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Therapy Against Brain Swelling in Stroke Patients
Author(s) -
L. Candelise,
Alvaro Colombo,
Hans Spinnler
Publication year - 1975
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/01.str.6.4.353
Subject(s) - medicine , dexamethasone , stroke (engine) , swelling , brain swelling , cerebral edema , anesthesia , mannitol , brain edema , surgery , pathology , mechanical engineering , chemistry , organic chemistry , engineering
The effectiveness of cerebral antiedema agents in stroke has been questioned. Animal and clinical work is inconclusive about steroids and osmotic drugs. A retrospective study of a continuous series of 227 stroke patients treated in the acute stage (some with dexamethasone alone, some with dexamethasone plus hyperosmotic mannitol infusions, and some without antiedema therapy) showed no significant difference in the ten-day survival rate. On this criterion, there is no ground for the systematic use of such agents against this type of brain swelling.

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