Oxidative stress produces neurotoxicity and has been associated with disorders of the nervous system. We observed the neuroprotective effects of N-acetylcysteine amide (NACA) against kainic acid (KA)-induced oxidative stress in aging organotypic hippocampal slice cultures (OHSCs). We used 6-8-day-old rats for long-term cultured OHSCs (9 w). Cultured slices were injured by KA (5 µM) treatment for 18 h. OHSCs were treated with NACA dose-dependently in a medium for 24 h after KA treatment. The effects of NACA treatment were observed with propidium iodide (PI) uptake, western blotting, and optical imaging. Neuronal cell death, as assessed by PI uptake, was dose-dependently reduced by NACA treatment. Western blot analysis revealed that the 1 mM NACA-treated group exhibited significantly increased expression of superoxide dismutase compared with the KA-only group. In addition, NACA activated nuclear factor erythroid 2-related factor 2-dependent anti-inflammation signaling, which is well known to affect reactive oxygen species. Optical imaging revealed that NACA treatment reduced the latency and increased amplitude of the optical signals, which shows that synaptic activity and strength are associated with neuronal survival. Therefore, the neurons that survived due to the neuroprotective effects of NACA also showed enhanced functional activity in long-term cultured OHSCs using electrophysiological and biochemical assays.