Mannitol in intracerebral hemorrhage: a randomized controlled study.
OBJECTIVE
To study the usefulness of mannitol in spontaneous intracerebral hemorrhage (ICH) patients.


METHODS
128 CT proven supratentorial ICH patients within 6 days of ictus were randomized into study and control groups. The study group received mannitol 20%, 100 ml every 4 h for 5 days, tapered in the next 2 days. The control group received sham infusion. Primary endpoint was 1-month mortality and secondary endpoint functional disability at 3 months assessed by Barthel index score.


RESULTS
There were 65 patients in study and 63 in control groups. The study and control groups were evenly matched regarding age, Glasgow coma scale (GCS) score, Canadian Neurological Scale (CNS) score, pupillary asymmetry, pyramidal signs on non-hemiplegic side, and location, midline shift and ventricular extension of hematoma. At 1 month, 16 patients died in each group. The primary and secondary endpoints were not significantly different between the two groups.


CONCLUSIONS
Low dose mannitol does not seem to be beneficial in patients with ICH.
Misra
U K
UK
Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareily Road, Lucknow-226014, India. ukmisra@sgpgi.ac.in
Kalita
J
J
Ranjan
P
P
Mandal
S K
SK
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002543:Cerebral Hemorrhage / Q000188:drug therapy* / Q000401:mortality; D004234:Diuretics, Osmotic / Q000627:therapeutic use*; D004341:Drug Evaluation / Q000379:methods; D005260:Female; D015600:Glasgow Coma Scale / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008353:Mannitol / Q000627:therapeutic use*; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome
D004234:Diuretics, Osmotic; D008353:Mannitol