVE:To evaluate levels of neurofilament light (NFL) and glial fibrillary acidic protein (GFAP) in CSF from patients with multiple sclerosis (MS) in relation to clinical progress of the disease. METHODS:CSF levels of NFL and GFAP were determined by sensitive ELISAs in 99 patients with different subtypes of MS, cl...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000142988.49341.d1

    authors: Norgren N,Sundström P,Svenningsson A,Rosengren L,Stigbrand T,Gunnarsson M

    更新日期:2004-11-09 00:00:00

  • Patients with MCI and N400 or P600 abnormalities are at very high risk for conversion to dementia.

    abstract:OBJECTIVE:We sought cognitive event-related potential (ERP) biomarkers of disease progression and subsequent conversion to dementia in mild cognitive impairment (MCI). BACKGROUND:Two ERP components, the P600 and N400, are sensitive to abnormal episodic/declarative memory and semantic processing. When congruous categor...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000281689.28759.ab

    authors: Olichney JM,Taylor JR,Gatherwright J,Salmon DP,Bressler AJ,Kutas M,Iragui-Madoz VJ

    更新日期:2008-05-06 00:00:00

  • "Off" gait freezing and temporal discrimination threshold in patients with Parkinson disease.

    abstract:OBJECTIVE:To investigate the relationship between temporal discrimination threshold (TDT) and "off" period gait freezing (OGF) in patients with fluctuating Parkinson disease (PD). METHODS:TDT values were measured at the dorsum of the toes in 11 control subjects and 22 patients with PD with a wearing-off phenomenon (16...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000151961.14861.BA

    authors: Lee MS,Kim HS,Lyoo CH

    更新日期:2005-02-22 00:00:00

  • Nicotine treatment of mild cognitive impairment: a 6-month double-blind pilot clinical trial.

    abstract:OBJECTIVE:To preliminarily assess the safety and efficacy of transdermal nicotine therapy on cognitive performance and clinical status in subjects with mild cognitive impairment (MCI). METHODS:Nonsmoking subjects with amnestic MCI were randomized to transdermal nicotine (15 mg per day or placebo) for 6 months. Primary...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/WNL.0b013e31823efcbb

    authors: Newhouse P,Kellar K,Aisen P,White H,Wesnes K,Coderre E,Pfaff A,Wilkins H,Howard D,Levin ED

    更新日期:2012-01-10 00:00:00

  • 'Crescendo' transient ischemic attacks: clinical and angiographic correlations.

    abstract::Forty-seven consecutive patients presenting acutely with repetitive symptoms indicative of anterior circulation ischemia ("crescendo" transient ischemic attacks) were evaluated to identify clinical features that might reliably predict the presence of significant stenosis, ulceration, or both in the presumably symptoma...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.2.198

    authors: Rothrock JF,Lyden PD,Yee J,Wiederholt WC

    更新日期:1988-02-01 00:00:00

  • Regional cortical thinning in preclinical Huntington disease and its relationship to cognition.

    abstract::The authors studied presymptomatic individuals with the Huntington disease (HD) mutation to determine whether cortical thinning was present. They found thinning that was regionally selective, semi-independent of striatal volume loss, and correlated with cognitive performance. Early, extensive cortical involvement occu...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000174432.87383.87

    authors: Rosas HD,Hevelone ND,Zaleta AK,Greve DN,Salat DH,Fischl B

    更新日期:2005-09-13 00:00:00

  • Regional and progressive thinning of the cortical ribbon in Huntington's disease.

    abstract:BACKGROUND:Huntington's disease (HD) is a fatal and progressive neurodegenerative disease that is accompanied by involuntary movements, cognitive dysfunction, and psychiatric symptoms. Although progressive striatal degeneration is known to occur, little is known about how the disease affects the cortex, including which...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.5.695

    authors: Rosas HD,Liu AK,Hersch S,Glessner M,Ferrante RJ,Salat DH,van der Kouwe A,Jenkins BG,Dale AM,Fischl B

    更新日期:2002-03-12 00:00:00

  • Friedreich's disease: V. Variant form with vitamin E deficiency and normal fat absorption.

    abstract::A 30-year-old woman was thought to have Friedreich's disease because of progressive ataxia, dysarthria, and titubation from age 3 years. Her diet was normal, and there were neither symptoms nor laboratory evidence of liver disease or fat malabsorption. Serum vitamin E content and the ratio of serum vitamin E to total ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.1.68

    authors: Stumpf DA,Sokol R,Bettis D,Neville H,Ringel S,Angelini C,Bell R

    更新日期:1987-01-01 00:00:00

  • Diagnosis of Creutzfeldt-Jakob disease: effect of clinical criteria on incidence estimates.

    abstract:OBJECTIVE:To assess the effect of usage of three different versions of Creutzfeldt-Jakob disease (CJD) diagnostic criteria on estimates of CJD incidence. METHODS:A total of 428 patients referred for suspected sporadic CJD between 1991 and 1997 were classified according to different criteria to be compared after analys...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.5.1095

    authors: Brandel JP,Delasnerie-Lauprêtre N,Laplanche JL,Hauw JJ,Alpérovitch A

    更新日期:2000-03-14 00:00:00