Combined treatment of methylprednisolone pulse and memantine hydrochloride prompts recovery from neurological dysfunction and cerebral hypoperfusion in carbon monoxide poisoning: a case report. | Canada Hyperbarics Skip to main content
Case Study Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association 2014

Combined treatment of methylprednisolone pulse and memantine hydrochloride prompts recovery from neurological dysfunction and cerebral hypoperfusion in carbon monoxide poisoning: a case report.

Iwamoto K, Ikeda K, Mizumura S, Tachiki K, Yanagihashi M, Iwasaki Y — Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2014

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers presented a case report detailing the successful treatment of a 49-year-old man with delayed neurological dysfunction following carbon monoxide poisoning.

What They Found

Initially, the patient developed memory and gait disturbances three weeks post-exposure, with an MMSE score of 5 out of 30, which worsened to 3. After receiving methylprednisolone and memantine, his MMSE score increased to 20 points within three days, and neurological function normalized in three weeks. Brain SPECT also showed a 20% increase in regional cerebral blood flow.

What This Means for Canadian Patients

This case suggests that a combined treatment of methylprednisolone and memantine might help improve neurological deficits and cerebral blood flow in patients with delayed carbon monoxide poisoning. Patients experiencing persistent or delayed symptoms after CO exposure could potentially benefit from this therapeutic approach.

Canadian Relevance

This study is a case report from Japan and does not have a direct Canadian connection.

Study Limitations

As a single case report, these findings cannot be generalized to a broader patient population.

Was this summary helpful?

Study Details

Study Type Case Study
Category Carbon Monoxide Poisoning
Source Pubmed
PubMed ID 23791468
Year Published 2014
Journal Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
MeSH Terms Antiparkinson Agents; Carbon Monoxide Poisoning; Cerebrovascular Circulation; Cerebrovascular Disorders; Drug Therapy, Combination; Glucocorticoids; Humans; Hyperbaric Oxygenation; Male; Memantine; Methylprednisolone; Middle Aged; Neurotoxicity Syndromes; Parkinson Disease, Secondary; Perfusion Imaging

Cite This Study

Share

Find a Canadian Clinic Treating Carbon Monoxide Poisoning

Browse verified hyperbaric facilities across Canada.

View Canadian Facilities

Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.