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piracetam and Hemorrhage, Subarachnoid

piracetam has been researched along with Hemorrhage, Subarachnoid in 14 studies

Piracetam: A compound suggested to be both a nootropic and a neuroprotective agent.

Research Excerpts

ExcerptRelevanceReference
"Current guidelines recommend against the use of phenytoin following aneurysmal subarachnoid hemorrhage (aSAH) but consider other anticonvulsants, such as levetiracetam, acceptable."7.80Incidence of delayed seizures, delayed cerebral ischemia and poor outcome with the use of levetiracetam versus phenytoin after aneurysmal subarachnoid hemorrhage. ( Fletcher, JJ; Karamchandani, RR; Pandey, AS; Rajajee, V, 2014)
"To determine the utility and tolerability of levetiracetam (LEV) compared to phenytoin (PHT) in preventing clinical seizures in patients with subarachnoid hemorrhage (SAH)."7.75Utility of levetiracetam in patients with subarachnoid hemorrhage. ( Husain, AM; Shah, D, 2009)
" Plasma concentrations (pc), interactions between drugs in the ICU context, adverse effects and seizure occurrences were observed and recorded."5.37Levetiracetam compared to valproic acid: plasma concentration levels, adverse effects and interactions in aneurysmal subarachnoid hemorrhage. ( Bjeljac, M; Keller, E; Mink, S; Muroi, C; Seule, M, 2011)
"Treatment with levetiracetam also improved functional outcomes and reduced vasospasm following SAH."5.33Levetiracetam is neuroprotective in murine models of closed head injury and subarachnoid hemorrhage. ( Gao, J; Laskowitz, DT; Lassiter, TF; Lynch, JR; McDonagh, DL; Sheng, H; Wang, H; Warner, DS, 2006)
"In this prospective, single-center, randomized, single-blinded comparative trial of LEV versus PHT (2:1 ratio) in patients with severe traumatic brain injury (sTBI) or subarachnoid hemorrhage (NCT00618436) patients received IV load with either LEV or fosphenytoin followed by standard IV doses of LEV or PHT."5.14Prospective, randomized, single-blinded comparative trial of intravenous levetiracetam versus phenytoin for seizure prophylaxis. ( Lindsell, CJ; Sangha, KS; Shutter, LA; Szaflarski, JP, 2010)
"Patients may experience a reduced incidence of clinical and electroencephalographic seizures with levetiracetam dosing >1000-mg TDD."4.31Levetiracetam dosing for seizure prophylaxis in neurocritical care patients. ( Ansari, S; Davis, GE; Findlay, MC; Hawryluk, GWJ; Hedges, A; Menacho, ST; Wolfe, BM, 2023)
"Current guidelines recommend against the use of phenytoin following aneurysmal subarachnoid hemorrhage (aSAH) but consider other anticonvulsants, such as levetiracetam, acceptable."3.80Incidence of delayed seizures, delayed cerebral ischemia and poor outcome with the use of levetiracetam versus phenytoin after aneurysmal subarachnoid hemorrhage. ( Fletcher, JJ; Karamchandani, RR; Pandey, AS; Rajajee, V, 2014)
"To determine the utility and tolerability of levetiracetam (LEV) compared to phenytoin (PHT) in preventing clinical seizures in patients with subarachnoid hemorrhage (SAH)."3.75Utility of levetiracetam in patients with subarachnoid hemorrhage. ( Husain, AM; Shah, D, 2009)
" Prospective, open-label, steady-state pharmacokinetic study."2.76Steady-state pharmacokinetics of intravenous levetiracetam in neurocritical care patients. ( Fleck, JD; Jacobi, J; Juenke, JM; Kays, MB; Spencer, DD, 2011)
" The overall conclusions from 2 recent studies in aneurysmal subarachnoid hemorrhage are that 1) many patients receive AEDs but should not; 2) long-term use is associated with worse outcome; and 3) short-term use is safer."2.44Antiepileptic drugs in aneurysmal subarachnoid hemorrhage. ( Wijdicks, EF; Zubkov, AY, 2008)
"fosphenytoin (fos-PHT) seizure prevention trial (NCT00618436)."1.38Initial EEG predicts outcomes in a trial of levetiracetam vs. fosphenytoin for seizure prevention. ( Lindsell, CJ; Shutter, LA; Steinbaugh, LA; Szaflarski, JP, 2012)
" Plasma concentrations (pc), interactions between drugs in the ICU context, adverse effects and seizure occurrences were observed and recorded."1.37Levetiracetam compared to valproic acid: plasma concentration levels, adverse effects and interactions in aneurysmal subarachnoid hemorrhage. ( Bjeljac, M; Keller, E; Mink, S; Muroi, C; Seule, M, 2011)
"Treatment with levetiracetam also improved functional outcomes and reduced vasospasm following SAH."1.33Levetiracetam is neuroprotective in murine models of closed head injury and subarachnoid hemorrhage. ( Gao, J; Laskowitz, DT; Lassiter, TF; Lynch, JR; McDonagh, DL; Sheng, H; Wang, H; Warner, DS, 2006)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's3 (21.43)29.6817
2010's10 (71.43)24.3611
2020's1 (7.14)2.80

