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. 2010 Jul 7;2010(7):CD002839. doi: 10.1002/14651858.CD002839.pub2

Bogousslavsky 1990.

Methods Single centre, double‐blind, placebo‐controlled 
 Randomisation by next random number on list 
 60 patients randomised but 8 excluded due to incorrect diagnosis 
 Data from paper, PP analysis
Participants German 
 52 patients: T: 24, C: 28 
 Mean age T: 64, C: 65 (efficacy) 
 Males 38 
 Inclusion: ischaemic stroke of mild to moderate severity (Mathew scale sum between 50 and 75), > 39 years and < 85 years 
 Diagnosis: clinical and 100% CT scan 
 Enrolment within 48 hours
Interventions T: nimodipine 30 mg po qid 
 C: matching po placebo 
 Rx: for 14 days 
 Medical therapy allowed such as drugs against infection, hypertension, mild hypnotics, analgesics, volume substitution (including Dextran 40), low‐dose heparin (2 x 500 U/day)
Outcomes Impairment: Mathews score on day 1, 3, 5, 7, and 14, week 4 and month 4 
 BP and heart rate were checked twice daily and on week 4 and month 4 
 Number of hypotensives noted 
 Method used for taking BP not given
Notes Ex: TIA, progressing stroke, coma, brain stem, ICH, SAH, recent MI, CCF, systemic infection, renal/hepatic failure, SBP < 100, DBP > 105, bradycardia (heart rate < 50 beats/minute), AV conduction disturbances, concomitant use of CCBs, piracetam, pentoxifylline, naftidrofuryl hydrogenoxalate, dihydroergotoxine, alpha methyl dopa 
 Follow up 4 weeks and 4 months
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk Randomisation by next random number on the list
Allocation concealment? Low risk Probably done
Blinding? Low risk Probably done
Completeness of follow‐up Unclear risk Unclear from the publication