Stroke, Vol 24, 1729-1734, Copyright © 1993 by American Heart Association
H Parfenova, M Shibata and CW Leffler
BACKGROUND AND PURPOSE: The present study was designed to determine in
newborn animals the delayed effect of subarachnoid blood on pial arteriolar
diameter and eicosanoid concentrations in cortical periarachnoid fluid.
METHODS: Forty-eight to 96 hours after subarachnoid blood installation,
closed cranial windows were implanted over the cerebral area exposed to
blood in anesthetized, artificially ventilated newborn piglets. All pial
arterioles greater than 60 microns in diameter were measured, and cortical
periarachnoid fluid was collected for the determination of eicosanoids.
RESULTS: Subarachnoid blood resulted in a 20% to 30% decrease in the
average diameter of pial arterioles exposed to blood for 48 to 96 hours, a
decreased number of large pial arterioles (greater than 200 microns), and
an increased number of small arterioles (60 to 100 microns). No changes in
dilator prostanoids (prostacyclin [as 6-keto-prostaglandin F1 alpha] and
prostaglandin E2) were detected. Concentrations of vasoconstrictor
prostanoids in cortical cerebrospinal fluid increased. Thromboxane B2
increased to 430 +/- 70 pg/mL, and prostaglandin F2 alpha increased to 1370
+/- 180 pg/mL compared with 250 +/- 20 and 860 +/- 70 pg/mL, respectively,
in the control group. The concentration of peptidoleukotrienes increased to
400 to 600 pg/mL 72 to 96 hours after blood installation, while the level
in the control group was less than 80 pg/mL. CONCLUSIONS: The altered
balance between vasodilator and vasoconstrictor eicosanoids could
contribute to cerebral vasoconstriction after subarachnoid blood
installation in newborn pigs.
ARTICLES
Subarachnoid blood causes pial arteriolar constriction in newborn pigs
Department of Physiology and Biophysics, University of Tennessee, Memphis 38163.
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