On Fri, 31 Jan 2003, Jeffrey Nagelbush went:

> As we were taling about Phineas Gage, a student asked if the doctors used
> alcohol on his brain as they were cleaning it out.  If so, and even if not
> so, what effect would alcohol have on the brain cells they came in contact
> with?

Perhaps not much.  Based on the following study in rats, alcohol
infused directly onto brain cells (well, through the dura mater) does
no detectable damage.

  Phillips SC, Cragg BG, and Singh SC.
  The short-term toxicity of ethanol to neurons in rat cerebral cortex
  tested by topical application in vivo, and a note on a problem in
  estimating ethanol concentrations in tissue.
  Journal of the Neurological Sciences 49(3): 353-361, 1981 Mar.

Abstract
   In rats anesthetized with ethanol 4.0 g/kg i.p. the dura overlying
   the parietal cortex was exposed and superfused with 100% ethanol
   for 1 h. After 6 days survival the underlying cortex was stained
   with a silver method that is selective for degenerating axons and
   their terminals. No degeneration was found in the superfused
   cortex, although heat-lesioned tissue stained concurrently showed
   axonal degeneration and so validated the technique. Electron
   microscopy after 3-20 days survival did not show any degeneration,
   and synapses of normal appearance were present immediately beneath
   the cortical surface. In other rats the ethanol concentration in
   the superfused tissue was assayed in 0.4 mm thick discs sectioned
   with a vibratome from a 4-mm diameter core cut with a trocar from
   the cortex immediately after 1 h of superfusion. The ethanol was
   eluted in 2% TCA, and an aliquot assayed enzymatically. A second
   elution of the tissue disc contributed a further 5% of the ethanol
   content indicating a partition coefficient for ethanol between wet
   brain tissue and 2% TCA of about 10. The total concentration of
   ethanol in the superficial cortex was found to be about 0.82 M or
   3.8%. This estimation was confirmed by superfusion with
   14C-labelled ethanol and scintillation counting. Thus neurons in
   the cerebral cortex did not degenerate after exposure for 1 h to a
   concentration of ethanol that was 3 times greater than the
   concentration that causes death in a rat by paralysis of the
   respiratory centre (1.2%).


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