Therapeutic value of antioxidants and calcium channel blockers in patients in the acute phase of closed head injuries – Abstract
Therapeutic value of antioxidants and calcium channel blockers in patients in the acute phase of closed head injuries. Raicevic R, Jovicic A, Markovic T, et al. Vojnosanit Pregl 2000;57:647-655. [Article in Serbo-Croatian (Cyrillic)]
Knowing that uncontrolled calcium signalization with excessive production of reactive oxidative matters is present in case of neurotrauma, aim of the investigation was to establish therapeutic value of combined administration of antioxidants (AO) and calcium channel blockers (CCB) in patients with closed head injury (CHI). Investigation comprised 120 patients with CHI who received AO (vitamins C and E) parenterally during 10 days and CCB (nimodipine), and control group was comprised of 60 patients with CHI who did not receive these medicinals in therapeutic program. We have established the influence of the therapy on neurologic and functional deficiency and consciousness disorder, respectively. Results of the investigation confirmed better recovery of all three observed parameters (degree of neurologic deficiency, degree of functional deficiency and consciousness disorder) in a group of patients receiving AO and CCB, which was statistically significant. It can be concluded that the administration of AO and CCB in patients with CHI in the acute phase should be included into therapeutic program of this significant clinical syndrome.
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