Stroke, Vol 23, 739-745, Copyright © 1992 by American Heart Association
T Inoue, H Kato, T Araki and K Kogure
BACKGROUND AND PURPOSE: We examined the density and distribution of brain
damage after repeated periods of nonlethal ischemic insult in rats in
comparison with damage after single lethal periods of ischemic insult.
METHODS: Transient cerebral ischemia was induced by four-vessel occlusion
for 3, 10, 20, and 30 minutes, and 3-minute periods of ischemia were
repeated two, three, or five times at 1-hour intervals, followed by 7 days
of survival. RESULTS: Three minutes of ischemia produced no brain damage,
but 10-30 minutes of ischemia produced neuronal damage, depending on the
length of ischemia, to the selectively vulnerable forebrain regions such as
hippocampal CA1 and CA4 subfields, neocortex, striatum, and ventral
thalamus, as well as to the brain stem structures (medial geniculate body,
substantia nigra, and inferior colliculus) and cerebellar Purkinje cells.
Two 3-minute periods of ischemic insult produced neuronal damage to the
hippocampal CA1 subfield. Three and five 3-minute insults produced neuronal
damage extensively to the selectively vulnerable forebrain areas. An
intense cumulative effect of damage was observed in the ventral thalamus,
whereas the substantia nigra and the inferior colliculus were resistant to
repeated ischemic insults. CONCLUSIONS: Our data indicate that the density
and distribution of neuronal damage after repeated ischemic insults are
altered as compared with after single ischemia.
ARTICLES
Emphasized selective vulnerability after repeated nonlethal cerebral ischemic insults in rats
Department of Neurology, Tohoku University School of Medicine, Sendai, Japan.
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