Comments on the Inert Gas Elimination Method for the Determination of Cerebral Blood Flow

1969 ◽  
pp. 4-7
Author(s):  
B. Ekström-Jodal ◽  
E. Häggendal ◽  
N. J. Nilsson
1990 ◽  
Vol 15 (12) ◽  
pp. 904-907 ◽  
Author(s):  
BELKIS ERBAS ◽  
HAKAN KUMBASAR ◽  
G??NAYDIN ERBENGI ◽  
COSKUN BEKDIK

PEDIATRICS ◽  
1989 ◽  
Vol 84 (3) ◽  
pp. 429-437
Author(s):  
Stephen Ashwal ◽  
Sanford Schneider

The clinical courses of 18 preterm and term infants less than 1 month of age in whom brain death was diagnosed were retrospectively reviewed. Clinical diagnosis was determined neurologically and included (1) coma, (2) apnea, manifested by inability to sustain respiration, and (3) absent brainstem reflexes. Electroencephalograms were performed in all patients; 17 patients had adequate cerebral blood flow as estimated by radionuclide imaging. The results indicate that (1) neurodiagnostic tests such as electroencephalograms and radionuclide scanning reconfirmed clinically determined brain death in only one half to two thirds of patients; (2) electrocerebral silence in the absence of barbiturates, hypothermia, or cerebral malformations during 24 hours was confirmatory of brain death if the clinical findings remained unchanged; (3) absence of radionuclide uptake associated with initial electrocerebral silence was associated with brain death; (4) term infants clinically brain dead for 2 days and preterm infants brain dead for 3 days did not survive despite electroencephalogram or cerebral blood flow status; and (5) phenobarbital levels > 25 µg/ mL may suppress electroencephalographic activity in this age group. The findings suggest that determination of brain death in the newborn can be made solely by using clinical criteria. Confirmatory neurodiagnostic studies are of value because they can potentially shorten the period of observation.


1987 ◽  
Vol 18 (04) ◽  
pp. 218-221 ◽  
Author(s):  
H. Shuto ◽  
A. Yasuhara ◽  
T. Sugimoto ◽  
S. Iwase ◽  
Y. Kobayashi ◽  
...  

1982 ◽  
Vol 10 (3) ◽  
pp. 215
Author(s):  
Bernard H. Holzman ◽  
Richard G. Curless ◽  
George N. Sfakianakis ◽  
Cosimo Ajmone-Marsan ◽  
Jorge E. Montes

1982 ◽  
Vol 2 (2) ◽  
pp. 179-185 ◽  
Author(s):  
James L. Lear ◽  
Robert F. Ackermann ◽  
Motonobu Kameyama ◽  
David E. Kuhl

We investigated [123I]isopropyliodoamphetamine (IMP) for potential use in the autoradiographic determination of local cerebral blood flow (LCBF) in animals. The technique of direct autoradiographic comparison, derived from double radionuclide autoradiography, was used to compare the simultaneous uptakes of IMP and [14C]iodoantipyrine (IAP), a reference tracer, in awake and anesthetized rats. This new technique offers several advantages over the previously developed methods of comparing tracers, brain uptake index and first pass extraction ratio. These include the avoidance of disrupting normal cerebral blood–brain tracer exchange and the ability to compare uptakes at substructural levels, whereas the other methods are limited to larger areas. Mean values of LCBF obtained with IMP agreed closely with those using IAP, from 20 to 300 ml/100 g/min. Because IMP was found to have an extremely high effective brain:blood partition coefficient, approximately 25:1, a linear uptake tracer model could be used for IMP yielding more precise values than could IAP for LCBF values above 150. IMP was found to measure choroid plexus flows much more accurately than IAP, values being greater than 500 for IMP compared to approximately 200 for IAP. Because the mechanism of the extremely high partition coefficient of IMP is not yet defined, however, care must be used in measuring LCBF with IMP where the trapping mechanisms of normal vessels may be disrupted.


1965 ◽  
Vol 7 ◽  
pp. 244b-245
Author(s):  
Hajime NAGAI ◽  
Masahiro FURUSE ◽  
Kazuhiko OKAMURA ◽  
Inezo TODA ◽  
Yoshihiko OKA ◽  
...  

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