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Opiate-Antagonist Reversal of Neurological Deficits –Experimental and Clinical Studies–
Authors:Shimpei Namba M. D    Shinichi Nishigaki M. D    Noriaki Fujiwara M. D    Takao Wani M. D    Yoichiro Namba M. D   Tetsuya Masaoka M. D
Affiliation:Department of Neurological Surgery, Okayama University Medical School, Okayama
Abstract:
Abstract: The proximal left M1 and the common trunk of A2 were clipped in 12 adult dogs. Naloxone was injected after placing the clips onto 6 dogs. Neither the systemic blood pressure nor the local cerebral blood flow were influenced by naloxone. In another group of 6 dogs with chronic right hemiplegia, naloxone proved passably effective in improving the hemiplegia. Eight patients with neurological deficits of various etiologies were administered levallorphan. The improvement in motor performance and/or elevation of mental activity was observed more or less in all but 2 of the patients. It was consideredthat the effect of opiate antagonists is based partially on the facilitation of synaptictransmission exaggerated by the arousal response.
Keywords:opiate antagonist    naloxone    levallorphan    arousal response    sensory evoked potential (SEP)
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