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. 2008:104:287-90.
doi: 10.1007/978-3-211-75718-5_59.

Role of statins in cerebral vasospasm

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Role of statins in cerebral vasospasm

T Sugawara et al. Acta Neurochir Suppl. 2008.

Abstract

3-Hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase inhibitors, commonly known as statins, are widely used clinically for their lipid lowering properties. Recent evidence shows that statins are also effective in ameliorating cerebral vasospasm, which occurs as sequelae of subarachnoid haemorrhage. This review focuses on the pleiotropic effects of statins, and the putative mechanisms involved in statin mediated attenuation of cerebral vasospasm.

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Figures

Fig. 1
Fig. 1
Proposed pathways of protection against cerebral vasospasm by statins. eNOS Endothelial nitric oxide synthase; NADPH oxidase nicotinamide adenine dinucleotide phosphate oxidase; NO nitric oxide; PI3K phosphatidyl-inositol-3 kinase; RhoK Rho kinase; ROS reactive oxygen species; ↑ upregulation; ↓ inhibition or down-regulation; *proposed targets of statins

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