Authors

AuthorsStudies
Hedges, A1
Findlay, MC1
Davis, GE1
Wolfe, BM1
Hawryluk, GWJ1
Menacho, ST1
Ansari, S1
Karamchandani, RR1
Fletcher, JJ1
Pandey, AS1
Rajajee, V1
Bugeme, M1
Mukuku, O1
García Estévez, DA1
García-Dorrego, RM1
Nieto-Baltar, B1
Marey-Garrido, M1
Hierro-Torner, T1
Zubkov, AY1
Wijdicks, EF1
Shah, D1
Husain, AM1
Szaflarski, JP2
Sangha, KS1
Lindsell, CJ2
Shutter, LA2
Usami, K1
Saito, N1
Murphy-Human, T1
Welch, E1
Zipfel, G1
Diringer, MN1
Dhar, R1
Mink, S1
Muroi, C1
Seule, M1
Bjeljac, M1
Keller, E1
Spencer, DD1
Jacobi, J1
Juenke, JM1
Fleck, JD1
Kays, MB1
Steinbaugh, LA1
Drust, A1
Luchtmann, M1
Firsching, R1
Tröger, U1
Martens-Lobenhoffer, J1
Bode-Böger, SM1
Wang, H1
Gao, J1
Lassiter, TF1
McDonagh, DL1
Sheng, H1
Warner, DS1
Lynch, JR1
Laskowitz, DT1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pilot Study of Seizure Prophylaxis With Levetiracetam in Aneurysmal Subarachnoid Hemorrhage[NCT01935908]Phase 40 participants (Actual)Interventional2013-05-31Withdrawn (stopped due to no funding)
A Pilot Study of NSICU Assessment of Seizure Prophylaxis With Lacosamide[NCT01110187]11 participants (Actual)Interventional2010-05-31Terminated (stopped due to Lack of enrollement)
A Pharmacokinetic Analysis of Levetiracetam Prophylaxis in Critically Ill Patients With Severe Traumatic Brain Injury[NCT04836481]20 participants (Anticipated)Observational2021-01-01Recruiting
Levetiracetam Treatment of Neonatal Seizures: A Multi-Centre Randomized Blinded Controlled Study of the Efficacy of Oral Levetiracetam as First Line Treatment for Neonatal Seizures in China[NCT02550028]Phase 1/Phase 260 participants (Actual)Interventional2015-09-01Terminated (stopped due to The study was concluded as planned upon reaching its predetermined endpoint, which included the completion of data collection and achievement of the necessary sample size for statistical significance.)
Assessment of Seizure Prophylaxis Protocols Using Intravenous Levetiracetam in a Neuroscience Intensive Care Unit[NCT00618436]Phase 452 participants (Actual)Interventional2007-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Adverse Events

The primary outcome measure is the incidence of clinical adverse events. These will be followed by daily clinical observations during the hospital stay. Subjects will be evaluated for e.g., seizures, fever, neurological changes, cardiovascular, hematologic and dermatologic abnormalities, liver failure, renal failure, and death; EKGs will be requested as per ICU routines through day 7. (NCT01110187)
Timeframe: baseline to 7 days

Interventionnumber of events experienced (Number)
IV LCM12
IV fPHT21

Number of Participants With Seizures

Number of seizures in the first 72 hours based on EEG recording (NCT01110187)
Timeframe: baseline to 72 hours

Interventionnumber of participants with seizures (Number)
IV LCM0
IV fPHT0

Seizure Incidence

This was the number of patients in each group who demonstrated seizure activity during the course of the study (NCT00618436)
Timeframe: Duration of study, up to 6 months after the injury

InterventionParticipants (Number)
Levetiracetam5
Phenytoin3

Disability Rating Scale (DRS)

The Disability rating scale (DRS) is frequently used in the rehabilitation literature as a measure of disability. It is a reliable, easily performed test that assesses 8 items (eye opening, verbalization, motor response, feeding, toileting, grooming, level of functioning, employability), and assigns each a numerical score ranging from 0 - 5 based on the category. The domains these 8 items are felt to assess include: alertness, cognition for self-care, dependence, and psychosocial adaptability. The scoring range is from 0-30, with increasing disability levels assigned to higher numerical values. The total DRS is then dichotomized into favorable (disability = none, mild, partial or moderate disability) and unfavorable (disability = moderately severe, severe, extremely severe, vegetative state, extreme vegetative state, death) outcomes. A DRS score of 0-6 was favorable, with any score greater than 6 categorized as unfavorable. (NCT00618436)
Timeframe: Discharge; 3 and 6 months following injury

