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(Stroke. 1974;5:13.)
© 1974 American Heart Association, Inc.


The Effect of Sympathetic Denervation on Cerebral CO2 Sensitivity

H. L. STONE PH.D.1; M. E. RAICHLE M.D.2; M. HERNANDEZ PH.D.3

1 Marine Biomedical Institute, University of Texas Medical Branch at Galveston, 200 University Boulevard, Galveston, Texas 77550
2 Division of Neurology, Washington University School of Medicine, 510 South Kingshighway, St. Louis, Missouri 63110
3 USAF School of Aerospace Medicine, Brooks Air Force Base, San Antonio, Texas 78235

The responsiveness of cerebral blood flow to changes in arterial carbon dioxide tension was determined in six monkeys following bilateral superior cervical ganglionectomy. Experiments were conducted 10 to 14 days following the removal of both ganglions using phencyclidine hydrochloride as the anesthetic agent. Following the initial acute experiments, the animals were placed in a sealed environmental chamber for five days at an inspired carbon dioxide level of 6%. The responsiveness to carbon dioxide was repeated following the chronic exposure to carbon dioxide. The animal was killed immediately and the brain removed. The major vessels of the circle of Willis were examined histochemically for the presence of sympathetic nerve fibers. The results of the study demonstrated that: (1) autoregulation was still present, (2) acute exposure to increased levels of carbon dioxide increased flow, and (3) some adaptation of flow occurred following a chronic exposure to 6% carbon dioxide. The carbon dioxide sensitivity of this group of animals was found to be 0.37 cm per second mm Hg-1 as compared to a value of 0.94 cm per second mm Hg-1 for normal animals. The difference in these two values was significant. It is concluded that the sympathetic nervous system is necessary for the normal responsiveness to changes in arterial carbon dioxide.


Key Words: superior cervical ganglion • hydrogen ion • autonomic nervous system • chronic carbon dioxide • bicarbonate • cerebrospinal fluid • autoregulation