Page last updated: 2024-10-22

acetazolamide and Intracranial Aneurysm

acetazolamide has been researched along with Intracranial Aneurysm in 13 studies

Acetazolamide: One of the CARBONIC ANHYDRASE INHIBITORS that is sometimes effective against absence seizures. It is sometimes useful also as an adjunct in the treatment of tonic-clonic, myoclonic, and atonic seizures, particularly in women whose seizures occur or are exacerbated at specific times in the menstrual cycle. However, its usefulness is transient often because of rapid development of tolerance. Its antiepileptic effect may be due to its inhibitory effect on brain carbonic anhydrase, which leads to an increased transneuronal chloride gradient, increased chloride current, and increased inhibition. (From Smith and Reynard, Textbook of Pharmacology, 1991, p337)

Intracranial Aneurysm: Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (

Research Excerpts

ExcerptRelevanceReference
"Cerebral blood flow (CBF) and response to acetazolamide were measured during the acute, subacute, and chronic stages after aneurysmal subarachnoid hemorrhage and correlated with symptomatic vasospasm and clinical outcome in 45 patients who underwent early clipping of ruptured cerebral aneurysms, of whom 18 had symptomatic vasospasm and 27 did not."7.70Cerebral blood flow and the response to acetazolamide during the acute, subacute, and chronic stages of aneurysmal subarachnoid hemorrhage. ( Nakayama, Y; Tanaka, A; Tomonaga, M; Yoshinaga, S, 1998)
"Blood flow velocity (BFV) in the middle cerebral artery at rest and cerebrovascular reserve capacity (CVRC) (percent rise in BFV after acetazolamide stimulation) measured by means of transcranial Doppler sonography were studied many years after aneurysmal subarachnoid hemorrhage in patients with proven cerebral vasospasm (mean BFV > 160 cm/s)."7.69Cerebrovascular reserve capacity many years after vasospasm due to aneurysmal subarachnoid hemorrhage. A transcranial Doppler study with acetazolamide test. ( Ficzere, A; Novak, L; Rozsa, L; Sheth, RN; Szabo, S, 1997)
"Prediction of cerebral infarction due to vasospasm (VS) following aneurysmal subarachnoid haemorrhage (SAH) was investigated using acetazolamide-activated (A-A) N-isopropyl-p-[123I]iodoamphetamine (123I-IMP) single photon emission computed tomography (SPECT) in 79 SAH patients."7.68Prediction of cerebral infarction due to vasospasm following aneurysmal subarachnoid haemorrhage using acetazolamide-activated 123I-IMP SPECT. ( Funakoshi, T; Kimura, T; Shinoda, J, 1993)
"Cerebral blood flow (CBF) and response to acetazolamide were measured during the acute, subacute, and chronic stages after aneurysmal subarachnoid hemorrhage and correlated with symptomatic vasospasm and clinical outcome in 45 patients who underwent early clipping of ruptured cerebral aneurysms, of whom 18 had symptomatic vasospasm and 27 did not."3.70Cerebral blood flow and the response to acetazolamide during the acute, subacute, and chronic stages of aneurysmal subarachnoid hemorrhage. ( Nakayama, Y; Tanaka, A; Tomonaga, M; Yoshinaga, S, 1998)
"Blood flow velocity (BFV) in the middle cerebral artery at rest and cerebrovascular reserve capacity (CVRC) (percent rise in BFV after acetazolamide stimulation) measured by means of transcranial Doppler sonography were studied many years after aneurysmal subarachnoid hemorrhage in patients with proven cerebral vasospasm (mean BFV > 160 cm/s)."3.69Cerebrovascular reserve capacity many years after vasospasm due to aneurysmal subarachnoid hemorrhage. A transcranial Doppler study with acetazolamide test. ( Ficzere, A; Novak, L; Rozsa, L; Sheth, RN; Szabo, S, 1997)
"Prediction of cerebral infarction due to vasospasm (VS) following aneurysmal subarachnoid haemorrhage (SAH) was investigated using acetazolamide-activated (A-A) N-isopropyl-p-[123I]iodoamphetamine (123I-IMP) single photon emission computed tomography (SPECT) in 79 SAH patients."3.68Prediction of cerebral infarction due to vasospasm following aneurysmal subarachnoid haemorrhage using acetazolamide-activated 123I-IMP SPECT. ( Funakoshi, T; Kimura, T; Shinoda, J, 1993)
"Three patients with acute diffuse brain swelling seen on CT showed intracranial non-filling of 123I-IMP on SPECTs performed on Day 6, and all three died by Day 10."1.28Acetazolamide reactivity on cerebral blood flow in patients with subarachnoid haemorrhage. ( Araki, Y; Funakoshi, T; Imao, Y; Kimura, T; Shinoda, J, 1991)
"A review of the most recent 23 cases of benign intracranial hypertension (BIH), admitted to the War Memorial Children's Hospital in London, Ontario, provided a compendium of the clinical manifestations of this disorder in children and adolescents."1.27Spectrum of benign intracranial hypertension in children and adolescents. ( Amacher, AL; Spence, JD, 1985)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19901 (7.69)18.7374
1990's9 (69.23)18.2507
2000's1 (7.69)29.6817
2010's2 (15.38)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Bøthun, ML2
Haaland, ØA2
Logallo, N2
Svendsen, F2
Thomassen, L2
Helland, CA2
Okudaira, Y2
Nakanishi, H1
Arai, H2
Sato, K2
Kimura, T2
Shinoda, J2
Funakoshi, T2
Tran Dinh, YR2
Lot, G3
Benrabah, R1
Baroudy, O1
Cophignon, J2
Seylaz, J1
Yoshida, K1
Nakamura, S1
Watanabe, H1
Kinoshita, K1
Szabo, S1
Sheth, RN1
Novak, L1
Rozsa, L1
Ficzere, A1
Tanaka, A1
Yoshinaga, S1
Nakayama, Y1
Tomonaga, M1
George, B2
Mourier, KL2
Raggueneau, JL1
Boissonnet, H1
Araki, Y1
Imao, Y1
Amacher, AL1
Spence, JD1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
C-arm Cone Beam CTA and CTP With Acetazolamide Challenge in Aneurysmal Subarachnoid Hemorrhage: Evaluating Predictability for Early Ischemia in Cerebral Vasospasm[NCT03377049]Phase 411 participants (Actual)Interventional2019-07-28Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants Who Develop Delayed Cerebral Vasospasm

