Cortical blood flow changes during spreading depression in cats

1991 ◽  
Vol 261 (1) ◽  
pp. H96-H102 ◽  
Author(s):  
R. D. Piper ◽  
G. A. Lambert ◽  
J. W. Duckworth

Changes in cortical blood flow and cerebrovascular activity occurring during and after cortical spreading depression (CSD) were studied in alpha-chloralose-urethan-anesthetized cats. CSD was induced by superficial cortical pinprick, and laser-Doppler velocimetry (LDV) was used to measure cerebral blood flow (CBFLD). CSD resulted in a wave of cortical hyperemia during which there was a 215 +/- 48% peak increase in cortical blood flow that lasted for 2.7 +/- 0.4 min. This hyperemic phase was followed by prolonged cortical oligemia, with a reduction in flow of 20 +/- 4% at 1 h and 28 +/- 4% at 2 h. After CSD, cerebrovascular reactivity to the inhalation of CO2 was abolished and did not fully recover for at least 10 h. Spontaneous vasomotor activity in the cerebral microcirculation was significantly decreased after CSD, and autoregulation of cortical blood flow in response to hypotension was preserved. The abnormal cerebrovascular reactivity seen after CSD in the gyrencephalic cortex of the cat has possible significance for human migraine with aura.

Neurosurgery ◽  
1978 ◽  
Vol 2 (3) ◽  
pp. 223-229 ◽  
Author(s):  
Philip L. Carter ◽  
William L. White ◽  
James R. Atkinson

Abstract Regional cortical blood flow was monitored at craniotomy in 32 patients with a thermal diffusion flow probe in an attempt to assess the effects of surgical conditions on flow. Changes in flow due to vascular manipulation, retraction, hypotension, and hyperventilation were readily apparent. Eleven patients with supratentorial tumors had intermittent measurements of cerebral blood flow; the expected differences in blood flow with halothane anesthesia and hyperventilation were observed. Fourteen patients with aneurysms were monitored continuously and demonstrated a reduction in flow during hypotension; in two of these cases, the reduction was to disastrously low levels. Flow reduction occurred secondary to branch occlusion by the aneurysm clip in a patient with three middle cerebral artery aneurysms and was corrected by changing the clip position. Direct measurement of regional flow may be of value in estimating the safety of temporary clips and the degree of hypotension that can be tolerated.


Peptides ◽  
1998 ◽  
Vol 19 (2) ◽  
pp. 269-277 ◽  
Author(s):  
J.K.M. Coleman ◽  
L.T. Krebs ◽  
T.A. Hamilton ◽  
B. Ong ◽  
K.A. Lawrence ◽  
...  

1992 ◽  
Vol 117 (3) ◽  
pp. 278-286 ◽  
Author(s):  
P. Lacombe ◽  
R. Sercombe ◽  
J.L. Correze ◽  
V. Springhetti ◽  
J. Seylaz

Cephalalgia ◽  
1985 ◽  
Vol 5 (2_suppl) ◽  
pp. 43-46 ◽  
Author(s):  
Jes Olesen ◽  
Sissel Vorstrup ◽  
Martin Lauritzen

TIA is usually caused by embolism from a carotid stenosis. The stenosis has no hemodynamic significance, but recent studies of regional cerebral blood flow have indicated that this occurs in a few cases. Traditionally, TIA are not considered to cause cerebral damage, but CT-studies have revealed a number of silent infarcts and rCBF measurements have shown even more persistent abnormalities of blood flow. In classic migraine, alterations of rCBF are completely different, indicating a mechanism progressing in the cerebral cortex, probably the spreading depression of Leao. Similar blood flow changes are not seen in common migraine, where tomographic rCBF determinations have been normal.


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