Glibenclamide Is Superior to Decompressive Craniectomy in a Rat Model of Malignant Stroke
Author(s) -
J. Marc Simard,
Natalia Tsymbalyuk,
Orest Tsymbalyuk,
Svetlana Ivanova,
Vladimir V. Yurovsky,
Volodymyr Gerzanich
Publication year - 2010
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.109.572644
Subject(s) - medicine , decompressive craniectomy , stroke (engine) , glibenclamide , surgery , anesthesia , traumatic brain injury , diabetes mellitus , psychiatry , mechanical engineering , engineering , endocrinology
Treating patients with malignant cerebral infarctions remains a major unsolved problem in medicine. Decompressive craniectomy (DC) improves the bleak outlook but is suboptimal. Using a rat model of severe ischemia/reperfusion with very high mortality due to malignant cerebral edema, we tested the hypothesis that blocking of sulfonylurea receptor 1-regulated NC(Ca-ATP) channels with glibenclamide would compare favorably to DC when reperfusion and treatment were begun 6 hours after onset of ischemia.
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