Stroke, Vol 21, 790-794, Copyright © 1990 by American Heart Association
H Iizuka, K Sakatani and W Young
Histopathologic changes in the thalamus of 23 rats after somatosensory
cortical infarction produced by middle cerebral artery occlusion were
examined using the Fink-Heimer silver staining method, immunohistochemistry
with antibodies against glial fibrillary acidic protein and laminin, and
conventional stains. Middle cerebral artery occlusion produced cortical
infarcts in the lateral parietal region, with variable involvement of the
frontoparietal parasagittal sensorimotor cortex. Within 3 days after
occlusion, massive terminal degeneration but no neuronal changes were
apparent in the ipsilateral thalamus. By 1 week after occlusion, abnormal
neurons with darkly stained, shrunken nuclei and atrophic perikarya were
present in the ipsilateral thalamic nuclei. These neurons were densely
argyrophilic in Fink-Heimer sections. Rats with small lateral parietal
cortical lesions had degenerating neurons limited to the medial
ventroposteromedial nucleus. Large lesions involving the parasagittal
sensorimotor cortex resulted in widespread neuronal damage in the
ventroposteromedial, ventroposterolateral, intralaminar, and posterior
nuclear regions but nowhere else. Immunoreactivity to laminin antibody
decreased, and astrocytic proliferation was abundant in affected thalamic
areas. These findings are consistent with retrograde neuronal degeneration
due to thalamocortical fiber damage in ischemic cortical regions. Such
lesions remote from the infarct may influence functional recovery in
patients with stroke.
ARTICLES
Neural damage in the rat thalamus after cortical infarcts
Department of Neurosurgery, New York University Medical Center, New York 10016.
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