Advertisement
Research Article| Volume 20, ISSUE 10, P1109-1116, October 1985

The effect of nonsedating doses of diazepam on regional cerebral blood flow

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Drugs like diazepam induce tranquilization in small doses and sedation in larger quantities. Regional cerebral blood flow (rCBF) was measured before and 5 min after the intravenous administration of nonsedating doses of diazepam or placebo (given on a double-blind basis) to 20 right-handed volunteers. Subjects who received diazepam showed marked right hemispheric rCBF decreases, especially in the frontal lobe, whereas controls did not show significant differences between the two sets of values. None of the subjects became sleepy during the experiment.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Biological Psychiatry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Berglund M.
        • Bliding G.
        • Risberg J.
        Reversibility of cerebral dysfunction in alcoholism during the first seven weeks of abstinence. A regional cerebral blood flow study.
        Acta Psychiatr Scand. 1981; 62: 119-127
        • Blauentstein U.W.
        • Halsey J.H.
        • Wilson E.M.
        • Wills E.L.
        • Risberg J.
        133 Xenon inhalation method. Analysis of reproducibility: Some of its physiological implications.
        Stroke. 1977; 8: 92-102
        • Bridges P.K.
        • Barlett J.W.
        Psychosurgery: Yesterday and today.
        Br J Psychiatry. 1977; 131: 249-260
        • Cotev S.
        • Shalit M.N.
        Effects of diazepam on cerebral blood flow and oxygen uptake after head injury.
        Anesthesiology. 1975; 43: 117-122
        • Forster A.
        • Juge O.
        • Morel D.
        Effects of midazolam on cerebral blood flow in human volunteers.
        Anesthesiology. 1982; 56: 453-455
        • Forster A.
        • Juge O.
        • Morel D.
        Effects of midazolam on cerebral hemodynamics and cerebral vasomotor responsiveness to carbon dioxide.
        J Cereb Blood Flow Metabol. 1983; 3: 246-249
        • Frankenhaeuser M.
        • Myrsten A.
        • Jarpe G.
        Effects of a moderate dose of alcohol on intellectual functions.
        Psychopharmacologia. 1962; 3: 344-351
        • Frumkin L.R.
        • Grim P.
        Is there pharmacological asymmetry in the human brain? An hypothesis for the differential hemispheric action of barbiturates.
        Int J Neuroscience. 1981; 13: 187-197
        • Gottschalk L.A.
        Pharmacokinetics of minor tranquilizers and clinical response.
        in: Lipton M.A. Di Maseio A. Killam K.F. Psychopharmacology: A Generation of Progress. Raven Press, New York1974: 975-985
        • Greenblatt D.J.
        • Shader R.I.
        Benzodiazepines in Clinical Practice.
        in: Raven Press, New York1974: 263-268
        • Harris A.J.
        Harris Test of Lateral Dominance.
        Psychological Corporation, New York1974
        • Ingvar D.H.
        Clinical neurophysiology and cerebral circulation.
        in: Cobb W.A. Van Duijn H. Contemporary Clinical Neurophysiology. Scientific Publishing Company, Amsterdam1978: 71-81
        • Ingvar D.H.
        Hyperfrontal distribution of the cerebral grey matter flow in resting wakefulness; on the functional anatomy of the conscious state.
        Acta Neurol Scand. 1979; 60: 12-25
        • Kelly D.
        Neurosurgical treatment of psychiatric disorders.
        in: Granville-Grossman K. Recent Advances in Clinical Psychiatry. Churchill-Livingstone, London1976
        • Klotz U.
        • Antonin K.H.
        • Bieck P.R.
        Pharmacokinetics and plasma binding of diazepam in man, dog, rabbit, guinea pig and rat.
        J Pharmacol Exp Ther. 1976; 199: 67-73
        • Kullberg G.
        • Risberg J.
        Changes in regional cerebral blood flow following stereotactic psychosurgery.
