ACUTE ISCHEMIC STROKE IN WOMEN: EFFICACY OF THE FREE RADICAL SCAVENGER EDARAVONE

Wiad Lek. 2021;74(1):72-76.

Abstract

Objective: The aim: To investigate the effectiveness of usage of the free radical scavenger Edaravone in the therapy of women with AIS.

Patients and methods: Materials and methods: A prospective study was conducted of 48 women with AIS, divided into two groups. Patients in the first group (n = 36) were treated with edaravone 30 mg twice a day intravenously. Neuroprotectors were not used in the control group (n = 12). Clinical-instrumental and neurological examination (Glasgow scale (SCG), FOUR, NIHSS, and neuronspecific enolase (NSE) levels) were performed on all patients.

Results: Results: The mean FOUR score in the 1th group increased from 11.04±0.85 to 15.47±0.63 points against 11.39±0.56 to 13.46±1.49 in the control group (pp<0.05). The level of NSE in control group patients increased 10-fold (from 9.2 to 96.4 ng/ml, p<0.01). Subsequently, there was a rapid decrease in NSE level in 1th group, and in the control group until 10 days of treatment, the level of NSE did not reach the reference values (p p<0.05).

Conclusion: Conclusions: The introduction of edaravone in women with AIS results in positive results already in the acute period of the disease. The use of edaravon was significantly effective on the FOUR scale and the dynamics of NSE levels.

Keywords: neuroprotection; edaravon; ischemic stroke; stroke in women.

MeSH terms

  • Brain Ischemia* / drug therapy
  • Edaravone
  • Female
  • Free Radical Scavengers / therapeutic use
  • Humans
  • Ischemic Stroke*
  • Prospective Studies
  • Stroke* / drug therapy
  • Treatment Outcome

Substances

  • Free Radical Scavengers
  • Edaravone