Effect of rosuvastatin on amnesia and disorientation after traumatic brain injury (NCT003229758). 2008

J Humberto Tapia-Perez, and Martin Sanchez-Aguilar, and Jaime Gerardo Torres-Corzo, and Antonio Gordillo-Moscoso, and Patricia Martinez-Perez, and Peter Madeville, and Esperanza de la Cruz-Mendoza, and Juan Chalita-Williams
Clinical Epidemiology, Faculty of Medicine, Universidad Autónoma de San Luis Potosí, San Luis Potosí, SLP, México. lehwand@hotmail.com

Amnesia is a common sequela following traumatic brain injury (TBI), for which there is no current treatment. Pleiotropic effects of statins have demonstrated faster recovery of spatial memory after TBI in animals. We conducted a double-blind randomized clinical trial add-on of patients with TBI (16-50 years of age), with Glasgow Coma Scale (GCS) scores of 9-13, and intracranial lesions as demonstrated by computed tomography (CT) scan. We excluded those patients with recent head injury or severe disability; administration of known drugs as modifiers of statin metabolism; multisystemic trauma; prior use of mannitol, barbiturate, corticosteroids, indomethacin or calcium antagonists; surgical or isolated lesion in brainstem; allergy to statins; previous hepatopathy or myopathy; previous management in another clinic; or pregnancy. Each patient received the same treatment and was randomly allocated to receive either rosuvastatin (RVS) or placebo over a period of 10 days. The primary outcome measures assessed were amnesia and disorientation times using Galveston Orientation Amnesia Test. Additionally, we evaluated plasma levels of interleukin (IL) 1beta, tumor necrosis factor (TNF) alpha, and IL-6, as well as disability at 3 months. We analyzed eight patients with RVS and 13 controls with similar basal characteristics. Using Cox regression analysis, administration of RVS showed a reduction of amnesia time with a hazard ratio of 53.76 (95% confidence interval [CI], 1.58-1824.64). This was adjusted for early intubation, basal leukocytes, basal Marshall and Fisher score, change of IL-1beta levels, and lesion side. IL-6 values at day 3 were increased in the RVS group (p = 0.04). No difference was detected in disability at 3 months. While statins may reduce amnesia time after TBI, possibly by immunomodulation, further trials are needed in order to confirm this positive association.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010865 Pilot Projects Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work. Pilot Studies,Pilot Study,Pilot Project,Project, Pilot,Projects, Pilot,Studies, Pilot,Study, Pilot
D011743 Pyrimidines A family of 6-membered heterocyclic compounds occurring in nature in a wide variety of forms. They include several nucleic acid constituents (CYTOSINE; THYMINE; and URACIL) and form the basic structure of the barbiturates.
D001930 Brain Injuries Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits. Brain Lacerations,Acute Brain Injuries,Brain Injuries, Acute,Brain Injuries, Focal,Focal Brain Injuries,Injuries, Acute Brain,Injuries, Brain,Acute Brain Injury,Brain Injury,Brain Injury, Acute,Brain Injury, Focal,Brain Laceration,Focal Brain Injury,Injuries, Focal Brain,Injury, Acute Brain,Injury, Brain,Injury, Focal Brain,Laceration, Brain,Lacerations, Brain
D003221 Confusion A mental state characterized by bewilderment, emotional disturbance, lack of clear thinking, and perceptual disorientation. Confusional State,Bewilderment,Confusion, Post-Ictal,Confusion, Reactive,Disorientation,Confusion, Post Ictal,Confusional States,Post-Ictal Confusion,Reactive Confusion,State, Confusional,States, Confusional
D004311 Double-Blind Method A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment. Double-Masked Study,Double-Blind Study,Double-Masked Method,Double Blind Method,Double Blind Study,Double Masked Method,Double Masked Study,Double-Blind Methods,Double-Blind Studies,Double-Masked Methods,Double-Masked Studies,Method, Double-Blind,Method, Double-Masked,Methods, Double-Blind,Methods, Double-Masked,Studies, Double-Blind,Studies, Double-Masked,Study, Double-Blind,Study, Double-Masked
D005464 Fluorobenzenes Derivatives of BENZENE that contain FLUORINE. Fluorobenzene
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000068718 Rosuvastatin Calcium A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. Crestor,Rosuvastatin,ZD 4522,ZD4522,Calcium, Rosuvastatin
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

