Arsovska Anita Ante, Venketasubramanian Narayanaswamy
Department of Urgent Neurology, University Clinic of Neurology, University Ss. Cyril and Methodius-Faculty of Medicine, Skopje 1000, North Macedonia.
Department of Neurology, Raffles Hospital, Singapore 188770, Singapore.
World J Clin Cases. 2024 Jan 16;12(2):346-353. doi: 10.12998/wjcc.v12.i2.346.
Cerebral venous sinus thrombosis (CVT) is rare cause of cerebrovascular disease. The incidence is 0.5% of all stroke. The majority of affected patients are young adults (mean age: 35-40 years) with mild to moderate disabilities. Poor outcome with severe disability is seen in 13% of cases. Early diagnosis and treatment are important for good outcomes and preventing complications. Treatment options are limited and mostly based on consensus. NeuroAiD II™ (MLC901; Moleac Pte, Ltd, Singapore) has a potential beneficial role in post-stroke recovery, by aiding the natural brain recovery process.
MLC901 consists of nine natural herbal ingredients. Studies have shown its safety profile and aid in post stroke recovery. The aim of this case series was to demonstrate the potential role of MLC901 in stroke recovery of patients with cerebral venous sinus thrombosis (CVST) who received MLC901 in addition to standard of care. The prescribed dose of MLC901 is 400 mg/cap two capsules, three times a day. Data from these patients were prospectively collected at baseline and at monthly visits, for a duration of 3 mo. Outcome measures included adherence to therapy, side effects, National Institutes of Health Stroke Scale, Glasgow Coma Scale, modified Rankin Scale, and the Short Orientation-Memory-Concentration Test. MLC901 was well tolerated and no side effects were reported. All patients were stable with improved condition.
This case series highlights the potential therapeutic effects of MLC901 on CVST and provides support for further studies.
脑静脉窦血栓形成(CVT)是一种罕见的脑血管疾病病因。其发病率占所有中风的0.5%。大多数受影响的患者是年轻成年人(平均年龄:35 - 40岁),有轻度至中度残疾。13%的病例预后不良,有严重残疾。早期诊断和治疗对于良好预后及预防并发症很重要。治疗选择有限,且大多基于共识。NeuroAiD II™(MLC901;新加坡Moleac私人有限公司)通过辅助大脑自然恢复过程,在中风恢复中具有潜在的有益作用。
MLC901由九种天然草药成分组成。研究已表明其安全性及对中风恢复的辅助作用。本病例系列的目的是证明MLC901在接受标准治疗之外还接受了MLC901的脑静脉窦血栓形成(CVST)患者中风恢复中的潜在作用。MLC901的规定剂量是400毫克/胶囊,每次两粒,每日三次。前瞻性收集这些患者在基线及每月随访时的数据,为期3个月。结果指标包括治疗依从性、副作用、美国国立卫生研究院卒中量表、格拉斯哥昏迷量表、改良Rankin量表以及简易定向记忆注意力测试。MLC901耐受性良好,未报告有副作用。所有患者病情稳定且状况改善。
本病例系列突出了MLC901对CVST的潜在治疗效果,并为进一步研究提供了支持。