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Year : 2000  |  Volume : 48  |  Issue : 3  |  Page : 227--30

Effect of dichloracetate on infarct size in a primate model of focal cerebral ischaemia.


Department of Neurosurgery, Christian Medical College Hospital, Vellore, 632004, India., India

Correspondence Address:
M J Chandy
Department of Neurosurgery, Christian Medical College Hospital, Vellore, 632004, India.
India
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Source of Support: None, Conflict of Interest: None


PMID: 11025625

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Acidosis is a major contributing factor towards spread of the ischaemic focus in the brain. Drugs that increase pyruvate dehydrogenase activity could decrease the formation of lactic acidosis. The sodium salt of dichloracetic acid (DCA) has been found to be effective in reducing lactate. This study was undertaken to study the efficacy of DCA in reducing infarct size in experimental focal ischaemia in monkeys. Macaca radiata monkeys in the treatment group were given 35 mg per kilogram of dichloracetate intravenously immediately before occluding and interrupting the middle cerebral artery, and the control group was given saline as placebo under similar conditions. Mean infarct size expressed as a percentage of the size of the hemisphere in all the three brain slices was 35.38 in the control group as against l2.06 in the treated group (p=0. 0008).






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Online since 20th March '04
Published by Wolters Kluwer - Medknow