Review Article

The Role of Magnesium in the Management of Cerebral Vasospasm

Table 1

Summary of in vivo animal models of SAH/CVS and magnesium therapy.

Author/dateAnimal typeSAH
model
used
Mg2+  
administration
location
Mg2+  
administration
dose
N
treatment/
placebo
CVS
assessment modality
Major outcome

Mori et al., 2012 [31]CanineDouble
hemorrhage [32]
Intrathecal0.5 mL/kg of 15 mMol MgSO4 7/NAAngiographyBA, VA diameter significantly increased after injection
Mori et al., 2011 [33]CanineDouble
hemorrhage [32]
Intracisternal0.5 mL/kg of 15 mMol MgSO4 7/NAAngiographyBA, VA, and SCA diameter significantly increased. With adequate CSF Mg level
Mori et al., 2009 [34]CanineDouble
hemorrhage [32]
Intracisternal0.5 mL/kg of 15 mMol MgSO4 10/NAAngiographyBA, VA, and SCA diameter significantly increased
Mori et al., 2008 [35]RatDouble
hemorrhage [32]
Intracisternal1.5  L/min for 30 minutes of 10 mMol MgSO48/6Autoradiographic measurement of cerebral blood flowMg2+ group showed improved cerebral blood flow in 12/16 locations
MacDonald et al., 2004 [36]PrimateSingle
hemorrhage [37]
IV−0.086 g/kg bolus
−0.028 g/kg/day
5/5AngiographyNo angiographic evidence of MgSO4 effect on CVS
van den Bergh et al., 2002 [24]RatSheffield
model [38]
IV90 mg/kg MgSO414/19N/APretreatment with MgSO4 reduces the size of SAH-induced ischemic damage
Ram et al., 1991 [39]RatSingle
hemorrhage [37]
Group 1: topical
Group 2: IV
Group 1: 10 mEq/L
Group 2: not stated
Group 1: 30
Group 2: 20
Placebo: 10
Computerized image analysis of basilar arteryGroup 1: BA dilated
to 150% of baseline
Group 2: BA dilated
to 75% of baseline