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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
Spinal Cord Injury ll: Pathophysiology01:14

Spinal Cord Injury ll: Pathophysiology

Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
Spinal Cord01:26

Spinal Cord

The spinal cord, a critical component of the central nervous system, extends from the base of the brainstem to the lumbar region of the vertebral column. It is essential for maintaining physical stability and facilitating communication between the brain and peripheral parts of the body.
Spinal Cord: Information Processing01:10

Spinal Cord: Information Processing

The spinal cord is an integral hub for motor and sensory information that enables the brain to communicate with the peripheral nervous system (PNS). This communication consists of relaying sensory data and transmission of motor commands.
Sensory Information Processing
Sensory information processing begins at the sensory receptors located in the skin and other tissues, which detect somatic sensory stimuli such as touch, temperature, or pain. These receptors function as catalysts, initiating...

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Related Experiment Video

Updated: Jul 16, 2026

Spinal Cord Neurons Isolation and Culture from Neonatal Mice
07:49

Spinal Cord Neurons Isolation and Culture from Neonatal Mice

Published on: July 11, 2017

[Spinal cord protection and opioids].

Manabu Kakinohana1

  • 1Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa.

Masui. the Japanese Journal of Anesthesiology
|March 21, 2007
PubMed
Summary

Intrathecal morphine after aortic occlusion in rats caused spinal cord injury and ventral neuron degeneration. This highlights risks of morphine-induced paraplegia after thoracic aortic surgery.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Spinal Cord Injury Research

Context:

  • Opioids are used for pain management, but potential neurotoxic effects require investigation.
  • Previous studies indicated opioid-induced brain damage in animals at high doses.
  • Recent findings suggest spinal cord toxicity from intrathecal morphine.

Purpose:

  • To investigate the neurotoxic effects of intrathecal morphine following ischemic injury in a rodent model.
  • To elucidate the mechanisms underlying morphine-induced spinal cord damage.
  • To raise awareness among anesthesiologists regarding potential morphine-induced paraplegia.

Summary:

  • Intrathecal morphine administration after short aortic occlusion in rats induced transient spastic paraparesis.
  • Histopathological analysis revealed IT morphine can cause spinal ventral neuron degeneration, even after brief ischemia.

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Synergetic Use of Neural Precursor Cells and Self-assembling Peptides in Experimental Cervical Spinal Cord Injury
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  • This degeneration is linked to N-methyl-D-aspartate receptor activation due to elevated glutamate release in cerebrospinal fluid.
  • Impact:

    • Highlights a potential risk of morphine-induced paraplegia in patients undergoing thoracic aortic surgery.
    • Emphasizes the need for careful selection of opioid analgesics in this patient population.
    • Informs clinical practice regarding the safe use of opioids in spinal cord injury contexts.