Stroke, Vol 17, 692-698, Copyright © 1986 by American Heart Association
S Herold, M Brozovic, J Gibbs, AA Lammertsma, KL Leenders, D Carr, JS Fleming and T Jones
Regional cerebral blood flow, blood volume, fractional oxygen extraction
and oxygen consumption were measured by positron emission tomography in six
patients with sickle cell disease to see how oxygen delivery to the brain
is maintained in the presence of both anemia and a low oxygen affinity
hemoglobin. Both regional cerebral blood flow and blood volume were found
to be markedly increased compared to values obtained from 14 normal
subjects in the same age range. The mean fractional oxygen extraction was
not significantly different in the two groups. Mean oxygen consumption in
the two groups was also not significantly different but low values in
individual patients with sickle cell disease and the presence of atrophy on
the CT-scans of three of them were suggestive of some neuronal loss in
patients without any history of nervous system involvement. In view of the
known high values of cerebral blood flow and metabolism in childhood, it is
suggested that when compounded by anemia and abnormal red cells, a
hypercirculatory state may make patients in this age-group particularly
prone to ischemic infarction.
ARTICLES
Measurement of regional cerebral blood flow, blood volume and oxygen metabolism in patients with sickle cell disease using positron emission tomography
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