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Titolo:
Possible control of intermittent cerebral ischemia by monitoring of direct-current potentials
Autore:
Sakaki, T; Graf, R; Nozaki, H; Rosner, G; Heiss, WD;
Indirizzi:
Max Planck Inst Neurol Res, D-50931 Cologne, Germany Max Planck Inst Neurol Res Cologne Germany D-50931 0931 Cologne, Germany
Titolo Testata:
JOURNAL OF NEUROSURGERY
fascicolo: 3, volume: 95, anno: 2001,
pagine: 495 - 499
SICI:
0022-3085(200109)95:3<495:PCOICI>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
APPARENT DIFFUSION-COEFFICIENT; FOCAL ISCHEMIA; BLOOD-FLOW; ARTERIAL-OCCLUSION; RAT-BRAIN; REPERFUSION; CORTEX; CATS; DEPOLARIZATION; POTASSIUM;
Keywords:
intermittent ischemia; aneurysm surgery; temporary focal ischemia; direct current potential; extracellular calcium concentration; reperfusion;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Graf, R Max Planck Inst Neurol Res, Gleueler Str 50, D-50931 Cologne, Germany Max Planck Inst Neurol Res Gleueler Str 50 Cologne Germany D-50931
Citazione:
T. Sakaki et al., "Possible control of intermittent cerebral ischemia by monitoring of direct-current potentials", J NEUROSURG, 95(3), 2001, pp. 495-499

Abstract

Object. Neurosurgically induced temporary occlusion of intracranial arteries carries the risk of cerebral ischemic damage. Because negative shifts inthe cortical direct-current (DC) potential indicate tissue depolarization and, thus, critical ischemic stress, the authors hypothesized that recordings of these potentials could help to determine the optimal duration and frequency of induced intermittent focal ischemia to prevent brain injury. The investigators related the results of DC recordings both to simultaneously recorded decreases in extracellular Ca++ concentration ([Ca++](o)), which reflect Ca++ entry into cells, and to histological outcome. Methods. In cats anesthetized with halothane the effects of intermittent brief (10 minutes long, six times [6 x 10-min group]) and prolonged (20 minutes long, three times [3 x 20-min group]) episodes of middle cerebral artery occlusions were compared with those of a single continuous episode (1 x 60-min group). Laser Doppler flow probes and ion-selective microelectrodes were used to measure cerebral blood flow, DC potentials, and [Ca++](o) in cortical tissues of ectosylvian gyri. Negative shifts in DC potential were evaluated in the three groups during the entire 60-minute-long period of ischemia and were smallest in the 6 x 10-min group, larger in the 3 x 20-min group, and largest in the 1 x 60-min group. Accordingly, infarct volumes were smallest in the 6 x 10-min group, intermediate in the 3 x 20-min group, and largest in the 1 x 60-min group. Decreases in ischemic [Ca++](o) were significantly greater in the 1 x 60-min group than in the two groups in which there were repetitive occlusions, and recovery of [Ca++], after reperfusion normalized only in the 1 x 60-min group. Conclusions. The DC potential may provide a reliable measure to optimize intermittent ischemia and to achieve minimal ischemic brain injury during temporary neurosurgical occlusion of cerebral arteries.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 00:04:30