Stroke
Conditions
Keywords
Navigation Brain Stimulation (NEXSTIM), cerebroprotective drug effectiveness, acute ischemic stroke
Brief summary
Ischemic stroke (IS) causes high mortality and severe disability. To improve outcome it's very important to choose the right way of the management of the patient and an appropriate drugs. There is a large number of the so-called neuroprotective drugs, which were effective in laboratory, but didn't show positive results in clinical studies with using traditional clinical scales scores as a primary outcome measures. Specialists suggest, that the investigators could receive better results if the investigators change design of the studies, particularly if the investigators select more precise and sensitive method of assessment. Aim of this study: to determine the role of navigated brain stimulation (NBS) for evaluation of the changes in the motor centers and motor tracts after administration of different cerebroprotective drugs. (The substances won't be compared to each other).
Interventions
citicoline IV 2000 mg, then citicoline 900 mg/day (300mg\*3 times per day) per os
choline alfoscerate IV 1000mg daily 10 days
Cerebrolysin IV 10 ml daily 10 days
Sponsors
Study design
Eligibility
Inclusion criteria
* patients from 3 to 6 months after ischemic stroke * hemispheric infarction * paresis from 2 to 4 scores by Medical Research Council Weakness Scale (MRC)
Exclusion criteria
* history of seizures * pregnancy, lactation * cognitive deficiency (poor compliance) * acute renal failure * acute hepatic failure * oncological history * cardiac pacemakers and other metal implants * regular intake of any nootropic drugs * Modified Ashford Scale scores 3 and more * regular intake of anticonvulsants, neuromuscular relaxants
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| MEP(motor evoked potential) parameter: motor threshold | 2 months |
| MEP(motor evoked potential) parameter: latency | 2 months |
| MEP(motor evoked potential) parameter: amplitude | 2 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants with Adverse Events | 2 months | — |
| Change from Baseline in Alpha waves percentage | 2 months | EEG parameter |
| Change from Baseline in Beta waves percentage | 2 months | EEG parameters |
| Medical Research Council (MRC) Scale for Muscle Strength scores | 2 months | — |
| Change from Baseline in Theta waves percentage | 2 months | EEG parameter |
| Presence of the abnormal epileptiform activity | 2 months | EEG parameters |
| Change from Baseline in Delta waves percentage | 2 months | EEG parameter |
| Barthel index | 2 months | — |
| Modified Rankin Scale (mRS) | 2 months | — |
Countries
Russia