Related Publications

J Humberto Tapia-Perez, and Martin Sanchez-Aguilar, and Jaime Gerardo Torres-Corzo, and Antonio Gordillo-Moscoso, and Patricia Martinez-Perez, and Peter Madeville, and Esperanza de la Cruz-Mendoza, and Juan Chalita-Williams
February 2000, Journal of neurology, neurosurgery, and psychiatry,
J Humberto Tapia-Perez, and Martin Sanchez-Aguilar, and Jaime Gerardo Torres-Corzo, and Antonio Gordillo-Moscoso, and Patricia Martinez-Perez, and Peter Madeville, and Esperanza de la Cruz-Mendoza, and Juan Chalita-Williams
June 2016, Journal of neurotrauma,
J Humberto Tapia-Perez, and Martin Sanchez-Aguilar, and Jaime Gerardo Torres-Corzo, and Antonio Gordillo-Moscoso, and Patricia Martinez-Perez, and Peter Madeville, and Esperanza de la Cruz-Mendoza, and Juan Chalita-Williams
January 2011, Brain injury,
J Humberto Tapia-Perez, and Martin Sanchez-Aguilar, and Jaime Gerardo Torres-Corzo, and Antonio Gordillo-Moscoso, and Patricia Martinez-Perez, and Peter Madeville, and Esperanza de la Cruz-Mendoza, and Juan Chalita-Williams
May 2024, Journal of neurotrauma,
J Humberto Tapia-Perez, and Martin Sanchez-Aguilar, and Jaime Gerardo Torres-Corzo, and Antonio Gordillo-Moscoso, and Patricia Martinez-Perez, and Peter Madeville, and Esperanza de la Cruz-Mendoza, and Juan Chalita-Williams
October 2017, Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia,
J Humberto Tapia-Perez, and Martin Sanchez-Aguilar, and Jaime Gerardo Torres-Corzo, and Antonio Gordillo-Moscoso, and Patricia Martinez-Perez, and Peter Madeville, and Esperanza de la Cruz-Mendoza, and Juan Chalita-Williams
November 1992, Journal of psychiatry & neuroscience : JPN,
J Humberto Tapia-Perez, and Martin Sanchez-Aguilar, and Jaime Gerardo Torres-Corzo, and Antonio Gordillo-Moscoso, and Patricia Martinez-Perez, and Peter Madeville, and Esperanza de la Cruz-Mendoza, and Juan Chalita-Williams
November 2009, Journal of the International Neuropsychological Society : JINS,
J Humberto Tapia-Perez, and Martin Sanchez-Aguilar, and Jaime Gerardo Torres-Corzo, and Antonio Gordillo-Moscoso, and Patricia Martinez-Perez, and Peter Madeville, and Esperanza de la Cruz-Mendoza, and Juan Chalita-Williams
January 2009, The Journal of neuropsychiatry and clinical neurosciences,
J Humberto Tapia-Perez, and Martin Sanchez-Aguilar, and Jaime Gerardo Torres-Corzo, and Antonio Gordillo-Moscoso, and Patricia Martinez-Perez, and Peter Madeville, and Esperanza de la Cruz-Mendoza, and Juan Chalita-Williams
January 2001, Neurocase,
J Humberto Tapia-Perez, and Martin Sanchez-Aguilar, and Jaime Gerardo Torres-Corzo, and Antonio Gordillo-Moscoso, and Patricia Martinez-Perez, and Peter Madeville, and Esperanza de la Cruz-Mendoza, and Juan Chalita-Williams
May 2014, CNS neuroscience & therapeutics,
Copied contents to your clipboard!