To understand how anoxia so rapidly interrupts brain function, electro
physiological techniques have been used to analyze the effects of brie
f anoxia, mainly on hippocampal pyramidal neurons in brain slices. A p
rominent hyperpolarization and loss of excitability, generated by incr
eased membrane potassium (K) conductance, probably accounts for the ea
rly suppression of electrical activity. Evidence is given that the hei
ghtened K conductance is caused by a rise in free cytosolic Ca2+, much
of it released from a dantrolene sensitive internal store. Judging by
the nonlinear voltage-dependence and susceptibility to block by carba
chol, the K-channels involved may be of the M-type. An early transient
depolarizing effect of anoxia is caused by a sustained inward current
(possibly chloride-mediated), normally largely masked by the outward
K current. Finally, anoxia has two other early effects: it reversibly
suppresses Ca-currents, especially of the high-threshold variety, and
selectively inactivates inhibitory synaptic potentials, owing to a pre
synaptic block of inhibitory transmitter release.