Stroke, Vol 20, 930-937, Copyright © 1989 by American Heart Association
HG Bolander, L Persson, L Hillered, R d'Argy, U Ponten and Y Olsson
Changes in regional cerebral blood flow were correlated with the
distribution of histopathologic signs of brain injury in 35 rats after
middle cerebral artery occlusion. Rats were allowed to survive for periods
of up to 4 weeks after the operation, and we focused particular interest on
the time course of blood flow changes from the initial ischemic events to
the late stage of infarction. Regional blood flow was measured using
[14C]iodoantipyrine and a quantitative autoradiographic technique. Blood
flow in regions with histologic signs of infarction (i.e., the lateral
caudoputamen and adjacent neocortex) was below 0.238 ml/g/min,
corresponding to 15% of normal values for those regions. In perifocal
regions without infarction such as the medial caudoputamen and globus
pallidus, cerebral blood flow was also reduced, but it never declined below
20% of its normal value. The decrease in cerebral blood flow was most
marked during the first hours after occlusion. Thereafter, cerebral blood
flow values gradually normalized, and at 4 weeks there were no significant
differences compared with the contralateral side. The border between
cortical regions with hypoperfusion and normal cerebral blood flow was
rather sharp in the coronal plane, but in the sagittal plane there was a
more gradual transitional region. The region with hypoperfusion, observed
in the sagittal plane, was most widespread in the acute stage, and
normalization of flow occurred particularly from anterior and posterior
cortical regions toward the ischemic focus. The possibility for penumbral
conditions in the cortex thus exists, particularly in the anterior and
posterior borders of the infarction, and remains for several hours after
the initial insult.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Regional cerebral blood flow and histopathologic changes after middle cerebral artery occlusion in rats
Department of Neurosurgery, Uppsala University, Sweden.
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