Stroke, Vol 22, 80-83, Copyright © 1991 by American Heart Association
RD Bell, GD Frazer, JL Osterholm and SW Duckett
There is no accepted efficacious treatment for ischemic cerebral edema. We
show in a cat model of focal cerebral ischemia that infarct volume can be
reduced (p less than 0.05) by ventriculocisternal perfusion with an
oxygenated fluorochemical emulsion (bis-perfluorobutylethylene). An
accompanying effect of such ventriculocisternal perfusion is a reduction in
intracranial pressure. At 18 hours following the start of the perfusion,
there was a significant (p less than 0.05) difference in intracranial
pressure between nonperfused controls (mean 11.4 [range 2.3-23.0] torr, n =
6) and cats perfused with an oxygenated nutrient solution not containing
fluorochemical (mean 11.3 [range 3.0-29.0] torr, n = 8) or animals perfused
with the oxygenated fluorochemical emulsion (mean 2.21 [range 0-3.5] torr,
n = 7). Perfusion with this oxygenated fluorochemical emulsion warrants
further study as a treatment for elevated intracranial pressure.
ARTICLES
A novel treatment for ischemic intracranial hypertension in cats
Department of Neurology, Thomas Jefferson Medical College, Philadelphia, Pa 19107.
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