Stroke, Vol 18, 210-216, Copyright © 1987 by American Heart Association
S Vibulsresth, WD Dietrich, R Busto and MD Ginsberg
The efficacy of nimodipine in preventing ischemic brain injury was tested
in rats subjected to a 20-minute period of high-grade forebrain ischemia by
4-vessel occlusion. Three minutes after restoration of circulation to the
brain, an intravenous bolus of 5 micrograms/kg nimodipine or an equivalent
amount of vehicle or saline was given, followed by continuous intravenous
infusion of the respective solution at 1 microgram/kg/min for 2 hours. In a
second series, a larger bolus (20 micrograms/kg of nimodipine) and longer
infusion period (6 hours) were employed. Histopathology of the brain was
evaluated blindly 72 hours later and graded on a conventional 3-point
scale. There was no significant effect of treatment in either series. In
the 6-hour series, the percent of cerebral hemispheres showing damage of
Grades 2 or 3 in zone CA1 of the hippocampus and in the striatum,
respectively, was 100 and 40% for the nimodipine-treated rats, 100 and 42%
for rats receiving vehicle, and 75 and 25% for animals receiving saline.
Thus, this study revealed no beneficial effect of nimodipine when given
following a 20- minute period of severe forebrain ischemia.
ARTICLES
Failure of nimodipine to prevent ischemic neuronal damage in rats
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