Effects of magnesium sulfate on pentylenetetrazol-induced status epilepticus

Epilepsia. 1991 Jul-Aug;32(4):543-9. doi: 10.1111/j.1528-1157.1991.tb04690.x.

Abstract

The use of magnesium sulfate (MgSO4) as an anticonvulsant is controversial. Status epilepticus was induced in 0.5% halothane-anesthetized Wistar rats with a threshold (90 mg/kg) or suprathreshold (200 mg/kg) dose of intravenous (i.v.) pentylenetetrazol (PTZ) under stereotactic hippocampal depth electrode monitoring. Fifteen minutes after seizure induction, the maximum hemodynamically tolerated dose of MgSO4 (10 mg/kg/min in 22 min) was administered i.v. MgSO4 was ineffective in altering seizure discharge. A subgroup of nine animals received hypertonic mannitol before MgSO4 to open the blood-brain barrier (BBB) to facilitate Mg2+ CNS penetration. Again MgSO4 was ineffective in attenuating epileptic activity. These results support the contention that MgSO4 is not an effective treatment for status epilepticus. We hypothesize that because Mg2+ blocks Ca2+ influx into the neuron through the N-methyl-D-aspartate (NMDA) receptor-operated calcium channel in a voltage-dependent manner it would be ineffective in neurons that are continuously depolarizing as in status epilepticus.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Blood-Brain Barrier / drug effects
  • Calcium / antagonists & inhibitors
  • Electroencephalography / drug effects
  • Hypertonic Solutions
  • Infusions, Intra-Arterial
  • Infusions, Intravenous
  • Magnesium / pharmacology
  • Magnesium Sulfate / administration & dosage
  • Magnesium Sulfate / therapeutic use*
  • Male
  • Mannitol / administration & dosage
  • Mannitol / pharmacology
  • Pentylenetetrazole* / administration & dosage
  • Rats
  • Rats, Inbred Strains
  • Receptors, N-Methyl-D-Aspartate / drug effects
  • Receptors, N-Methyl-D-Aspartate / physiology
  • Status Epilepticus / chemically induced*
  • Status Epilepticus / drug therapy
  • Status Epilepticus / physiopathology

Substances

  • Hypertonic Solutions
  • Receptors, N-Methyl-D-Aspartate
  • Mannitol
  • Magnesium Sulfate
  • Magnesium
  • Calcium
  • Pentylenetetrazole