This investigation was undertaken to study the early protective effect
s of Iloprost, a stable analogue of prostacyclin, after spinal cord in
jury in rabbit. Sixteen adult male rabbits (New Zealand Albino) were i
njured by application of epidural aneurysm clip. Eight rabbits receive
d an intravenous (i.v.) infusion of 30 mu g kg(-1) iloprost, and eight
rabbits received an infusion of saline (SF). Treatment with iloprost
started immediately after spinal cord injury and continued for one hou
r. Evoked potentials were recorded for each rabbit at one, 15, and 60
minutes after the spinal cord injury. Twenty-four hours later, all the
rabbits were deeply anesthetized and spinal cords were removed for hi
stopathological examinations. There was no meaningful statistical diff
erence between cortical somatosensorial evoked potentials (CSEP) of th
e saline and iloprost group. However, light and electron microscopic s
tudies showed that the iloprost treated group had moderate protection
of myelin and axons; and limited edema. These results suggest that int
ravenous iloprost treatment after spinal cord injury has a highly prot
ective effect without any side effects.