Nelson S R, Howard R B, Cross R S, Samson F
Anesthesiology. 1980 Apr;52(4):330-4. doi: 10.1097/00000542-198004000-00009.
Ketamine appears to induce both excitatory and depressant actions in the brain; however, it is not clear which regions are affected. The 2-deoxyglucose functional mapping method of Sokoloff et al. was used to determine regional variations in metabolic activity of rat brain caused by injection of ketamine, 25-75 mg, intramuscularly. To compare the effects of ketamine with those of hippocampal-induced seizures, the 2-deoxyglucose method was used, following injection of penicillin G, 400-800 units, into the hippocampus. The findings from five control, seven ketamine-treated, and three penicillin G-treated rats are given. Ketamine caused a significant increase of metabolic activity in the hippocampal sulci and a decrease of activity in the medial geniculate and the inferior colliculus. Similar changes were found with hippocampal seizures caused by penicillin. The inhibition of the regions associated with sensory systems (medial geniculate and inferior colliculus) may account in part for the anesthetic action of ketamine, while the intense activity of the hippocampus may be related to the excitatory manifestations. The results indicate that ketamine produces seizures in the hippocampus, which in turn inhibit auditory and visually associated nuclei. Thus, the anesthesia may follow from the sensory depression and the cataleptic phenomena may be related to the hippocampal excitation.
氯胺酮似乎能在大脑中引发兴奋和抑制作用;然而,尚不清楚哪些脑区会受到影响。采用了索科洛夫等人的2-脱氧葡萄糖功能映射方法,来确定肌肉注射25 - 75毫克氯胺酮引起的大鼠脑代谢活动的区域差异。为了比较氯胺酮与海马体诱发癫痫的影响,在向海马体注射400 - 800单位青霉素G后,使用了2-脱氧葡萄糖方法。给出了来自五只对照大鼠、七只氯胺酮处理大鼠和三只青霉素G处理大鼠的研究结果。氯胺酮导致海马沟的代谢活动显著增加,而内侧膝状体和下丘的活动减少。青霉素引起的海马体癫痫发作也发现了类似变化。与感觉系统相关区域(内侧膝状体和下丘)的抑制可能部分解释了氯胺酮的麻醉作用,而海马体的强烈活动可能与兴奋表现有关。结果表明,氯胺酮在海马体中引发癫痫发作,进而抑制与听觉和视觉相关的核团。因此,麻醉可能源于感觉抑制,而僵住现象可能与海马体兴奋有关。