Glutamate release and neuronal injury after intrathecal injection of local anesthetics.

Abstract:

:High concentrations of local anesthetics are neurotoxic, but the mechanism for this neurotoxicity is obscure. Here, we report increased concentrations of glutamate in the cerebrospinal fluid after intrathecal injections of high concentrations of tetracaine (a local anesthetic). The peak concentrations of glutamate after administration of 1%, 2%, and 4% tetracaine were 4-fold, 6-fold, and 10-fold higher than baseline values, respectively. Animals in the 1% group were all neurologically normal one week after tetracaine injection. In the group receiving 4%, no animal was able to hop and vacuolation of the white matter and/or central chromatolysis of the motor neurons were observed. Because high concentrations of glutamate are known to be neurotoxic, our results may provide some insight into the mechanisms for neurotoxicity of intrathecal local anesthetics.

journal_name

Neuroreport

journal_title

Neuroreport

authors

Ohtake K,Matsumoto M,Wakamatsu H,Kawai K,Nakakimura K,Sakabe T

doi

10.1097/00001756-200004070-00039

subject

Has Abstract

pub_date

2000-04-07 00:00:00

pages

1105-9

issue

5

eissn

0959-4965

issn

1473-558X

journal_volume

11

pub_type

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