Indomethacin in the management of elevated intracranial pressure: A review

被引:35
作者
Harrigan, MR
Tuteja, S
Neudeck, BL
机构
[1] UNIV MICHIGAN, MED CTR, DEPT SURG, NEUROSURG SECT, ANN ARBOR, MI 48109 USA
[2] UNIV MICHIGAN, COLL PHARM, ANN ARBOR, MI 48109 USA
关键词
cerebral blood flow; cerebral edema; head injury; indomethacin; intracranial pressure; CEREBRAL BLOOD-FLOW; SEVERE HEAD-INJURY; CARBON-DIOXIDE; PROSTAGLANDIN SYNTHESIS; CEREBROSPINAL-FLUID; CONSCIOUS RABBITS; MILD HYPERTHERMIA; COMATOSE PATIENTS; ARACHIDONIC-ACID; BLEEDING-TIME;
D O I
10.1089/neu.1997.14.637
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Elevated intracranial pressure occurs frequently in patients with severe head injury, A number of studies in recent years suggest that indomethacin may be useful in the management of elevated intracranial pressure, Indomethacin acts primarily by reducing cerebral blood flow and decreasing cerebral edema following head injury. This review summarizes the basic and clinical studies of the effects of indomethacin on cerebral blood flow, brain edema, and intracranial pressure, The pharmacology of indomethacin, and issues for future investigation in the use of indomethacin in severe head injury, are discussed.
引用
收藏
页码:637 / 650
页数:14
相关论文
共 106 条
[1]   REGIONAL AND SPECIES-DIFFERENCES IN ENDOGENOUS PROSTAGLANDIN BIOSYNTHESIS BY BRAIN HOMOGENATES [J].
ABDELHALIM, MS ;
ANGGARD, E .
PROSTAGLANDINS, 1979, 17 (03) :411-418
[2]   CEREBRAL EFFECTS OF EXTENDED HYPERVENTILATION IN UNANESTHETIZED GOATS [J].
ALBRECHT, RF ;
MILETICH, DJ ;
RUTTLE, M .
STROKE, 1987, 18 (03) :649-655
[3]  
ALVAN G, 1975, CLIN PHARMACOL THER, V18, P364
[4]  
AMANO T, 1981, J CEREBRAL BLOOD F S, V1, P403
[5]   PLASMA AND CEREBROSPINAL-FLUID CONCENTRATIONS OF INDOMETHACIN IN HUMANS - RELATIONSHIP TO ANALGESIC ACTIVITY [J].
BANNWARTH, B ;
NETTER, P ;
LAPICQUE, F ;
PERE, P ;
THOMAS, P ;
GAUCHER, A .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1990, 38 (04) :343-346
[6]  
BENEDEK G, 1987, CAN J NEUROL SCI, V14, P145
[7]   PROSTACYCLIN AND THROMBOXANE-A2 FORMATION IS INCREASED IN HUMAN SEPSIS SYNDROME - EFFECTS OF CYCLOOXYGENASE INHIBITION [J].
BERNARD, GR ;
REINES, HD ;
HALUSHKA, PV ;
HIGGINS, SB ;
METZ, CA ;
SWINDELL, BB ;
WRIGHT, PE ;
WATTS, FL ;
VRBANAC, JJ .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1991, 144 (05) :1095-1101
[8]   USE OF INDOMETHACIN IN BRAIN-INJURED PATIENTS WITH CEREBRAL PERFUSION-PRESSURE IMPAIRMENT - PRELIMINARY-REPORT [J].
BIESTRO, AA ;
ALBERTI, RA ;
SOCA, AE ;
CANCELA, M ;
PUPPO, CB ;
BOROVICH, B .
JOURNAL OF NEUROSURGERY, 1995, 83 (04) :627-630
[9]   EFFECTS OF INDOMETHACIN ON REGIONAL BLOOD-FLOW IN CONSCIOUS RABBITS - MICROSPHERE STUDY [J].
BILL, A .
ACTA PHYSIOLOGICA SCANDINAVICA, 1979, 105 (04) :437-442
[10]   ULTRA-EARLY EVALUATION OF REGIONAL CEREBRAL BLOOD-FLOW IN SEVERELY HEAD-INJURED PATIENTS USING XENON-ENHANCED COMPUTERIZED-TOMOGRAPHY [J].
BOUMA, GJ ;
MUIZELAAR, JP ;
STRINGER, WA ;
CHOI, SC ;
FATOUROS, P ;
YOUNG, HF .
JOURNAL OF NEUROSURGERY, 1992, 77 (03) :360-368