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Posttraumatic Brain Edema: Effects of the Novel Cl- Transport Blocker Torasemide and the Inositol Triphosphate Analogue PP56

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Part of the book series: Advances in Neurosurgery ((NEURO,volume 22))

Abstract

Brain edema leading to intracranial hypertension is of major concern in cerebral disorders, such as head injury, stroke and brain tumors. Although cerebral tissue water content can be lowered by hypertonic solutions, for example, by mannitol, hypertonic saline, and glycerol, the treatment does not prevent further formation of edema. Methods of treatment may be more beneficial which also ameliorate breakdown of the blood-brain barrier and extravasation of edema fluid. This might be accomplished by inhibition of the formation or release, respectively, of mediator compounds which enhance development and persistence of brain edema.

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References

  1. Abel PW, Han C, Now BD, McDonald JK (1988) Neuropeptide Y: vasoconstrictor effects and possible role in cerebral vasospasm after experimental subarachnoid hemorrhage. Brain Res 463:250–258

    Article  PubMed  CAS  Google Scholar 

  2. Adrian TE, Allen JM, Bloom SR, Ghatewi MA, Rossor MN, Roberts GW, Croe TJ, Tatemoto K, Polak JM (1983) Neuropeptide Y distribution in the human brain. Nature 306:584–586

    Article  PubMed  CAS  Google Scholar 

  3. Albright AL, Latchaw RE, Robinson AG (1984) Intracranial and systemic effects of osmotic and oncotic therapy in experimental cerebral edema. J Neurosurg 60:481–489

    Article  PubMed  CAS  Google Scholar 

  4. Allen JM, Todd N, Crockard HA, Schon F, Yeats JC, Bloom SR (1984) Presence of neuropeptide Y in human circle of Willis and its possible role in cerebral vasospasm. Lancet 2:550–552

    Article  PubMed  CAS  Google Scholar 

  5. Authi KS, Gustafsson T, Crawford N (1989) The effects of inositol-1,2,6-triphosphate (PP56) on the calcium sequestration properties of human platelets. Thromb Haemost 62:250–256

    Google Scholar 

  6. Claxson A, Morris C, Blake D, Sirén M, Halliwell B, Gustafsson T, Löfkvist B, Bergelin I (1990) The anti-inflammatory effects of D-myo-inositol-1,2,6-triphosphate (PP56) on animal models of inflammation. Agents Actions 29:68–70

    Article  PubMed  CAS  Google Scholar 

  7. Edvinsson L, Adamsson M, Jansen I (1990) Neuropeptide Y antagonistic properties of D-myo-inositol-1,2,6-trisphosphate in guinea pig basilar arteries. Neuropeptides 17:99–105

    Article  PubMed  CAS  Google Scholar 

  8. Javaheri S (1991) Role of NaCl cotransport in cerebrospinal fluid production: effect of loop diuretics. J Appl Physiol 71:795–800

    PubMed  CAS  Google Scholar 

  9. Mcintosh TK, Ferriero D (1992) Changes in neuropeptide Y after experimental traumatic brain injury in the rat. J Cereb Blood Flow Metab 12:697–702

    Article  PubMed  CAS  Google Scholar 

  10. Plangger C (1992) Effect of torasemide on intracranial pressure, mean systemic arterial pressure and cerebral perfusion pressure in experimental brain edema of the rat. Acta Neurol Scand 86:252–255

    Article  PubMed  CAS  Google Scholar 

  11. Pluta RM, Deka-Staarosta A, Zauner A, Morgan JK, Muraszko KM, Oldfield EH (1992) Neuropeptide Y in the primate model of subarachnoid hermorrhage. J Neurosorg 77:417–423

    Article  CAS  Google Scholar 

  12. Roberts PA, Pollay M, Engles C, Pendleton B, Reynolds E, Stevens FA (1978) Effects on intracranial pressure of furosemide combined with varying doses and admininstration rates of mannitol. J Neurosurg 66:440–446

    Google Scholar 

  13. Schettini A, Stahurski B, Young HF (1982) Osmotic and oncotic loop diuresis in brain surgery. J Neurosurg 56:679–684

    Article  PubMed  CAS  Google Scholar 

  14. Staub F, Peters J, Kempski O, Schneider GH, Schürer L, Baethmann A (1993) Swelling of glial cells in lactacidosis and by glutamate: significance of Cl--transport. Brain Res 610:69–74

    Article  PubMed  CAS  Google Scholar 

  15. Wittner M, Di Stefano A, Schlatter E, Delarge J, Greger R (1986) Torasemide inhibits NaCl reabsorption in the thick ascending limb of the loop of Henle. Pflugers Arch 407:611–614

    Article  PubMed  CAS  Google Scholar 

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© 1994 Springer-Verlag Berlin Heidelberg

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Stoffel, M., Berger, S., Staub, F., Eriskat, J., Baethmann, A. (1994). Posttraumatic Brain Edema: Effects of the Novel Cl- Transport Blocker Torasemide and the Inositol Triphosphate Analogue PP56. In: Bauer, B.L., Brock, M., Klinger, M. (eds) Cerebellar Infarct. Midline Tumors. Minimally Invasive Endoscopic Neurosurgery (MIEN). Advances in Neurosurgery, vol 22. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78801-7_29

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  • DOI: https://doi.org/10.1007/978-3-642-78801-7_29

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-57668-6

  • Online ISBN: 978-3-642-78801-7

  • eBook Packages: Springer Book Archive

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