,
Interventionunits on a scale (Mean)
At DischargeAt 3 monthsAt 6 months
Levetiracetam241517
Phenytoin23139

Extended Glasgow Outcome Score

This is an 8 point validated scale that measures disability after brain injury. It is assessed through an in person exam or by phone interview at hospital discharge, 3 months and 6 months after injury. The categories are: 1 = dead; 2 = vegetative state; 3 = severe disability, low level; 4 = severe disability, high level; 5 = moderate disability, low level; 6 = moderate disability, high level; 7 = good recovery - low level; 8 = good recovery - high level. Specific questions and activities are assessed to determine into which category the patient falls. (NCT00618436)
Timeframe: at discharge; 3 and 6 months following injury

,
Interventionunits on a scale (Mean)
At DischargeAt 3 monthsAt 6 months
Levetiracetam233
Phenytoin233

Reviews

2 reviews available for piracetam and Hemorrhage, Subarachnoid

ArticleYear
[Neuropsychiatric manifestations revealing cerebral subarachnoid hemorrhage caused by electrification accident about a case and review of literature].
    The Pan African medical journal, 2014, Volume: 18

    Topics: Accidents, Home; Brain Edema; Child; Child Behavior Disorders; Confusion; Dexamethasone; Electric In

2014
Antiepileptic drugs in aneurysmal subarachnoid hemorrhage.
    Reviews in neurological diseases, 2008,Fall, Volume: 5, Issue:4

    Topics: Animals; Anticonvulsants; Electroencephalography; Head Injuries, Closed; Humans; Levetiracetam; Neur

2008

Trials

2 trials available for piracetam and Hemorrhage, Subarachnoid

ArticleYear
Prospective, randomized, single-blinded comparative trial of intravenous levetiracetam versus phenytoin for seizure prophylaxis.
    Neurocritical care, 2010, Volume: 12, Issue:2

    Topics: Adult; Anticonvulsants; Brain Injuries; Female; Humans; Infusions, Intravenous; Levetiracetam; Male;

2010
Prospective, randomized, single-blinded comparative trial of intravenous levetiracetam versus phenytoin for seizure prophylaxis.
    Neurocritical care, 2010, Volume: 12, Issue:2

    Topics: Adult; Anticonvulsants; Brain Injuries; Female; Humans; Infusions, Intravenous; Levetiracetam; Male;

2010
Prospective, randomized, single-blinded comparative trial of intravenous levetiracetam versus phenytoin for seizure prophylaxis.
    Neurocritical care, 2010, Volume: 12, Issue:2

    Topics: Adult; Anticonvulsants; Brain Injuries; Female; Humans; Infusions, Intravenous; Levetiracetam; Male;

2010
Prospective, randomized, single-blinded comparative trial of intravenous levetiracetam versus phenytoin for seizure prophylaxis.
    Neurocritical care, 2010, Volume: 12, Issue:2

    Topics: Adult; Anticonvulsants; Brain Injuries; Female; Humans; Infusions, Intravenous; Levetiracetam; Male;

2010
Prospective, randomized, single-blinded comparative trial of intravenous levetiracetam versus phenytoin for seizure prophylaxis.
    Neurocritical care, 2010, Volume: 12, Issue:2

    Topics: Adult; Anticonvulsants; Brain Injuries; Female; Humans; Infusions, Intravenous; Levetiracetam; Male;

2010
Prospective, randomized, single-blinded comparative trial of intravenous levetiracetam versus phenytoin for seizure prophylaxis.
    Neurocritical care, 2010, Volume: 12, Issue:2

    Topics: Adult; Anticonvulsants; Brain Injuries; Female; Humans; Infusions, Intravenous; Levetiracetam; Male;

2010
Prospective, randomized, single-blinded comparative trial of intravenous levetiracetam versus phenytoin for seizure prophylaxis.
    Neurocritical care, 2010, Volume: 12, Issue:2

    Topics: Adult; Anticonvulsants; Brain Injuries; Female; Humans; Infusions, Intravenous; Levetiracetam; Male;

2010
Prospective, randomized, single-blinded comparative trial of intravenous levetiracetam versus phenytoin for seizure prophylaxis.
    Neurocritical care, 2010, Volume: 12, Issue:2

    Topics: Adult; Anticonvulsants; Brain Injuries; Female; Humans; Infusions, Intravenous; Levetiracetam; Male;

