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. 2022 Jul 28;14(7):e27389. doi: 10.7759/cureus.27389

Table 1. Studies on the use of ketamine in different neurological disorders.

CPP: cerebral perfusion pressure; CSD: cortical spreading depolarization; DCI: delayed cerebral ischemia; ICP: intracranial pressure; MAP: mean arterial pressure; NMDA: N-methyl D-aspartate; RCT: randomized controlled trial; RSE: refractory status epilepticus; SAH: subarachnoid hemorrhage; SRSE: super-refractory status epilepticus; TBI: traumatic brain injury

Study Design Number of patients Target Ketamine dose Results
Migraine
Nicolodi and Sicuteri, 1995 [29] RCT 17 Acute 0.08 mg/kg Marked relief
Etchison et al., 2018 [30] RCT 34 Acute 0.2 mg/kg No difference
Pomeroy et al., 2016 [31] Retrospective study 88 Refractory chronic migraine 0.1 mg/kg/h, max. 1 mg/kg/h Short-term relief in 71% of subjects
Afridi et al., 2013 [34] RCT 18 Migraine w/aura 25 mg intranasal Reduced severity of aura compared to midazolam
Status epilepticus
Gaspard et al., 2013 [37] Retrospective study 58 RSE Max. 10 mg/kg/h 57% efficacy, safe agent
Rosati et al., 2018 [38] Systemic review 238 RSE 0.07–15 mg/kg/h 70% efficacy
Alkhachroum et al., 2020 [39] Retrospective study 68 SRSE 2.2 ± 1.8 mg/kg/h Decreased seizure burden in 81%, complete cessation in 63%
Traumatic brain injury
Gregers et al., 2020 [41] Systemic review 334 TBI 0.3–6 mg/kg/h No adverse effect of ICP, no effect on CPP/MAP, reduction in CSD
Subarachnoid hemorrhage
Von der Brelie et al., 2017 [43] Retrospective study 65 SAH Max. 500 mg/h Decreased incidence of DCI (7.3% vs. 25%)
Anti-NMDA receptor encephalitis
MacMohan et al., 2013 [45] Case report 1 Dyskinesia 20 mg/h Improved dyskinesia in encephalitis
Santoro et al., 2019 [46] Case report 3 Status epilepticus 40–50 mg load, 3 mg/kg/h infusion Complete cessation of seizures