Stroke treatment utilizing extravascular circulation of oxygenat

Drug – bio-affecting and body treating compositions – Antigen – epitope – or other immunospecific immunoeffector – Recombinant or stably-transformed bacterium encoding one or...

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424355, A61K 3100, A61M 514

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044461550

ABSTRACT:
A novel acute care cerebral support system and method for treating severly ischemic brains is disclosed wherein an oxygenated nutrient emulsion is circulated through at least a portion of the ventriculo-subarachnoid spaces. The nutrient emulsion contains an oxygenatable non-aqueous component, an aqueous nutrient component, an emulsification component, and other components which render physiologic acceptability to the nutrient emulsion. The disclosed system and method have been shown to effectively exchange oxygen, carbon dioxide, glucose, and other metabolites in severely stroked brains. Significant restoration of oxidative metabolism and electrographic activity result from the disclosed treatment. Methods for producing the nutrient emulsion and a system for delivering that emulsion to the cerebrospinal pathway are also disclosed. Additionally, novel diagnostic methods for diagnosing the physiologic state of hypoxic-ischmeic and other diseased neurologic tissue during treatment are provided.

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Mizoi et al., "Experimental Study of New Cerebral Protective Substances Functional Recovery of Severe, Incomplete Ischaemic Brain Lesions Pretreated with Mannitol and Fluorocarbon Emulsion Acta Neurochirurgica 56, pp. 157-166, (1981).
Peerless et al., "Protective Effect of Fluosol-DA in Acute Cerebral Ischemia", Stroke, vol. 12, No. 5, pp. 558-563, (1981).
Reulen, et al., "Clearance of Edema Fluid into Cerebrospinal Fluid", J. Neurosurg 48: 754-764, (1978).
Schutz, et al., "Brain Mitochondrial Function After Ischemia and Hypoxia", Arch Neurol, vol. 29, pp. 417-419, (Dec. 1973).
Sokoll et al., "Dibutyryl Cyclic Adenosine Monophosphate Effects in the Ischemic-Hypoxic Cat", Stroke, vol. 8, No. 3, pp. 371-373, (May-Jun. 1977).
J. Suzuki et al., Current Topics 9:465-479, (1981).
Tsuyumu, et al., "Dynamics of Formation and Resolution of Vasogenic Brain Oedema I. Measurement of Oedema Clearance into Ventricular CSF", Acta Neurochirurgica 57:1-13, (1981).
Tremper et al., "The Preoperative Treatment of Severely Anemic Patients with a Perfluorochemical Blood Substitute, Fluosol-DA 20%", Crit. Care Med. 8, p. 738, (1980).
Weyne et al., "Restoration of CSF[HCO.sub.3 ] After its Experimental Lowering in Normocapnic Conditions", J. of Applied Physics, vol. 47, pp. 369-376, (Jul.-Sep. 1979).
Abstract No. [85] Pool Rounds, (one p.).
Booklet, "William Harvey Introduces a New Geometry for Oxygen Performance."
State of the Art Symposium, "Artificial Blood", National Institutes of Health, Apr. 5-6, 1974, Federation Proceedings, vol. 34, No. 6, pp. 1428-1517, (1975).
Nordstrom et al., Acta Physiol. Scand., (1977).
Siezyo et al., Adv. Exp. Med. Biol. 78; 261-269, (1977).
Clark et al., Microvasc. Res. 8:320-340, (1974).
S. A. Gould et al., Fed. Proc. 40:2038, (1981).
Doss et al., Microvascular Research 13, pp. 253-260, (1977).

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