Stroke, Vol 17, 37-43, Copyright © 1986 by American Heart Association
PE Coyer, JE Lesnick, JJ Michele and FA Simeone
Acute focal ischemia was created in 10 cats by unilateral retro-orbital
middle cerebral artery (MCA) occlusion. Regional cerebral blood flow (CBF)
was determined utilizing the hydrogen clearance technique from electrode
recordings within the gray matter and white matter of the ectosylvian gyrus
of both hemispheres. The somatosensory evoked potential (SSEP) was obtained
during contralateral median nerve stimulation. When the MCA was clipped the
white and gray matter blood flows in the ipsilateral ectosylvian gyrus were
reduced to 14.8 +/- 19.6% and 19.3 +/- 23.7% of control, and the cortical
component of the SSEP was abolished. In the contralateral hemisphere an
average increase of 3.5% above the control latency and a 10% mean
depression in the amplitude of the cortical component of the SSEP were
observed following occlusion. CBF in the contralateral hemisphere was
unaffected by the MCA clip. Infusion of saline or dextran to lower the
hematocrit by approximately 45% did not significantly improve blood flow or
restore the SSEP in the hemisphere ipsilateral to the MCA clip. However,
significant increases in the contralateral hemisphere gray matter CBF
occurred following hemodilution while the latency of the cortical component
of the SSEP in this same hemisphere was significantly extended. Elevations
in gray and white matter blood flows were achieved in the experimental
hemisphere of 3 of 10 cats suggesting a wide range of variation in the
collateral circulation.
ARTICLES
Failure of the somatosensory evoked potential following middle cerebral artery occlusion and high-grade ischemia in the cat--effects of hemodilution
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