Brain Edema IX pp 329-331 | Cite as

Effect of Acetazolamide on Early Ischemic Cerebral Edema in Gerbils

  • Zbigniew Czernicki
  • T. Kuroiwa
  • K. Ohno
  • S. Endo
  • U. Ito
Conference paper
Part of the Acta Neurochirurgica book series (NEUROCHIRURGICA, volume 60)

Summary

Acetazolamide was given in the early stage of ischemic cerebral edema produced by unilateral permanent carotid occlusion in gerbils. The animals were studied 1,4, and 6 hours after ischemia. The tissues were examined for water and electrolyte concentrations and ischemic areas were visualized by 2,3,5-triphenyltetrazolium chloride (TTC) and H-E staining.

Acetazolamide injected just after occlusion showed a positive effect in reducing edematous changes. Later administration of the drug had neither positive nor harmful effect on the ischemic brains. Thus, acetazolamide seems to be useful for cerebrovascular response studies in the early stage of a brain lesion.

Keywords

Acetazolamide ischemic cerebral edema water content electrolytes 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bickler PE, Litt L, Banville DL, Severinghaus JW (1988) Effects of acetazolamide on cerebral acid-base balance. J Appl Physiol 65: 422–427PubMedGoogle Scholar
  2. 2.
    Bremer AM, Yamada K, West ChR (1980) Ischemic cerebral edema in primates: effects of acetazolamide, phenytoin, sorbitol, dexamethasone and methylprednisolone on brain water and ectrolytes. Neurosurgery 6 (2): 149–154PubMedCrossRefGoogle Scholar
  3. 3.
    Long DM, Maxwell R, Choi KS (1976) A new therapy regimen for brain edema. Springer, Berlin Heidelberg New York, pp 291–300Google Scholar
  4. 4.
    Ohno K, Ito U, Inaba Y (1984) Regional cerebral blood flow and stroke index after left carotid artery ligation in the conscious gerbil. Brain Res 297: 151–157PubMedCrossRefGoogle Scholar
  5. 5.
    Piepgras A, Schmiedek P, Leinsinger G, Haberl RL, Kirsch CM, Einhäupl KM (1990) A simple test to assess cerebrovascular reserve capacity using transcranial Doppler sonography and acetazolamide. Stroke 21 (9): 1306–1311PubMedCrossRefGoogle Scholar
  6. 6.
    Regli F, Yamaguchi T, Waltz AG (1971) Effects of acetazolamide on cerebral ischemia and infarction after experimental occlusion of middle cerebral artery. Stroke 2: 456–460PubMedCrossRefGoogle Scholar
  7. 7.
    Reulen HJ, Aigner P, Brendel W, et al (1966) Elektrolytveränderungen in tiefer Hypothermie I. Die Wirkung akuter Auskühlung bis 0°C und Wiedererwärmung. Pflugers Arch: 288: 197–219CrossRefGoogle Scholar
  8. 8.
    Sullivan HG, Kingsbury TB, Morgan MS, Jeffoat RD, Allison JD, Goode JJ, McDonnell DE (1987) The rCBF response to diamox in normal subjects and cerebrovascular disease patients. J Neurosurg 647: 525–534Google Scholar
  9. 9.
    Vorstrup S, Eugell HC, Lindewald H, Lassen NA (1984) Hemodynamically significant stenosis of the internal carotid artery treated with endarterectomy. J Neurosurg 60:1070–1075PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • Zbigniew Czernicki
    • 1
  • T. Kuroiwa
    • 2
  • K. Ohno
    • 3
  • S. Endo
    • 4
  • U. Ito
    • 5
  1. 1.Department of Neurosurgery, Medical Research CentrePolish Academy of ScienceWarsawPoland
  2. 2.Medical Research InstituteTokyo Medical and Dental UniversityTokyoJapan
  3. 3.Animal Research CentreTokyo Medical and Dental UniversityTokyoJapan
  4. 4.Department of NeurosurgeryTokyo Medical and Dental UniversityTokyoJapan
  5. 5.Department of NeurosurgeryMusashino Red Cross HospitalTokyoJapan

Personalised recommendations