Document Detail


Mannitol bolus preferentially shrinks non-infarcted brain in patients with ischemic stroke.
MedLine Citation:
PMID:  11739839     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Changes in brain tissue volume in six patients who had acute complete middle cerebral artery (MCA) infarctions and CT evidence of midline shift were measured using the brain boundary shift integral (BBSI) on sequential T1-weighted MR images acquired before and after a 1.5-g/kg bolus infusion of mannitol. At 50 to 55 minutes after the baseline scan, total brain volume decreased by 8.1 +/- 2.8 mL (0.6%, p < 0.005). Brain in the noninfarcted hemisphere shrank more (0.8 +/- 0.4%) than in the infarcted hemisphere (0.0 +/- 0.5%, p < 0.05).
Authors:
T O Videen; A R Zazulia; E M Manno; C P Derdeyn; R E Adams; M N Diringer; W J Powers
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Neurology     Volume:  57     ISSN:  0028-3878     ISO Abbreviation:  Neurology     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2001-12-12     Completed Date:  2002-01-15     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2120-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurology and Neurological Surgery, Washington University School of Medicine, St. Louis, MO, USA. tom@npg.wustl.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Atrophy
Brain / drug effects,  pathology
Brain Edema / diagnosis,  drug therapy*
Brain Mapping
Disease Progression
Dominance, Cerebral / drug effects,  physiology
Female
Humans
Infarction, Middle Cerebral Artery / diagnosis,  drug therapy*
Infusions, Intravenous
Magnetic Resonance Imaging*
Male
Mannitol / administration & dosage,  adverse effects*
Middle Aged
Tomography, X-Ray Computed*
Grant Support
ID/Acronym/Agency:
NS35966/NS/NINDS NIH HHS
Chemical
Reg. No./Substance:
69-65-8/Mannitol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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