        Appl Neurophysiol. 1978; 51: 79-85
        • Lader M.
        Anxiety reduction and sedation: Psychophysiological theory.
        Br J Clin Pharmacol. 1979; 7: 995-1055
        • Lishman W.A.
        Organic psychiatry.
        in: The Psychological Consequences of Cerebral Disorder. Blackwell, London1978: 23-24
        • Mallet B.L.
        • Veall N.
        Investigation of cerebral blood flow in hypertension using 133Xenon inhalation and extracranial recording.
        Lancet. 1963; i: 1081-1082
        • Maximilian V.A.
        • Prohovnik I.
        • Risberg J.
        Cerebral hemodynamic response to mental activation in normo- and hypercapnia.
        Stroke. 1980; 11: 342-347
        • Meyer J.S.
        Improved method for noninvasive measurement of regional cerebral blood flow by 133Xenon inhalation. Part II: Measurements in health and disease.
        Stroke. 1978; 9: 205-210
        • Meyer J.S.
        • Ishihara N.
        • deshmukh V.D.
        • Naritomi H.
        • Sakai F.
        • Hsu M.
        • Pollack P.
        Improved method for noninvasive measurement of regional cerebral blood flow by 133 Xenon inhalation. Part I. Description of method and normal values obtained in healthy volunteers.
        Stroke. 1978; 9: 195-205
        • Nauta W.J.H.
        The problem of the frontal lobe: A reinterpretation.
        J Psychiatr Res. 1971; 8: 167-187
        • Nugent M.
        • Artru A.A.
        • Michenfelder J.D.
        Cerebral metabolic, vascular and protective effects of midazolam maleate.
        Anesthesiology. 1982; 56: 172-176
        • Obrist W.D.
        • Thompson H.K.
        • Wang H.S.
        • Wilkinson W.E.
        Regional cerebral blood flow estimated by 133 Xenon inhalation.
        Stroke. 1975; 6: 245-256
        • Prohovnik I.
        • Hakansson K.
        • Risberg J.
        Observations on the functional significance of regional cerebral blood flow in resting normal subjects.
        Neuropsychologia. 1980; 18: 203-216
        • Rao N.S.
        • Ali Z.A.
        • Omar H.M.
        • Halsey J.H.
        Regional cerebral blood flow in acute stroke: Preliminary experiences with the 133 Xenon inhalation method.
        Stroke. 1974; 5: 8-12
        • Rickels K.
        Benzodiazepines: Use and misuse.
        in: Klein D.F. Rabkin J.G. Anxiety: New Research and Changing Concepts. Raven Press, New York1981: 1-24
        • Risberg J.
        The noninvasive measurement of regional cerebral circulation.
        Brain Lang. 1980; 9: 35-46
        • Sakai F.
        • Meyer J.S.
        • Karacan I.
        • Yamaguchi F.
        • Yamamoto M.
        Narcolepsy: Regional cerebral blood flow during sleep and wakefulness.
        Neurology. 1979; 29: 61-67
        • Sakai F.
        • Meyer J.S.
        • Yamagushi F.
        • Yamamoto M.
        • Shaw T.
        133 Xenon inhalation method for measuring cerebral blood flow in conscious baboons.
        Stroke. 1979; 10: 310-318
        • Sakai F.
        • Meyer J.S.
        • Karacan I.
        • Derman S.
        • Yamamoto M.
        Normal human sleep: Regional cerebral hemodynamics.
        Ann Neurol. 1980; 7: 471-478
        • Townsend R.E.
        • Prinz P.N.
        • Obrist W.D.
        Human cerebral blood flow during sleep and waking.
        J Appl Physiol. 1973; 35: 620-625
        • Vernhiet J.
        • Renou A.H.
        • Orgogozo J.M.
        • Constant P.
        • Caille J.M.
        Effects of diazepam-fentanyl mixture on cerebral blood flow and oxygen consumption in man.
        Br J Anaesthesiol. 1978; 50: 165-169