Stroke, Vol 19, 1526-1534, Copyright © 1988 by American Heart Association
T Hatakeyama, M Matsumoto, JM Brengman and T Yanagihara
We investigated progression and recovery of neuronal damage during and
after global cerebral ischemia in gerbils after bilateral occlusion of the
common carotid arteries, using the immunohistochemical method (reaction for
tubulin and creatine kinase BB-isoenzyme). The earliest, but reversible,
ischemic lesions occurred after 3 minutes' ischemia in the subiculum-CA1
and CA2 regions of the hippocampus. The lesions became irreversible after 4
minutes' ischemia. The ischemic and postischemic lesions in the cerebral
cortex, thalamus, and caudoputamen were partially or completely reversible
if the ischemic period was 5 minutes, whereas delayed degeneration occurred
in the pyramidal cells of the medial CA1 region after reperfusion for 48
hours (delayed neuronal death). After 10 minutes' ischemia and subsequent
reperfusion, delayed neuronal death extended from the medial to the lateral
CA1 region; the ischemic and postischemic lesions in the cerebral cortex,
thalamus, and caudoputamen also expanded during reperfusion. Our
investigation demonstrates that selective vulnerability existed in global
cerebral ischemia as in incomplete or regional ischemia and suggests that
neurons in many areas of the brain possessed the potential for recovery,
progressive deterioration, and even delayed neuronal death depending on the
severity and duration of cerebral ischemia.
ARTICLES
Immunohistochemical investigation of ischemic and postischemic damage after bilateral carotid occlusion in gerbils
Department of Neurology, Mayo Clinic, Rochester, MN 55905.
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