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Updated: May 20, 2026

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
Published on: June 18, 2021
Intracranial drug delivery for subarachnoid hemorrhage
Robert Loch Macdonald1, Ming Leung, Tom Tice
1Division of Neurosurgery, St. Michael's Hospital, Labatt Family Centre of Excellence in Brain Injury & Trauma Research, Department of Surgery, University of Toronto, Toronto, Ontario, Canada. macdonaldlo@smh.ca
Abstract:
Tice and colleagues pioneered site-specific, sustained-release drug delivery to the brain almost 30 years ago. Currently there is one drug approved for use in this manner. Clinical trials in subarachnoid hemorrhage have led to approval of nimodipine for oral and intravenous use, but other drugs, such as clazosentan, hydroxymethylglutaryl CoA reductase inhibitors (statins) and magnesium, have not shown consistent clinical efficacy. We propose that intracranial delivery of drugs such as nimodipine, formulated in sustained-release preparations, are good candidates for improving outcome after subarachnoid hemorrhage because they can be administered to patients that are already undergoing surgery and who have a self-limited condition from which full recovery is possible.
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