COMBINED ORAL ISOPRINOSINE INTRAVENTRICULAR ALPHA-INTERFERON THERAPY FOR SUBACUTE SCLEROSING PANENCEPHALITIS

COMBINED ORAL ISOPRINOSINE INTRAVENTRICULAR ALPHA-INTERFERON THERAPY FOR SUBACUTE SCLEROSING PANENCEPHALITIS
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DOI:
10.1016/0387-7604(93)90120-w
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发表时间:
1993-09-01
影响因子:
1.7
通讯作者:
JALLU, A
JALLU, A
中科院分区:
医学4区
文献类型:
--
作者:
GASCON, G;YAMANI, S;JALLU, A

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用口服异丙肌苷(100 mg/kg/天)和脑室内α-干扰素2b(Intron A,Schering Corp.)治疗18名患有亚急性硬化性全脑炎(SSPE)的患者,16名男孩和2名女孩,年龄5-14岁,从每周两次50万U开始,后来增加到每两周300万U。存活患者的最短随访时间为12个月,最长为40个月。根据神经功能障碍指数(NDI)评分和分期,8例治疗诱导缓解(3例改善,5例停滞),4例恶化,6例死亡。这44%(8/18)的缓解/改善率与同一机构历史对照的9%(1/11)缓解率相比(p = 0.001)。
Eighteen patients, 16 boys and 2 girls, aged 5-14 years, with subacute sclerosing panencephalitis (SSPE) were treated with oral isoprinosine (100 mg/kg/day) and intraventricular alpha-interferon 2b (Intron A, Schering Corp.), starting at 500,000 U twice a week and later increasing to 3 million U biweekly. Minimal follow-up of living patients is 12 months; maximal 40 months. On the basis of the Neurological Disability Index (NDI) scores and staging, 8 have treatment-induced remissions (3 improved, 5 arrested), 4 are worse and 6 died. This 44% (8/18) rate of remission/improvement compares well with the 9% (1/11) remission in historical controls in the same institution (p =