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Abstract #2922

Preliminary Evidence of Midazolam Effect in Brain Microstructure using Diffusional Kurtosis Imaging

Xingju Nie 1 , Dorothea Rosenberger 2 , Aurelie Ledreux 3 , Ann-Charlotte Granholm 3 , Heather Boger 3 , and Maria Falangola 1,3

1 Radiology and Center for Biomedical Imaging, Medical University of South Carolina, Charleston, South Carolina, United States, 2 Anesthesiology, University of Utah, Utah, United States, 3 Neuroscience, Medical University of South Carolina, Charleston, South Carolina, United States

Benzodiazepines (BZD) are widely prescribed among older adults, often for anxiety, depression and insomnia. Midazolam (MDZ) is the most commonly used BZD premedication for sedation and in the intensive care unit. However, the mechanisms of a possible MDZ neuroprotection or neurotoxicity effects on brain microenvironment are not fully understood. This study investigates if MDZ administration in rodents causes changes in the cerebral microenvironment as defined by diffusional kurtosis imaging (DKI). We detected DK metrics increase reflecting changes in the cerebral microenvironment of the cortex, striatum, thalamus and hippocampus of rats exposed to MDZ, which may be related to mitochondrial abnormalities.

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