Stroke, Vol 17, 30-36, Copyright © 1986 by American Heart Association
RW McPherson, S Zeger and RJ Traystman
The effects of hypoxic hypoxia on cerebral hemodynamics and somatosensory
evoked potential (SEP) were studied in 10 pentobarbital anestheteized dogs.
Cerebral blood flow (CBF) was measured using the venous outflow technique
and cerebral oxygen consumption (CMRO2) was calculated from the
arterio-cerebro-venous oxygen difference times CBF. SEP was evaluated by
percutaneous stimulation of an upper extremity nerve and was recorded over
the contralateral somatosensory cortex. The latencies of the initial
negative wave (N1), second positive wave (P2) and the amplitude of the
primary complex (P1N1) were measured. Animals were breathed sequentially
with oxygen concentrations of 21, 10, 6, 5, and 4.5% for five minutes each.
Animals were returned to room air breathing when the amplitude of the SEP
decreased to less than 20% of control and were observed for 30 minutes
following reoxygenation. Severe hypoxia (4.5% O2) increased CBF to 200% of
control, decreased CMRO2 to 45% of control, decreased amplitude and
increased latency of SEP. Following reoxygenation, as CMRO2 increased
toward control, latency of SEP decreased and amplitude increased and CBF
returned to baseline within 30 min. During hypoxia and reoxygenation, the
latencies of N1 and P2 and the amplitude of P1N1 were correlated with CMRO2
in individual animals. We conclude that changes in SEP amplitude and
latency reflect changes in CMRO2 despite high CBF during rapidly
progressive hypoxic hypoxia and following reoxygenation.
ARTICLES
Relationship of somatosensory evoked potentials and cerebral oxygen consumption during hypoxic hypoxia in dogs
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