Recovery in a patient with locked-in syndrome
Language: 
English
Abstract: 

BACKGROUND AND PURPOSE: Sildenafil citrate has been shown to enhance neurogenesis, angiogenesis, synaptogenesis, and neurological outcome by augmentation of cyclic guanosine monophosphate (cGMP) levels in animal models of ischemic stroke. Whether sildenafil citrate may be helpful for recovery in human stroke is unknown at this time. METHODS: A 41-year-old woman with locked-in syndrome due to pontine infarction began receiving 150 mg of oral sildenafil citrate daily on a compassionate use basis in August 2003 and continues treatment at this time. Magneto-encephalography (MEG) was performed at 12 and 17 months after stroke. RESULTS: No serious adverse events have occurred. Significant milestone recoveries including standing, use of both arms, talking, and full return of swallowing have occurred, particularly after nine months of treatment. The MEG showed a significantly increased amplitude in the somatosensory cortex. CONCLUSION: Daily use of high dose sildenafil citrate appears to be safe in this patient with stroke resulting in locked-in syndrome. Further studies will be required to establish safety and efficacy.

Author(s): 
Silver, Brian
Grover, Kavita M.
Arcila, Ximena
Mitsias, Panayiotis D.
Bowyer, Susan M.
Chopp, Michael
Item Type: 
Journal Article
Publication Title: 
The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
Journal Abbreviation: 
Can J Neurol Sci
Publication Date: 
May 2006
Publication Year: 
2006
Pages: 
246-249
Volume: 
33
Issue: 
2
ISSN: 
0317-1671
Library Catalog: 
NCBI Published Medical (?)
Extra: 
PMID: 16736741

Turabian/Chicago Citation

Brian Silver, Kavita M. Grover, Ximena Arcila, Panayiotis D. Mitsias, Susan M. Bowyer and Michael Chopp. May 2006. "Recovery in a patient with locked-in syndrome." The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques 33: 2: 246-249.

Wikipedia Citation

<ref> {{Cite journal | doi = | issn = 0317-1671 | volume = 33 | pages = 246-249 | last = Silver | first = Brian | coauthors = Grover, Kavita M., Arcila, Ximena, Mitsias, Panayiotis D., Bowyer, Susan M., Chopp, Michael | title = Recovery in a patient with locked-in syndrome | journal = The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques | date = May 2006 | pmid = | pmc = }} </ref>