Ba. Svensson et al., INTRATHECAL INJECTION OF LYSINE ACETYLSALICYLIC-ACID IN THE RAT - A NEUROTOXICOLOGICAL STUDY, Acta anaesthesiologica Scandinavica, 37(8), 1993, pp. 799-805
Lysine acetylsalicylic acid has been reported to induce analgesic effe
cts in humans after intrathecal (i.t.) injection. Before conducting fu
rther studies in humans with this drug, it is important to evaluate po
tential toxicological effects on the spinal cord in animals. In the pr
esent study the effects of chronic intrathecal administration of provo
cative doses of lysine acetylsalicylic acid (L-ASA) on the rat spinal
cord were evaluated using light and electron microscopy and a quantita
tive morphometric method. We also investigated the effects of single d
oses of the drug on the spinal cord blood flow (SCBF) using the laser-
Doppler flowmetry technique. No histopathological changes or differenc
es in number or density of neuronal cells could be seen after chronic
administration of L-ASA as compared to controls. The SCBF decreased im
mediately after i.t. injection of a large dose (4 mg) of L-ASA and ret
urned to predrug levels within 10 min. At the end of the experiment me
tabolic acidosis was detected, indicating a systemic effect of acetyls
alicylic acid. It is concluded that no neurotoxic effects on the spina
l cord were seen after chronic i.t. injection of L-ASA. From a neuroto
xicological point of view, our findings do not contraindicate the spin
al use of L-ASA in humans.