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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Restor+Neurol+Neurosci
2016 ; 34
(5
): 799-813
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gab.com Text
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The neurophysiological effects of single-dose theophylline in patients
with chronic stroke: A double-blind, placebo-controlled, randomized
cross-over study
#MMPMID27567756
Restor Neurol Neurosci
2016[Sep]; 34
(5
): 799-813
PMID27567756
show ga
BACKGROUND: Reducing inhibitory neurotransmission with pharmacological agents is
a potential approach for augmenting plasticity after stroke. Previous work in
healthy subjects showed diminished intracortical inhibition after administration
of theophylline. OBJECTIVE: We assessed the effect of single-dose theophylline on
intracortical and interhemispheric inhibition in patients with chronic stroke, in
a double-blind, placebo-controlled, cross-over study. METHODS: Eighteen subjects
were randomly administered 300?mg of extended-release theophylline or placebo.
Immediately and 5 hours following administration, transcranial magnetic
stimulation was used to assess bihemispheric resting motor threshold,
short-interval intracortical inhibition, long-interval intracortical inhibition,
and interhemispheric inhibition. Adverse effects on cardiovascular, neurological,
and motor performance outcomes were also surveilled. Change between morning and
afternoon sessions were compared across conditions. One week later, patients
underwent the same assessments after crossing over to the opposite experimental
condition. Subjects and investigators were blinded to the experimental condition
during data acquisition and analysis. RESULTS: For both hemispheres, changes in
intracortical or interhemispheric neurophysiology were comparable under
theophylline and placebo conditions. Theophylline induced no adverse
neurological, cardiovascular, or motor performance effects. For both conditions
and hemipsheres, the baseline level of inhibition inversely correlated with its
change between sessions: less baseline inhibition (i.e. disinhibition) was
associated with a strengthening in inhibition over the day, and vice versa.
CONCLUSION: A single dose of theophylline is well-tolerated by patients with
chronic stroke, but does not alter cortical excitability. The inverse
relationship between baseline inhibition and its change suggests the existence of
a homeostatic process. The lack of effect on cortical inhibition may be related
to an insufficiently long exposure to theophylline, or to differential
responsiveness of disinhibited neural circuitry in patients with stroke.