Luckl Janos, Zhou Chao, Durduran Turgut, Yodh Arjun G, Greenberg Joel H
Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania 19104-6063, USA.
J Neurosci Res. 2009 Apr;87(5):1219-29. doi: 10.1002/jnr.21933.
Little information exists on the role and the characteristics of perfusion changes related to periinfarct depolarization. Our aim was to visualize and monitor periinfarct flow transients (PIFTs) in Sprague-Dawley rats (n = 10) with two different laser methods in a closed-skull model of filament middle cerebral artery occlusion. A laser Doppler probe was placed over the ischemic cortex 5 mm lateral to Bregma, and a 5 x 5 mm area centered 5 mm posterior and 4 mm lateral to Bregma was thinned for laser speckle imaging. Both neurological and histological evaluations were performed at 72 hr postinjury. Mean flow during 90-min ischemia was 29% of baseline measured by laser Doppler and 36-54% by laser speckle. Flow transients occurred in all rats, the number of PIFTs being 4.6 +/- 1.8/90 min. By both methods, 95.6% of them occurred with temporal correlation. The average duration of PIFTs was also identical (162 +/- 24 and 162 +/- 34 sec, respectively). Five different morphologies of flow transients ranging from hypoperfusive to hyperemic were identified by laser speckle. The PIFTs changed their morphology dynamically over certain regions. All of the animals showed an infarct (178.5 +/- 26 mm(3)) in the middle cerebral artery territory. Laser Doppler in itself can be a reliable method for counting/detecting PIFTs, but laser speckle is capable of monitoring the dynamic changes in PIFT morphology over the penumbral and periischemic cortex.
关于与梗死周围去极化相关的灌注变化的作用和特征,目前所知甚少。我们的目的是在丝线闭塞大脑中动脉的闭颅模型中,用两种不同的激光方法可视化并监测10只Sprague-Dawley大鼠的梗死周围血流瞬变(PIFTs)。将激光多普勒探头置于前囟外侧5mm处的缺血皮层上方,并将以前囟后5mm、外侧4mm为中心的5×5mm区域变薄以进行激光散斑成像。在损伤后72小时进行神经学和组织学评估。90分钟缺血期间的平均血流,通过激光多普勒测量为基线的29%,通过激光散斑测量为36%-54%。所有大鼠均出现血流瞬变,PIFTs的数量为4.6±1.8/90分钟。通过两种方法,其中95.6%的血流瞬变具有时间相关性。PIFTs的平均持续时间也相同(分别为162±24秒和162±34秒)。通过激光散斑识别出从灌注不足到充血的五种不同形态的血流瞬变。PIFTs在某些区域动态改变其形态。所有动物在大脑中动脉区域均出现梗死(178.5±26mm³)。激光多普勒本身可以是一种可靠的计数/检测PIFTs的方法,但激光散斑能够监测半暗带和缺血周围皮层中PIFT形态的动态变化。
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