Clinical neurological deterioration not attributable to other causes, mores specifically not due to re-bleeding, hydrocephalus, or metabolic changes. (NCT03377049)
Timeframe: Day 1-14 during the hospitalization

InterventionParticipants (Count of Participants)
Acetazolamide Challenge2

Percent Change in Left Hemisphere Brain Imaging Maps

Using perfusion map values, relative percent change will be calculated (NCT03377049)
Timeframe: pre and post perfusion during imaging procedure, up to an hour

Interventionpercent change (Mean)
Acetazolamide Challenge19.785

Percent Change in Right Hemisphere Brain Imaging Maps

Using perfusion map values, relative percent change will be calculated (NCT03377049)
Timeframe: pre and post perfusion during imaging procedure, up to an hour

Interventionpercent change (Mean)
Acetazolamide Challenge21.659

Relative Percent Change in Cerebral Blood Flow

The data that will be statistically compared is the pre-diamox perfusion in comparison to the post-diamox perfusion. A statistically significant change increase in CBF represents an appropriate response to Diamox. Lack of change in CBF or decrease in CBF could be suggestive of potential for developing vasospasm. (NCT03377049)
Timeframe: pre and post perfusion during imaging procedure, up to an hour

Interventionpercent change (Mean)
Acetazolamide Challenge20.722

Reviews

1 review available for acetazolamide and Intracranial Aneurysm

ArticleYear
[Value of the measurement of cerebral blood flow before and after diamox injection in predicting clinical vasospasm and final outcome in aneurysmal subarachnoid hemorrhage].
    Neuro-Chirurgie, 1991, Volume: 37, Issue:5

    Topics: Acetazolamide; Cerebrovascular Circulation; Female; Humans; Intracranial Aneurysm; Male; Nimodipine;

