Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/5646
Title: Neuroprotective effects of preischemia subcutaneous magnesium sulfate in transient cerebral ischemia
Authors: Şirin, Bekir Hayrettin
Coşkun, Erdal
Yılık, Levent
Ortaç, Ragıp
Şirin, Hadiye
Tetik, Cihat
Keywords: Cerebral ischemia
Cerebral protection
Magnesium
Rat
Somatosensory evoked potentials
magnesium sulfate
animal experiment
animal model
animal tissue
article
brain ischemia
controlled study
drug efficacy
evoked somatosensory response
histopathology
neuroprotection
nonhuman
priority journal
rat
reperfusion
subcutaneous drug administration
treatment outcome
Animals
Calcium Channel Blockers
Disease Models, Animal
Evaluation Studies
Evoked Potentials, Somatosensory
Heart Arrest, Induced
Injections, Subcutaneous
Ischemic Attack, Transient
Magnesium Sulfate
Male
Random Allocation
Rats
Rats, Wistar
Time Factors
Abstract: Objective: Neurological injury due to transient cerebral ischemia is a potential complication of cardiovascular surgery. The neuroprotective effect of magnesium, when given subcutaneously before the ischemia, was assessed in a rat model of transient global cerebral ischemia. Methods: Thirty-six male Wistar albino rats were included to this randomized, controlled, prospective study. In 24 animals, ischemia was induced with four-vessel occlusion technique with the duration of 15 min. MgSO4 was given 600 mg/kg subcutaneously 48 h before the procedure in group 1 (n = 12). Similar volume of saline solution was used in animals of control group (group 2, n = 12). The animals in group 3 (sham group, n = 12) were anesthetized and subjected to operative dissections without vascular occlusion. Physiological parameters and somatosensory evoked-potentials (SEP) were monitored in animals before ischemia, during ischemia and in the first 30 min of reperfusion. Their neurological outcome had been clinically evaluated and scored up to 4 days postischemia. The intergroup differences were compared. Then the animals were sacrificed and their brains were processed for histopathological examination. Results: In group 3, SEP amplitudes did not change during the procedures, and all animals recovered without neurologic deficits. At the end of ischemic period, the average amplitude was reduced to 5 ± 3% of the baseline in all ischemic animals. This was followed by a gradual return to 87 ± 10% and 83 ± 8% of the initial amplitude after 30 min of reperfusion in group 1 and group 2, respectively (P > 0.05). The average neurological score was significantly higher in group 1 than in group 2 at 48, 72 and 96 h after the ischemic insult (P < 0.05). Histological observations were clearly correlated with the neurological findings. Conclusion: The results suggest that subcutaneous MgSO4 reduces cerebral injury and preserves neurologic function when given two days before the transient global ischemia in rats.
URI: https://hdl.handle.net/11499/5646
https://doi.org/10.1016/S1010-7940(98)00140-7
ISSN: 1010-7940
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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