Evidence map›Paper›PMID 39055722›Full record

ArticleCase reports in neurological medicine2024

Life-Threatening Anaphylaxis due to Cerebrolysin®.

Helmut Trimmel, Wolfgang Tauber, Martin Zikeli

Abstract readCase Reports
In one paragraph

Article in Case reports in neurological medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Helmut TrimmelDepartment for Anesthesia Emergency and Intensive Medicine State Hospital of Wiener Neustadt, Corvinusring 3-5, Wiener Neustadt 2700, Austria.ORCID https://orcid.org/0000-0002-7327-0699
Wolfgang TauberCentral Laboratory State Hospital of Wiener Neustadt, Corvinusring 3-5, Wiener Neustadt 2700, Austria.
Martin ZikeliDepartment for Dermatology and Venereology State Hospital of Wiener Neustadt, Corvinusring 3-5, Wiener Neustadt 2700, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this case report, we describe a well-documented, severe anaphylactic reaction after intravenous administration of cerebrolysin, a neurotrophic agent derived from highly purified porcine brain tissue, consisting of peptides and free amino acids. Cerebrolysin has been in use for decades, in various neurological diseases, but especially stroke and traumatic brain injury, with the aim of enhancing cognitive performance. After administration of cerebrolysin to an 85-year-old male patient suffering from subacute stroke, he developed a fulminant anaphylactic reaction. Following institutional standards, vital functions were quickly restored. The anaphylactic reaction was clearly confirmed by laboratory tests. To date, only rare cases of anaphylaxis due to cerebrolysin have been published in the literature. The current report is intended to raise awareness for the possibility of such a reaction, given the widespread use of cerebrolysin in several indications in mostly critical patients. The case shows how a completely unexpected life-threatening situation can be successfully treated by targeted measures, if the situation is recognized quickly. In light of this event, we consider pathophysiology of allergic reactions and treatment guidelines.

Identifiers

PMID39055722
PMCPMC11272398

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.