Neurotoxicity of general anesthetics: A modern view of the problem

All general anesthetics routinely used in clinical practice are noted to have a neurotoxic effect on the brain in different animal species including primates. The negative effects observed both in young and sexually mature animals include apoptotic neuronal cell death, suppression of neurogenesis an...

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Main Authors: A. M. Ovezov, M. V. Panteleeva, A. V. Knyazev, A. V. Lugovoy, M. N. Borisova
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2016-01-01
Series:Неврология, нейропсихиатрия, психосоматика
Subjects:
Online Access:https://nnp.ima-press.net/nnp/article/view/563
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author A. M. Ovezov
M. V. Panteleeva
A. V. Knyazev
A. V. Lugovoy
M. N. Borisova
author_facet A. M. Ovezov
M. V. Panteleeva
A. V. Knyazev
A. V. Lugovoy
M. N. Borisova
author_sort A. M. Ovezov
collection DOAJ
description All general anesthetics routinely used in clinical practice are noted to have a neurotoxic effect on the brain in different animal species including primates. The negative effects observed both in young and sexually mature animals include apoptotic neuronal cell death, suppression of neurogenesis and gliogenesis, neuroinflammation, as well as learning and memory impairments. A number of epidemiologic surveys have established an association between anesthesia in patients younger than 3 to 4 years and subsequent learning disabilities and language disorders whereas others have not found this link. In middle-aged and elderly patients, anesthesia is frequently associated with the development of postoperative cognitive dysfunction. The key component of its pathogenesis (general anesthesia itself or other factors, such as operative injury, an inflammatory response, pain syndrome, intraoperative complications, underlying disease in a patient) remains unelucidated. It is concluded that there is a need for additional experimental and clinical studies of the pathogenesis of these undesirable phenomena to be prevented and corrected.
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spelling doaj.art-2a2f454ecc4549a3a25458273a5905eb2024-10-17T16:15:22ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422016-01-0174788210.14412/2074-2711-2015-4-78-82523Neurotoxicity of general anesthetics: A modern view of the problemA. M. Ovezov0M. V. Panteleeva1A. V. Knyazev2A. V. Lugovoy3M. N. Borisova4M.F. Vladimirsky Moscow Regional Clinical Research InstituteM.F. Vladimirsky Moscow Regional Clinical Research InstituteM.F. Vladimirsky Moscow Regional Clinical Research InstituteM.F. Vladimirsky Moscow Regional Clinical Research InstituteM.F. Vladimirsky Moscow Regional Clinical Research InstituteAll general anesthetics routinely used in clinical practice are noted to have a neurotoxic effect on the brain in different animal species including primates. The negative effects observed both in young and sexually mature animals include apoptotic neuronal cell death, suppression of neurogenesis and gliogenesis, neuroinflammation, as well as learning and memory impairments. A number of epidemiologic surveys have established an association between anesthesia in patients younger than 3 to 4 years and subsequent learning disabilities and language disorders whereas others have not found this link. In middle-aged and elderly patients, anesthesia is frequently associated with the development of postoperative cognitive dysfunction. The key component of its pathogenesis (general anesthesia itself or other factors, such as operative injury, an inflammatory response, pain syndrome, intraoperative complications, underlying disease in a patient) remains unelucidated. It is concluded that there is a need for additional experimental and clinical studies of the pathogenesis of these undesirable phenomena to be prevented and corrected.https://nnp.ima-press.net/nnp/article/view/563general anesthesianeurodegenerationneurotoxicitycognitive impairmentslearning disabilitieschildhood
spellingShingle A. M. Ovezov
M. V. Panteleeva
A. V. Knyazev
A. V. Lugovoy
M. N. Borisova
Neurotoxicity of general anesthetics: A modern view of the problem
Неврология, нейропсихиатрия, психосоматика
general anesthesia
neurodegeneration
neurotoxicity
cognitive impairments
learning disabilities
childhood
title Neurotoxicity of general anesthetics: A modern view of the problem
title_full Neurotoxicity of general anesthetics: A modern view of the problem
title_fullStr Neurotoxicity of general anesthetics: A modern view of the problem
title_full_unstemmed Neurotoxicity of general anesthetics: A modern view of the problem
title_short Neurotoxicity of general anesthetics: A modern view of the problem
title_sort neurotoxicity of general anesthetics a modern view of the problem
topic general anesthesia
neurodegeneration
neurotoxicity
cognitive impairments
learning disabilities
childhood
url https://nnp.ima-press.net/nnp/article/view/563
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AT mvpanteleeva neurotoxicityofgeneralanestheticsamodernviewoftheproblem
AT avknyazev neurotoxicityofgeneralanestheticsamodernviewoftheproblem
AT avlugovoy neurotoxicityofgeneralanestheticsamodernviewoftheproblem
AT mnborisova neurotoxicityofgeneralanestheticsamodernviewoftheproblem