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  • 1
    ISSN: 1439-0973
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Sechs neurochirurgische Patienten erhielten 2–4 g Cephacetril intravenös in sechsstündlichem Abstand. Serum und Liquorspiegel wurden bestimmt. Bei intakter Blut-Liquorschranke waren keine Cephacetrilkonzentrationen im Liquor nachweisbar. Bei zwei Patienten mit erhöhten Zellzahlen im Liquor wurde Cephacetril in niedrigen Konzentrationen (0,1–0,8 mcg/ml) nachgewiesen. Die Untersuchung zeigt, daß Cephacetril nur bei Entzündungen oder anderen Störungen der Blut-Liquorschranke in den Liquor gelangt. Die Ergebnisse einiger Autoren, die therapeutisch wirksame Liquorkonzentrationen von Cephacetril bei gesunden Patienten fanden, konnten wir nicht bestätigen.
    Notes: Summary Six neurosurgical patients were given 2–4 g cephacetril intravenously at six hourly intervals. Serum and cerebrospinal fluid (CSF) concentrations were determined. Cephacetril activity was not detectable in the CSF when the blood-CSF barrier was intact. In two patients with increased CSF cell counts cephacetril was found in the CSF in low concentrations (0.1–0.8 mcg/ml). Our investigations show that cephacetril does not penetrate into the CSF unless there is an inflammation or other impairment of the blood-CSF barrier. Thus we could not confirm the results of some authors who found cephacetril in therapeutically effective concentrations in the CSF of healthy persons.
    Type of Medium: Electronic Resource
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