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Table 1 Clinical studies assessing the effects of intravenous magnesium in ischemic stroke

From: Magnesium treatment for neuroprotection in ischemic diseases of the brain

Author

Study setup

Treatment arms and comedication

Individuals

Results

Wester et al., 1984 [40]

Tolerability study

MgSO4 (15 mmol + 96 mmol/24h for 5 days)

14 patients with ischemic stroke

Magnesium-treatment well tolerated. No information about outcome

Muir et al., 1995 [41]

Randomized, placebo-controlled

MgSO4 (8 mmol + 65 mmol/kg for 24 hours) vs. placebo

60 patients with ischemic stroke

Magnesium-treatment well tolerated, tendency to better neurological outcome

Muir et al., 1998 [16]

Randomized, placebo-controlled

MgSO4 (8, 12 or 16 mmol + 65 mmol/kg for 24 hours) vs. placebo

25 patients with ischemic stroke

All dose-regimens well tolerated. No difference in outcome

The IMAGES investigators, 2004 [43]

Randomized, placebo-controlled

MgSO4 (16 mmol + 65 mmol/kg for 24 hours) vs. placebo

2589 patients with ischemic stroke

No over all reduction of death or disability (primary end-point), trend to benefit in lacunar stroke

  1. After promising experimental data and a trend to better outcome, a large multicenter clinical trial failed to demonstrate a beneficial effect of intravenous magnesium in the over all study population. Solely the subgroup with lacunar infarction showed a tendency to better recovery after magnesium medication.