Methylprednisolone - acute spinal cord injury, benefits or risks?

被引:0
作者
Tesiorowski, Maciej [1 ]
Potaczek, Tomasz [1 ]
Jasiewicz, Barbara [1 ]
Sapa, Jacek [2 ]
Zygmunt, Malgorzata [2 ]
机构
[1] Uniwersytetu Jagiellonskiego, Katedra & Klin Ortopedii & Rehabil Zakopanem, Coll Med, PL-30688 Krakow, Poland
[2] Uniwersytetu Jagiellonskiego, Zaklad Wstepnych Badan Farmakol, Katedry Farmakodynamiki, Coll Med, PL-30688 Krakow, Poland
来源
POSTEPY HIGIENY I MEDYCYNY DOSWIADCZALNEJ | 2013年 / 67卷
关键词
methylprednisolone; acute spinal cord injury; inflammatio; neuroprotection; HIGH-DOSE METHYLPREDNISOLONE; EFFICACY; STEROIDS; NALOXONE;
D O I
暂无
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Methylprednisolone is a synthetic glucocorticoid with a potent and long-acting anti-inflammatory, antiallergic and immunosuppressant. Its mechanism of action of methylprednisolone is the result of many cellular changes. Methylprednisolone is used in many diseases, such as rheumatic diseases, autoimmune diseases, allergic, anaphylactic shock, asthma. Methylprednisolone was also used in patients with spinal cord injury, in order to minimize neurological damage. While in the above mentioned fields of medicine is undeniable role of methylprednisolone, whereas its use in the treatment of traumatic spinal cord injury within the last few years raises a lot of controversy, and in most cases, the side effects of its use outweigh the potential benefits.
引用
收藏
页码:601 / 609
页数:9
相关论文
共 50 条
  • [41] Investigation of efficacy of treatment in spinal cord injury: Erythropoietin versus methylprednisolone
    Ozkunt, Okan
    Sariyilmaz, Kerim
    Gemalmaz, Halil Can
    Gurgen, Seren Gulsen
    Yener, Ulas
    Dikici, Fatih
    JOURNAL OF ORTHOPAEDIC SURGERY, 2017, 25 (03):
  • [42] Steroids in Acute Spinal Cord Injury: All But Gone Within 5 Years
    Miekisiak, Grzegorz
    Latka, Dariusz
    Jarmuzek, Pawel
    Zaluski, Rafal
    Urbanski, Wiktor
    Janusz, Witold
    WORLD NEUROSURGERY, 2019, 122 : E467 - E471
  • [43] Methylprednisolone inhibits Nogo-A protein expression after acute spinal cord injury
    Zhaozong Fu
    Hai Lu
    Jianming Jiang
    Hui Jiang
    Zhaofei Zhang
    NeuralRegenerationResearch, 2013, 8 (05) : 404 - 409
  • [44] Methylprednisolone inhibits Nogo-A protein expression after acute spinal cord injury
    Fu, Zhaozong
    Lu, Hai
    Jiang, Jianming
    Jiang, Hui
    Zhang, Zhaofei
    NEURAL REGENERATION RESEARCH, 2013, 8 (05) : 404 - 409
  • [46] Early complications of high-dose methylprednisolone in acute spinal cord injury patients
    Suberviola, Borja
    Gonzalez-Castro, Alejandro
    Llorca, Javier
    Ortiz-Melon, Fernando
    Minambres, Eduardo
    INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2008, 39 (07): : 748 - 752
  • [47] The effectiveness of dexmedetomidine in experimental spinal cord injury compared to methylprednisolone in rats
    Gul, Sanser
    Hanci, Volkan
    Bahadir, Burak
    Acikgoz, Serefden
    Bektas, Sibel
    Ankarali, Handan
    Kalayci, Murat
    Acikgoz, Bektas
    JOURNAL OF CLINICAL NEUROSCIENCE, 2010, 17 (04) : 490 - 494
  • [48] METHYLPREDNISOLONE TREATMENT OF EXPERIMENTAL SPINAL-CORD INJURY
    IWAI, A
    MONAFO, WW
    ELIASSON, SG
    PARAPLEGIA, 1993, 31 (07): : 417 - 429
  • [49] Brain protection by methylprednisolone in rats with spinal cord injury
    Chang, Chia-Mao
    Lee, Ming-Hsueh
    Wang, Ting-Chung
    Weng, Hsu-Huei
    Chung, Chiu-Yen
    Yang, Jen-Tsung
    NEUROREPORT, 2009, 20 (10) : 968 - 972
  • [50] Methylprednisolone intrathecal injections suppress neuronal apoptosis following acute spinal cord injury
    Song, Xinghua
    Zhang, Jianjun
    Ding, Liwen
    Cao, Li
    Xu, Xiaoxiong
    Wen, Hao
    NEURAL REGENERATION RESEARCH, 2011, 6 (17) : 1306 - 1312