Page last updated: 2024-10-26

valproic acid and Cerebral Hemorrhage

valproic acid has been researched along with Cerebral Hemorrhage in 12 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Cerebral Hemorrhage: Bleeding into one or both CEREBRAL HEMISPHERES including the BASAL GANGLIA and the CEREBRAL CORTEX. It is often associated with HYPERTENSION and CRANIOCEREBRAL TRAUMA.

Research Excerpts

ExcerptRelevanceReference
" The purpose of our study was to assess the occurrence of seizures and neurologic outcome in SICH patients who were treated with valproic acid or a placebo for a period of one month and follow-up of one year in a hospital inpatient neurologic department and ambulatory clinic settings."5.15Are post intracerebral hemorrhage seizures prevented by anti-epileptic treatment? ( Boaz, M; Dabby, R; Gilad, R; Lampl, Y; Sadeh, M, 2011)
" Following surgery, he routinely received valproic acid (VPA) to prevent seizures."4.89Valproic acid-associated low fibrinogen and delayed intracranial hemorrhage: case report and mini literature review. ( Chen, HF; Cui, QY; Jin, LJ; Li, ZY; Luo, ZY; Qin, LM; Ren, YY; Shen, HS; Tang, JQ; Wang, J; Wang, KY; Wang, ZY; Wu, TQ; Xu, LP; Yu, ZQ; Zhu, JJ, 2013)
"Seizures after intracerebral hemorrhage are a common complication and may adversely affect neurological outcome."2.79Protocol for seizure prophylaxis following intracerebral hemorrhage study (SPICH): a randomized, double-blind, placebo-controlled trial of short-term sodium valproate prophylaxis in patients with acute spontaneous supratentorial intracerebral hemorrhage. ( Cao, X; Fang, Y; Fu, M; Hu, X; Li, H; Li, X; Lin, S; Liu, M; Liu, W; You, C; Zhang, H, 2014)
"Seizures were classified as early seizure (first seizure within 1 week of ICH), delayed seizure (first seizure after 1 week), and late seizure (any seizure after 1 week)."1.62Discontinuation of preventive antiepileptic drugs in patients with intracerebral hemorrhage. ( Ong, CT; Wong, YS; Wu, CS, 2021)
"After intracerebral hemorrhage (ICH), mechanical compression by hematoma, neuroinflammation, oxidative stress, and cytotoxicity of hematoma lysates caused the destruction of the blood brain barrier (BBB)."1.56Valproate Sodium Protects Blood Brain Barrier Integrity in Intracerebral Hemorrhage Mice. ( Guo, Z; Hou, Y; Jiang, J; Song, Y; Zhao, L; Zhao, W, 2020)
" All these patients were receiving the usual dosage (1000 to 1500 mg per day) of Valproic acid (VPA)."1.29Impairment of consciousness induced by valproate treatment following neurosurgical operation. ( Baulac, M; de Billy, A; Durand, G; Landau, J; Philippon, J, 1993)
"Cerebral cavernous angioma (cavernoma) has previously been treated by resection for all presentations when surgically resectable."1.28Cerebral cavernous angioma: a potentially benign condition? Successful treatment in 16 cases. ( Churchyard, A; Grainger, K; Khangure, M, 1992)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19901 (8.33)18.7374
1990's3 (25.00)18.2507
2000's3 (25.00)29.6817
2010's3 (25.00)24.3611
2020's2 (16.67)2.80

Authors

AuthorsStudies
Zhao, W1
Zhao, L1
Guo, Z1
Hou, Y1
Jiang, J1
Song, Y1
Wong, YS1
Wu, CS1
Ong, CT1
Chen, HF1
Xu, LP1
Luo, ZY1
Yu, ZQ1
Li, ZY1
Cui, QY1
Qin, LM1
Ren, YY1
Shen, HS1
Tang, JQ1
Jin, LJ1
Zhu, JJ1
Wang, J1
Wang, KY1
Wu, TQ1
Wang, ZY1
Hu, X1
Fang, Y1
Li, H1
Liu, W1
Lin, S1
Fu, M1
Li, X1
Cao, X1
Zhang, H1
You, C1
Liu, M1
Labro, H1
Al-Kadhimi, Z1
Djmil, M1
Oghlakian, R1
Alshekhlee, A1
Gilad, R1
Boaz, M1
Dabby, R1
Sadeh, M1
Lampl, Y1
Sakuta, R1
Tomita, Y1
Ohashi, M1
Nagai, T1
Murakami, N1
Sinn, DI1
Kim, SJ1
Chu, K1
Jung, KH1
Lee, ST1
Song, EC1
Kim, JM1
Park, DK1
Kun Lee, S1
Kim, M1
Roh, JK1
Landau, J1
Baulac, M1
Durand, G1
de Billy, A1
Philippon, J1
Riol Diego, M1
Narbona García, J1
Churchyard, A1
Khangure, M1
Grainger, K1
Lefkowitz, D1
Harpold, G1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Regional Anesthesia and Valproate Sodium for the Prevention of Chronic Post-Amputation Pain[NCT01928849]Phase 2128 participants (Actual)Interventional2013-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Self-Reported Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale (S-LANSS)

