Stroke, Vol 20, 1226-1235, Copyright © 1989 by American Heart Association
K Kataoka, T Hayakawa, K Yamada, T Mushiroi, R Kuroda and H Mogami
We studied functional disturbances following left middle cerebral artery
occlusion in rats. Neuronal function was evaluated by [14C]2- deoxyglucose
autoradiography 1 day after occlusion. We analyzed the mechanisms of change
in glucose utilization outside the infarct using Fink-Heimer silver
impregnation, axonal transport of wheat germ
agglutinin-conjugated-horseradish peroxidase, and succinate dehydrogenase
histochemistry. One day after occlusion, glucose utilization was remarkably
reduced in the areas surrounding the infarct. There were many silver grains
indicating degeneration of the synaptic terminals in the cortical areas
surrounding the infarct and the ipsilateral cingulate cortex. Moreover, in
the left thalamus where the left middle cerebral artery supplied no blood,
glucose utilization significantly decreased compared with sham-operated
rats. In the left thalamus, massive silver staining of degenerated synaptic
terminals and decreases in succinate dehydrogenase activity were observed 4
and 5 days after occlusion. The absence of succinate dehydrogenase staining
may reflect early changes in retrograde degeneration of thalamic neurons
after ischemic injury of the thalamocortical pathway. Terminal degeneration
even affected areas remote from the infarct: there were silver grains in
the contralateral hemisphere transcallosally connected to the infarct and
in the ipsilateral substantia nigra. Axonal transport study showed
disruption of the corticospinal tract by subcortical ischemia; the
transcallosal pathways in the cortex surrounding the infarct were
preserved. The relation between neural function and the neuronal network in
the area surrounding the focal cerebral infarct is discussed with regard to
ischemic penumbra and diaschisis.
ARTICLES
Neuronal network disturbance after focal ischemia in rats
Department of Neurosurgery, Osaka University Medical School, Japan.
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