2010
Prospective, randomized, single-blinded comparative trial of intravenous levetiracetam versus phenytoin for seizure prophylaxis.
    Neurocritical care, 2010, Volume: 12, Issue:2

    Topics: Adult; Anticonvulsants; Brain Injuries; Female; Humans; Infusions, Intravenous; Levetiracetam; Male;

2010
Steady-state pharmacokinetics of intravenous levetiracetam in neurocritical care patients.
    Pharmacotherapy, 2011, Volume: 31, Issue:10

    Topics: Anticonvulsants; Brain Injuries; Critical Care; Female; Hematoma, Subdural; Humans; Infusions, Intra

2011

Other Studies

10 other studies available for piracetam and Hemorrhage, Subarachnoid

ArticleYear
Levetiracetam dosing for seizure prophylaxis in neurocritical care patients.
    Brain injury, 2023, 08-24, Volume: 37, Issue:10

    Topics: Adult; Anticonvulsants; Brain Injuries, Traumatic; Female; Humans; Levetiracetam; Male; Middle Aged;

2023
Incidence of delayed seizures, delayed cerebral ischemia and poor outcome with the use of levetiracetam versus phenytoin after aneurysmal subarachnoid hemorrhage.
    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2014, Volume: 21, Issue:9

    Topics: Adult; Age Factors; Aged; Aged, 80 and over; Anticonvulsants; Brain Ischemia; Female; Follow-Up Stud

2014
Spontaneous convexity subarachnoid haemorrhage: Clinical series of 3 patients with associated cerebral amyloid angiopathy.
    Neurologia (Barcelona, Spain), 2017, Volume: 32, Issue:4

    Topics: Aged; Anticonvulsants; Brain; Cerebral Amyloid Angiopathy; Dexamethasone; Female; Glucocorticoids; H

2017
Utility of levetiracetam in patients with subarachnoid hemorrhage.
    Seizure, 2009, Volume: 18, Issue:10

    Topics: Adult; Aged; Anticonvulsants; Epilepsy; Female; Follow-Up Studies; Humans; Levetiracetam; Male; Midd

2009
Prophylactic anticonvulsants after subarachnoid hemorrhage.
    World neurosurgery, 2011, Volume: 75, Issue:2

    Topics: Anticonvulsants; Epilepsy; Humans; Incidence; Levetiracetam; Phenytoin; Piracetam; Subarachnoid Hemo

2011
Comparison of short-duration levetiracetam with extended-course phenytoin for seizure prophylaxis after subarachnoid hemorrhage.
    World neurosurgery, 2011, Volume: 75, Issue:2

    Topics: Adult; Aged; Anticonvulsants; Databases, Factual; Delayed-Action Preparations; Disease-Free Survival

2011
Levetiracetam compared to valproic acid: plasma concentration levels, adverse effects and interactions in aneurysmal subarachnoid hemorrhage.
    Clinical neurology and neurosurgery, 2011, Volume: 113, Issue:8

    Topics: Administration, Oral; Aged; Aneurysm, Ruptured; Anti-Bacterial Agents; Anticonvulsants; Biological A

2011
Initial EEG predicts outcomes in a trial of levetiracetam vs. fosphenytoin for seizure prevention.
    Epilepsy & behavior : E&B, 2012, Volume: 23, Issue:3

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anticonvulsants; Brain Injuries; Disability Evaluation;

2012
Initial EEG predicts outcomes in a trial of levetiracetam vs. fosphenytoin for seizure prevention.
    Epilepsy & behavior : E&B, 2012, Volume: 23, Issue:3

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anticonvulsants; Brain Injuries; Disability Evaluation;

2012
Initial EEG predicts outcomes in a trial of levetiracetam vs. fosphenytoin for seizure prevention.
    Epilepsy & behavior : E&B, 2012, Volume: 23, Issue:3

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anticonvulsants; Brain Injuries; Disability Evaluation;

2012
Initial EEG predicts outcomes in a trial of levetiracetam vs. fosphenytoin for seizure prevention.
    Epilepsy & behavior : E&B, 2012, Volume: 23, Issue:3

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anticonvulsants; Brain Injuries; Disability Evaluation;

2012
Recurrent seizures in a levetiracetam-treated patient after subarachnoid hemorrhage: a matter of enhanced renal function?
    Epilepsy & behavior : E&B, 2012, Volume: 23, Issue:3

    Topics: Anticonvulsants; Female; Humans; Levetiracetam; Middle Aged; Piracetam; Recurrence; Seizures; Subara

2012
Levetiracetam is neuroprotective in murine models of closed head injury and subarachnoid hemorrhage.
    Neurocritical care, 2006, Volume: 5, Issue:1

    Topics: Animals; Disease Models, Animal; Drug Administration Schedule; Head Injuries, Closed; Injections, In

2006