Houkin K
Department of Neurosurgery, Hokkaido University, School of Medicine.
Hokkaido Igaku Zasshi. 1990 Nov;65(6):595-603.
Longitudinal study of metabolic change after cerebral infarction was done using nuclear magnetic resonance spectroscopy (MRS). Localized completed infarction model induced by intra-cranial ligation of the middle cerebral artery and extra-cranial ligation of common carotid artery in rats was utilized. In acute study the proton MRS revealed a sharp increase of lactic acid but the phosphorus -31 MRS did not show prominent changes. This increase of lactic acid persists 24 hours after the induction of infarction. In chronic study the spectroscopic pattern of the infarcted brain showed minimum difference from the control normal brain. However the signal intensity of phosphomonoester was significantly higher in the infarcted brain. Our study in acute phase suggests that the proton MRS is a sensitive probe to detect an early metabolic deterioration induced by ischemic insult. And the increase of phosphomonoester in chronic infarcted brain may imply that a gliosis seen in chronic infarction has a metabolic resemblance to neonate brain and neoplasm.
利用核磁共振波谱法(MRS)对脑梗死患者代谢变化进行了纵向研究。采用大鼠大脑中动脉颅内结扎和颈总动脉颅外结扎诱导的局部完全梗死模型。在急性研究中,质子MRS显示乳酸急剧增加,但磷-31 MRS未显示出明显变化。这种乳酸增加在梗死诱导后持续24小时。在慢性研究中,梗死脑的波谱模式与对照正常脑的差异最小。然而,梗死脑中磷酸单酯的信号强度明显更高。我们在急性期的研究表明,质子MRS是检测缺血性损伤引起的早期代谢恶化的敏感探针。慢性梗死脑中磷酸单酯的增加可能意味着慢性梗死中出现的胶质增生在代谢上与新生儿脑和肿瘤相似。