Bone I, Belton L, Walker A S, Darbyshire J
Department of Medical and Cardiovascular Studies, Western Infirmary, Glasgow, UK.
Eur J Neurol. 2008 May;15(5):458-64. doi: 10.1111/j.1468-1331.2008.02108.x. Epub 2008 Mar 18.
BACKGROUND, PURPOSE AND METHODS: This observational study assessed the effect of continuous intraventricular infusion of pentosan polysulphate (PPS) in seven patients at different clinical centres in the UK.
Complications of intraventricular catheterization were frequent. PPS was well-tolerated over a wide dose range (11-110 microg/kg/day) during the 6-month study. Four patients were assessed for the entire study period: one remained stable, two showed minimal deterioration and one progressed significantly.
Mean survival of all patients was longer than reported values for natural history of specific prion disorders. Possible reasons for these findings are explored.
背景、目的与方法:这项观察性研究评估了在英国不同临床中心对7名患者持续脑室内输注戊聚糖多硫酸盐(PPS)的效果。
脑室内插管的并发症很常见。在为期6个月的研究中,PPS在较宽剂量范围(11 - 110微克/千克/天)内耐受性良好。4名患者完成了整个研究期评估:1名病情稳定,2名病情稍有恶化,1名病情显著进展。
所有患者的平均生存期长于特定朊病毒疾病自然史的报告值。对这些发现的可能原因进行了探讨。