An explorative study regarding the effect of L-deprenyl on cognitive and functional recovery in patients after stroke

Michelangelo Bartolo, Chiara Zucchella, Annarita Capone, Giorgio Sandrini, Francesco Pierelli

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction Selegiline (l-deprenyl) is a selective monoamine oxidase type B inhibitor that has been shown to have neurotrophic and anti-apoptotic properties and to protect neurons in different experimental models of cerebral ischaemia. The aim of this explorative study was to investigate whether selegiline could enhance cognitive and functional recovery in stroke survivors. Methods This was a randomized controlled study in which patients enrolled within two weeks of stroke underwent a clinical and functional evaluation and a neuropsychological assessment. The patients were given selegiline (10 mg/day) or matched placebo once a day for six weeks in addition to standard rehabilitation care. Results Of 137 stroke survivors, 47 patients met the inclusion criteria and were randomly assigned to the Study Group (n = 23) or the Control Group (n = 24). The statistical analysis showed a significant improvement in most neuropsychological tests after two and six weeks in the study group; these improvements were not replicated in the control group. The between-group analysis revealed that the domains of attention and executive functions benefited most from the drug treatment. With regard to functional status, comparison of clinical scores at admission and discharge showed a statistically significant enhancement in both groups without statistically significant differences between the groups. Conclusions These preliminary results suggest that selegiline administered in the subacute phase can promote cognitive functioning in stroke patients. Further studies will elucidate whether and how this enhancement can impact on functional recovery in the short and in the long term.

Original languageEnglish
Pages (from-to)117-123
Number of pages7
JournalJournal of the Neurological Sciences
Volume349
Issue number1-2
DOIs
Publication statusPublished - Feb 15 2015

Keywords

  • Cognitive recovery
  • L-Deprenyl
  • Pharmacological agents
  • Rehabilitation
  • Selegiline
  • Stroke

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Medicine(all)

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