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letter
. 2012 Jan 16;135(4):e211. doi: 10.1093/brain/awr343

Table 1.

Drugs and interventions used to control status epilepticus have anti-inflammatory effects that may result in blood-brain barrier protection/repairing

Therapeutic intervention Classification/Drug class Accepted mechanism of action Anti-inflammatory potency Predicted or demonstrated effects on BBB integrity References
Propofol Anaesthetic
Short-acting hypnotic agent GABA Inhibits NF-κB Protection/repair Jaaskelainen et al., 2003; Sanchez-Conde et al., 2008; Schneemilch et al., 2005
Thiopental Anaesthetic
Short-acting hypnotic agent GABA Inhibits NF-κB Protection/repair Roesslein et al., 2008; Schneemilch et al., 2005
Ketamine Anaesthetic
Dissociating anaesthetic NMDA antagonist Inhibits NF-κB and IL-1β, TNF-α surge Protection/repair Beilin et al., 2007; Welters et al., 2010, 2011;
Magnesium Electrolyte
NMDA blocker NA Restores NMDA receptor blockade after BBB disruption Amtorp and Sorensen, 1974; Heath and Vink, 1998
Vagal nerve stimulator Device
Unknown Nicotinic receptors Ghrelin Protection/repair Cheyuo et al., 2011; Rosas-Ballina and Tracey, 2009; Rosas-Ballina et al., 2011
Ketogenic diet Dietary regimen
Unknown NA Protection/repair Janigro, 1999; Nabbout et al., 2011
Hypothermia Medical management
Unknown Inhibits NF-κB Protection/repair Oztas and Kaya, 1994; Polderman, 2009; Webster et al., 2009
Cortico-steroids Anti-inflammatory agents
Immunodepression Similar to NFκB inhibition Protection/repair Marchi et al., 2009, 2011

BBB = blood–brain barrier; NMDA = N-methyl-d-aspartic acid; Nf-κb = nuclear factor kappa B; IL = interleukin; TNF = tumor necrosis factor; NA = not available.