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(Stroke. 1973;4:541.)
© 1973 American Heart Association, Inc.


Dexamethasone as Treatment in Cerebrovascular Disease. 1. A Controlled Study in Intracerebral Hemorrhage

HENRY TELLEZ M.D.1 RAYMOND B. BAUER M.D.1

1 Department of Neurology, Wayne State University School of Medicine, 3825 Brush Street, Detroit, Michigan 48201

Dexamethasone and a placebo were compared as treatment for 40 patients with intracerebral hemorrhage. Of 19 patients receiving dexamethasone, 17 (89.5%) died during their hospital admission. Of 21 patients receiving a placebo, 16 (76.2%) died. The mortality rate was 100% in 15 patients in the dexamethasone-treated group who were in coma or deep stupor on admission, and the mortality rate was 92% in 12 patients with similar levels of consciousness who received a placebo.

Several parameters of the neurological examination showed an improved quality of survival in the Decadron®-treated group, but this was found only at certain days in the study. No overall statistically significant difference was found between the two therapies.


Key Words: CSF pressures in intracerebral hemorrhage • Gl bleeding with steroid therapy • steroid effect on increased CSF pressure




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