The authors sought to determine whether amiloride or emopamil could re
duce intracranial pressure in experimental brain edema of the rat. For
this purpose the rats were functionally nephrectomized and brain edem
a of the cytotoxic type induced by infusion of 100 ml aqua bidest/kg b
ody weight. After the end of the infusion 10 or 20 ml 2 mM amiloride/k
g body weight or 50 mu l 1 mM (s)-emopamil/kg body weight in 10 ml 150
mM NaCl/kg body weight or 10 mi isotonic saline/kg body weight were i
njected followed by continued recording of intracranial pressure (ICP)
and systemic arterial pressure for at least 3 hours. The values of th
e ICP for the amiloride and s-emopamil treated animals are significant
ly (p<0.05, Student's t-test for unpaired data) lower at any point aft
er the injection of amiloride or (s)-emopamil. Amiloride and (s)-emopa
mil prevent the rise in ICP seen after the saline injection in the con
trol group.