Stroke, Vol 22, 484-488, Copyright © 1991 by American Heart Association
DW Busija and CW Leffler
Cerebral hemorrhagic insults are common in neonates. However, the
consequences of intracranial blood on cerebral hemodynamics are poorly
understood. We examined the effects of perivascular blood on
cerebrovascular dilator responses in 29 piglets. Fresh, autologous blood (n
= 15) or cerebrospinal fluid (n = 14) was placed under the dura mater over
the parietal cortex, and the piglets were allowed to recover from
anesthesia. One to four days later, a closed cranial window was placed over
the parietal cortex and pial arteriolar responses to arterial hypercapnia
(PaCO2 greater than 55 mm Hg), hemorrhagic hypotension (mean arterial blood
pressure less than 35 mm Hg), or topical application of 10(-6) and 10(-4) M
isoproterenol were determined. Pial arterioles in the cerebrospinal fluid
group dilated 27 +/- 4% (mean +/- SEM) (n = 11) in response to hypercapnia,
26 +/- 5% (n = 9) in response to hypotension, and 26 +/- 3% in response to
10(-6) M and 40 +/- 4% in response to 10(-4) M isoproterenol (n = 11). In
the group in which blood was placed on the parietal cortex, pial arterioles
did not dilate significantly in response to hypercapnia (8 +/- 3%, n = 11)
or hypotension (2 +/- 5%, n = 13) but dilated normally in response to
isoproterenol (25 +/- 5% in response to 10(-6) M and 36 +/- 7% in response
to 10(-4) M, n = 13). We conclude that prolonged contact of pial arterioles
with extravascular blood selectively attenuates cerebrovascular dilation in
piglets.
ARTICLES
Selective attenuation by perivascular blood of prostanoid-dependent cerebrovascular dilation in piglets
Department of Physiology and Pharmacology (D.W.B.), Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, N.C. 27103.
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