Phenytoin suppresses spontaneous ectopic discharge in rat sciatic nerve neuromas.

Abstract:

:Afferent fibers ending in nerve-end neuromas generate spontaneous impulse discharge which has been implicated as a cause of paraesthesias and pain following peripheral nerve injury in man. We now show in rats that the anticonvulsant drug phenytoin (PT), applied systemically or topically onto desheathed neuromas, suppresses the generation of neuroma discharge without blocking impulse conduction. The effect is dose-dependent and reversible upon drug washout. Since PT is known to provide effective pain relief in some kinds of neuralgia, the data suggest that the clinical analgesic action of PT in these conditions may, at least in part, involve a direct suppression of ectopic impulses generated in the region of the nerve damage.

journal_name

Neurosci Lett

journal_title

Neuroscience letters

authors

Yaari Y,Devor M

doi

10.1016/0304-3940(85)90339-8

subject

Has Abstract

pub_date

1985-07-04 00:00:00

pages

117-22

issue

1

eissn

0304-3940

issn

1872-7972

pii

0304-3940(85)90339-8

journal_volume

58

pub_type

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