1991

Other Studies

12 other studies available for acetazolamide and Intracranial Aneurysm

ArticleYear
Time Course of Cerebrovascular Reactivity in Patients Treated for Unruptured Intracranial Aneurysms: A One-Year Transcranial Doppler and Acetazolamide Follow-Up Study.
    BioMed research international, 2018, Volume: 2018

    Topics: Acetazolamide; Blood Flow Velocity; Female; Follow-Up Studies; Humans; Intracranial Aneurysm; Male;

2018
Cerebrovascular reactivity after treatment of unruptured intracranial aneurysms--A transcranial Doppler sonography and acetazolamide study.
    Journal of the neurological sciences, 2016, Apr-15, Volume: 363

    Topics: Acetazolamide; Adult; Blood Flow Velocity; Cerebrovascular Circulation; Female; Humans; Intracranial

2016
Differences in acetazolamide vasoreactivity in patients with acute and chronic occlusion of the internal carotid artery.
    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2003, Volume: 10, Issue:3

    Topics: Acetazolamide; Carotid Artery, Internal; Carotid Stenosis; Cerebrovascular Circulation; Functional L

2003
Prediction of cerebral infarction due to vasospasm following aneurysmal subarachnoid haemorrhage using acetazolamide-activated 123I-IMP SPECT.
    Acta neurochirurgica, 1993, Volume: 123, Issue:3-4

    Topics: Acetazolamide; Adult; Aged; Aged, 80 and over; Amphetamines; Aneurysm, Ruptured; Brain; Cerebral Inf

1993
Abnormal cerebral vasodilation in aneurysmal subarachnoid hemorrhage: use of serial 133Xe cerebral blood flow measurement plus acetazolamide to assess cerebral vasospasm.
    Journal of neurosurgery, 1993, Volume: 79, Issue:4

    Topics: Acetazolamide; Adult; Cerebral Angiography; Cerebrovascular Circulation; Female; Humans; Intracrania

1993
Cerebral blood flow alteration by acetazolamide during carotid balloon occlusion: parameters reflecting cerebral perfusion pressure in the acetazolamide test.
    Stroke, 1996, Volume: 27, Issue:4

    Topics: Acetazolamide; Blood Pressure; Blood Volume; Brain; Brain Neoplasms; Carotid Artery, Internal; Cathe

1996
Early cerebral blood flow and vascular reactivity to acetazolamide in predicting the outcome after ruptured cerebral aneurysm.
    Acta neurologica Scandinavica. Supplementum, 1996, Volume: 166

    Topics: Acetazolamide; Aneurysm, Ruptured; Blood Flow Velocity; Brain; Brain Ischemia; Glasgow Coma Scale; H

1996
Cerebrovascular reserve capacity many years after vasospasm due to aneurysmal subarachnoid hemorrhage. A transcranial Doppler study with acetazolamide test.
    Stroke, 1997, Volume: 28, Issue:12

    Topics: Acetazolamide; Adolescent; Adult; Blood Flow Velocity; Cerebrovascular Circulation; Female; Follow-U

1997
Cerebral blood flow and the response to acetazolamide during the acute, subacute, and chronic stages of aneurysmal subarachnoid hemorrhage.
    Neurologia medico-chirurgica, 1998, Volume: 38, Issue:10

    Topics: Acetazolamide; Acute Disease; Adult; Aged; Aged, 80 and over; Cerebrovascular Circulation; Chronic D

1998
[Cerebral blood flow in the determination of vasospasm and surgical decision].
    Neuro-Chirurgie, 1992, Volume: 38, Issue:3

    Topics: Acetazolamide; Aneurysm, Ruptured; Cerebrovascular Circulation; Humans; Intracranial Aneurysm; Ische

1992
Acetazolamide reactivity on cerebral blood flow in patients with subarachnoid haemorrhage.
    Acta neurochirurgica, 1991, Volume: 109, Issue:3-4

    Topics: Acetazolamide; Adult; Aged; Aged, 80 and over; Amphetamines; Brain Edema; Cerebrovascular Circulatio

1991
Spectrum of benign intracranial hypertension in children and adolescents.
    Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 1985, Volume: 1, Issue:2

    Topics: Acetazolamide; Adolescent; Anti-Bacterial Agents; Brain Concussion; Cerebrospinal Fluid Shunts; Chil

1985