1.Prognostic value of routine haematological and biochemical parameters on 30 day fatality in patients with acute hypertensive intracerebral hemorrhage
Durgesh Kumar Gupta ; Virendra Atam ; RK Garg
Neurology Asia 2012;17(1):13-20
Objective: This prospective study aimed to study the prognostic value of routine haematological
and biochemical parameters in patients of acute hypertensive intracerebral hemorrhage (ICH) on
fatality occurring during fi rst 30 days, and to estimate its case fatality rate, demographic and clinical
correlates. Methods: One hundred and eleven consecutive patients with proved hypertensive ICH
within 72 hours of symptom onset were studied. After clinical evaluation and neuroimaging, blood
investigations including hemoglobin, total leukocyte count, platelet count, erythrocyte sedimentation
rate, random blood sugar, urea, creatinine, sodium, potassium, serum bilirubin, aspartate transaminase
(AST), alanine transaminase (ALT), alkaline phosphatase (ALP), albumin estimations were performed.
The patients were followed up for a maximum period of 30 days from the onset of stroke. Results:
Logistic regression analysis demonstrated that a low Glasgow Coma Scale (GCS) score (Odd`s ratio
(OR) 17.54, p=0.001); high serum bilirubin (OR=7.97, p=0.021), and low serum albumin (OR=13.31,
p=0.001) correlated signifi cantly with death.
Conclusions: Our study shows that low GCS, raised serum bilirubin, and low serum albumin are
marker of poor outcome in ICH.
2.Edaravone in acute ischemic stroke, An Indian experience
MK Sinha ; Anuradha HK ; R Juyal ; R Shukla ; RK Garg ; AM Kar
Neurology Asia 2009;14(1):7-10
Background and Objective: This study aims to evaluate the safety and efficacy of edaravone, a novel
free radical scavenger, in a group of Indian patients of acute ischemic stroke. Methods: Twenty two
patients of acute ischemic stroke were given 30 mg of Edaravone twice daily for 14 days by infusion.
The outcome assessment was by the Modified Rankin Scale (MRS) and Barthel Index (BI). MRS
score ≤ 2 at 90 days was considered as a favorable outcome. Results: Fifteen patients (68%) had
favorable outcome. The mean MRS score decreased from 4.01±0.92 at baseline to 1.86±1.07 at day
90 (p<0.005). The mean Barthel index increased from 40.00±30.11 at baseline to 75.62±22.86 at
day 90 (p<0.005). The changes in the MRS and BI were observed from 7 days. None of the patients
experienced any adverse effect.
Conclusion: Edaravone treatment was safe and effective in providing early and sustained neurological
improvement in patients with acute ischemic stroke.