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Long-term intraventricular baclofen infusion in beagles
1Department of Neurosurgery, University of Wisconsin Medical Center, Madison, Wisconsin 53792, USA. l.albright@neurosurg.wisc.edu
Journal of Neurosurgery
|October 9, 2007
Summary
Long-term intraventricular baclofen (IVB) infusion in dogs showed dose-related toxicity. Clinically tolerated dosages (≤135 µg/day) for 3 months were safe, with no adverse effects observed.
Area of Science:
- Neuroscience
- Pharmacology
- Veterinary Medicine
Background:
- Intraventricular baclofen infusion is a potential therapeutic strategy.
- Understanding the long-term safety profile is crucial for clinical application.
Purpose of the Study:
- To evaluate the clinical and histopathological effects of 3-month intraventricular baclofen infusion in beagle dogs.
- To determine the dose-limiting toxicity of intraventricular baclofen in a preclinical model.
Main Methods:
- Stereotactic catheter placement into lateral ventricles of beagle dogs.
- Continuous infusion of saline (control) or intraventricular baclofen (IVB) via implanted pumps.
- Dosages of IVB ranged from 100 to 1000 µg/day over a 3-month period.
Main Results:
- No adverse effects were observed with IVB infusion at 135 µg/day or less for 3 months.
- Dosages of 150 µg/day led to seizures and adverse effects, which resolved upon dose reduction.
- Higher IVB dosages (250-1000 µg/day) resulted in lethal toxicity within 4 days.
- Histopathology revealed no significant changes at tolerated IVB dosages.
Conclusions:
- Intraventricular baclofen exhibits dose-dependent toxicity in beagles.
- Clinically relevant dosages (≤135 µg/day) of IVB were well-tolerated over 3 months without clinical or neurological toxicity.
- This study establishes a safe dosage range for long-term IVB infusion in preclinical settings.