The S-LANSS is a self-reported version of the Leeds Assessment of Neuropathic Symptoms and Signs pain scale. It aims to differentiate neuropathic pain from somatic or nociceptive pain. We will analyze the change in numeric average pain score during the past week (range from 0-10) from baseline. Higher scores indicate greater pain. (NCT01928849)
Timeframe: Assessments at enrollment and 3 months or time of final adjudication assessment (up to 6 months)

Interventionscore on a scale (Median)
Cherry Syrup-2
Valproic Acid-2

Number of Patients With Chronic Post-amputation Pain

The primary endpoint is the incidence of chronic pain after surgery. The study team will use the average pain score over the past week as noted on the Self-Reported Leeds Assessment of Neuropathic Symptoms and Signs pain scale (S-LANSS) for the assessment of pain, and define chronic pain as a score greater than or equal to 3. (NCT01928849)
Timeframe: 3 months or time of final adjudication assessment, up to 6 months

InterventionParticipants (Count of Participants)
Cherry Syrup37
Valproic Acid36

Brief Pain Inventory (BPI) Short Form Score

The BPI short form is a multidimensional patient-completed measure that assesses the sensory component of pain intensity. We will analyze the change in average pain score question (ranges 0-10) and the sum of the 7 interference questions (total range 0-70) from baseline. Higher score indicates greater pain and interference. (NCT01928849)
Timeframe: Assessments at enrollment and 3 months or time of final adjudication assessment (up to 6 months)

,
Interventionscore on a scale (Median)
BPI Average Pain ScoreBPI interference question sum
Cherry Syrup-2-15
Valproic Acid-1-7

Defense and Veterans Pain Rating Scale (DVPRS) Score

The DVPRS is a pain assessment tool developed by the military in an effort to improve reliability and interpretability of pain assessment in the military population. It has been found to be an effective and valid tool in this population. We will analyze the change in numeric pain response (range 0-10) and the sum of the four supplemental questions (range 0-40) from baseline. Higher scores indicate greater pain and functional limitations. (NCT01928849)
Timeframe: Assessments at enrollment and 3 months or time of final adjudication assessment (up to 6 months)

,
Interventionscore on a scale (Median)
DVPRS numeric painDVPRS Supplemental Question Sum
Cherry Syrup-2-9
Valproic Acid0-4.5

Effect on Analgesic Requirement

The effect of study drug on perioperative analgesic consumption and corresponding analysis of pain/sedation scales. Outcome defined as total opioid consumption (mg) during each 24-hour periods following surgery. (NCT01928849)
Timeframe: Assessments during hospitalization (0-24 hours and 24-48 hours post-surgery)

,
Interventionmorphine milligram equivalents (Median)
Postoperative hours 0-24Postoperative hours 24-48
Cherry Syrup5949
Valproic Acid3345

Incidence of Pain Sub-types

The incidence of neuropathic limb or post-amputation pain sub-types as defined by adjudication classification at each assessment time point. (NCT01928849)
Timeframe: Assessments at enrollment and 3 months or time of final adjudication assessment (up to 6 months)

,
InterventionParticipants (Count of Participants)
Residual limb painPhantom limb
Cherry Syrup2922
Valproic Acid3126

Richmond Agitation-Sedation Scale (RASS)

The RASS is a commonly used, valid and reliable assessment tool for use in hospitalized patients. Validity testing reveals good inter-rater reliability among medical, surgical, and intensive care units. We will analyze the numeric score at each assessment (range -5 (unarousable) to 4 (combative)). (NCT01928849)
Timeframe: during hospitalization (0-24 hours and 24-48 hours post-surgery)

