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(Stroke. 1975;6:664.)
© 1975 American Heart Association, Inc.

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The Effect of a Simulated Subarachnoid Hemorrhage on Cerebral Blood Flow in the Monkey

ALBERT N. MARTINS M.D.¹; THOMAS F. DOYLE B.S.¹; NORWYN NEWBY M.D.¹; ARTHUR I. KOBRINE M.D.¹; ARCHIMEDES RAMIREZ M.D.²

¹ Neurosurgery Service, Walter Reed Army Medical Center, Washington, D.C. 20012
² Neurobiology Division, Armed Forces Radiobiology Research Institute, Bethesda, Maryland 20014

The hydrogen clearance method was used to measure local and total cerebral blood flow (CBF) in the rhesus monkey before and for five hours after a simulated subarachnoid hemorrhage (SAH). CBF remained stable after SAH unless SAH was associated with a fall in cerebral perfusion pressure. In addition, cerebrovascular resistance did not increase after SAH. These results suggest that vasoactive agents in fresh whole blood, and the arterial spasm they produce when added to cerebrospinal fluid (CSF), play only a limited role in the pathogenesis of ischemic encephalopathy that follows an SAH.

Key Words: hydrogen clearance • vasospasm • cerebrovascular resistance • intracranial hypertension