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小脑顶核刺激期间大脑皮质血流的连续监测:激光多普勒血流仪研究

Continuous monitoring of cerebrocortical blood flow during stimulation of the cerebellar fastigial nucleus: a study by laser-Doppler flowmetry.

作者信息

Iadecola C, Reis D J

机构信息

Department of Neurology and Neuroscience, Cornell University Medical College, New York, New York.

出版信息

J Cereb Blood Flow Metab. 1990 Sep;10(5):608-17. doi: 10.1038/jcbfm.1990.112.

Abstract

Laser-Doppler flowmetry was used to continuously monitor cortical CBF during electrical stimulation of the fastigial nucleus (FN). Rats were anesthetized with isoflurane (0.75-5%), paralyzed, and artificially ventilated. The LDF probe was placed over a target region of the parietal cortex through a burr hole. The hypertension associated with FN stimulation was prevented by spinal cord transection at C1 with arterial pressure maintained by i.v. infusion of phenylephrine. After cord transection, CBF changed linearly with changes in arterial pco2 (r = 0.93; n = 23). FN stimulation (50-100 microA, 50 Hz, 1 s on/1 s off) produced sustained increases in CBF that developed slowly, reaching 50% of maximum within 24 +/- 1 s of stimulation (n = 17). After stimulation, CBF returned to baseline gradually within a time period (84-540 s) proportional to the duration of the stimulation (r = 0.93; n = 15). The CBF response was stimulus frequency and intensity dependent, was elicited only from restricted sites in FN, and was abolished by atropine (1 mg/kg, i.v.) or pentobarbital (30 mg/kg, i.v.). The slow temporal profile of the cerebrovasodilation is compatible with the hypothesis that in cerebral cortex local neurons mediate the vasodilation by interstitial release of vasoactive agents rather than by a direct action of neural processes on blood vessels. LDF is an effective technique for monitoring phasic change in CBF and may be useful in studies of the intrinsic neurogenic control of the cerebral circulation.

摘要

在对顶核(FN)进行电刺激期间,采用激光多普勒血流仪连续监测皮质脑血流量(CBF)。用异氟烷(0.75 - 5%)对大鼠进行麻醉、使其瘫痪并进行人工通气。通过钻孔将激光多普勒血流仪探头置于顶叶皮质的目标区域上方。通过在C1水平进行脊髓横断来预防与FN刺激相关的高血压,并用静脉输注去氧肾上腺素维持动脉血压。脊髓横断后,CBF随动脉血二氧化碳分压的变化呈线性变化(r = 0.93;n = 23)。FN刺激(50 - 100微安,50赫兹,开1秒/关1秒)使CBF持续增加,增加过程缓慢,在刺激后24±1秒内达到最大值的50%(n = 17)。刺激后,CBF在与刺激持续时间成比例的时间段(84 - 540秒)内逐渐恢复到基线水平(r = 0.93;n = 15)。CBF反应依赖于刺激频率和强度,仅从FN的特定部位引发,并且可被阿托品(1毫克/千克,静脉注射)或戊巴比妥(30毫克/千克,静脉注射)消除。脑血管舒张的缓慢时间进程与以下假设相符,即在大脑皮质中,局部神经元通过血管活性物质的间质释放而非神经过程对血管的直接作用来介导血管舒张。激光多普勒血流仪是监测CBF相位变化的有效技术,可能有助于研究脑循环的内在神经源性控制。

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