,
Interventionscore on a scale (Median)
Post-op hours 0-24Post-op hours 24-48
Cherry Syrup00
Valproic Acid00

Reviews

1 review available for valproic acid and Cerebral Hemorrhage

ArticleYear
Valproic acid-associated low fibrinogen and delayed intracranial hemorrhage: case report and mini literature review.
    Drug design, development and therapy, 2013, Volume: 7

    Topics: Adult; Afibrinogenemia; Anticonvulsants; Cerebral Hemorrhage; Humans; Male; Seizures; Time Factors;

2013

Trials

2 trials available for valproic acid and Cerebral Hemorrhage

ArticleYear
Protocol for seizure prophylaxis following intracerebral hemorrhage study (SPICH): a randomized, double-blind, placebo-controlled trial of short-term sodium valproate prophylaxis in patients with acute spontaneous supratentorial intracerebral hemorrhage.
    International journal of stroke : official journal of the International Stroke Society, 2014, Volume: 9, Issue:6

    Topics: Acute Disease; Anticonvulsants; Cerebral Hemorrhage; China; Clinical Protocols; Double-Blind Method;

2014
Are post intracerebral hemorrhage seizures prevented by anti-epileptic treatment?
    Epilepsy research, 2011, Volume: 95, Issue:3

    Topics: Aged; Aged, 80 and over; Anticonvulsants; Cerebral Hemorrhage; Female; Follow-Up Studies; Humans; Ma

2011

Other Studies

9 other studies available for valproic acid and Cerebral Hemorrhage

ArticleYear
Valproate Sodium Protects Blood Brain Barrier Integrity in Intracerebral Hemorrhage Mice.
    Oxidative medicine and cellular longevity, 2020, Volume: 2020

    Topics: Animals; Blood-Brain Barrier; Cerebral Hemorrhage; Disease Models, Animal; Gene Expression Regulatio

2020
Discontinuation of preventive antiepileptic drugs in patients with intracerebral hemorrhage.
    BMC neurology, 2021, Apr-07, Volume: 21, Issue:1

    Topics: Adult; Aged; Anticonvulsants; Cerebral Hemorrhage; Female; Humans; Male; Middle Aged; Retrospective

2021
Brain amyloidoma with cerebral hemorrhage.
    The Journal of the American Osteopathic Association, 2009, Volume: 109, Issue:7

    Topics: Amyloidosis; Anticonvulsants; Antineoplastic Agents, Alkylating; Brain Neoplasms; Cerebral Hemorrhag

2009
Idiopathic hypereosinophilic syndrome complicated by central sinovenous thrombosis.
    Brain & development, 2007, Volume: 29, Issue:3

    Topics: Anticoagulants; Anticonvulsants; Cerebral Hemorrhage; Child; DNA Mutational Analysis; Epilepsy; Huma

2007
Valproic acid-mediated neuroprotection in intracerebral hemorrhage via histone deacetylase inhibition and transcriptional activation.
    Neurobiology of disease, 2007, Volume: 26, Issue:2

    Topics: Animals; Apoptosis Regulatory Proteins; Cell Death; Cerebral Hemorrhage; Chemotaxis, Leukocyte; Dise

2007
Impairment of consciousness induced by valproate treatment following neurosurgical operation.
    Acta neurochirurgica, 1993, Volume: 125, Issue:1-4

    Topics: Adolescent; Adult; Arousal; Brain Neoplasms; Cerebral Hemorrhage; Coma; Consciousness Disorders; Del

1993
[Valproate therapy and cerebral bleeding].
    Anales espanoles de pediatria, 1997, Volume: 46, Issue:6

    Topics: Cerebral Hemorrhage; Child; Female; Humans; Parietal Lobe; Temporal Lobe; Valproic Acid

1997
Cerebral cavernous angioma: a potentially benign condition? Successful treatment in 16 cases.
    Journal of neurology, neurosurgery, and psychiatry, 1992, Volume: 55, Issue:11

    Topics: Adolescent; Adult; Angiography; Brain Neoplasms; Carbamazepine; Cerebral Hemorrhage; Child; Epilepsy

1992
Treatment of ocular myoclonus with valproic acid.
    Annals of neurology, 1985, Volume: 17, Issue:1

    Topics: Cerebral Hemorrhage; Eye Movements; Humans; Hypertension; Male; Middle Aged; Myoclonus; Oculomotor M

1985