Sako K, Yura S, Yonemasu Y
Department of Neurosurgery, Asahikawa Medical College, Japan.
No To Shinkei. 1988 Nov;40(11):1051-8.
Wistar rats were used through the experiments. Preparatory operations for the autoradiography and somatosensory evoked potential (SEP) were performed under 1.5% halothane anesthesia. After a control measurement of SEP, the left MCA was occluded with a micro clip. The animals were divided into 2 groups. In the 1st group (n = 8), the clip was removed 1 hour after MCA occlusion and 4 rats were used for the measurement of local cerebral glucose utilization (LCGU) by 14C-DG autoradiography. Another 4 rats were allowed to recover from anesthesia and used for the histopathological examination after 72 hours. In the 2nd group (n = 8), the clip was removed 2 hours after occlusion and the same procedures were performed. SEP was monitored throughout the experiment. Two positive and one negative peaks were recorded before MCA occlusion. SEP diminished immediately after MCA occlusion. Following the removal of the clip, complete recovery of SEP was observed in the 1st group of rats. However, in the 2nd group, recovery of SEP was minimal. In the 1st group, LCGU in the sensorimotor cortex at 30 minutes after reperfusion showed 22% reduction compared to that of the contralateral homologous area. In the 2nd group, in the contrast, 66% reduction of LCGU was observed. Experimental results indicate that SEP and LCGU in the early recovery period of ischemia are able to predict the reversibility of ischemic brain.
实验采用Wistar大鼠。在1.5%氟烷麻醉下进行放射自显影和体感诱发电位(SEP)的准备操作。在对SEP进行对照测量后,用微型夹夹闭左侧大脑中动脉(MCA)。将动物分为两组。在第一组(n = 8)中,MCA夹闭1小时后移除夹子,4只大鼠用于通过14C-DG放射自显影测量局部脑葡萄糖利用(LCGU)。另外4只大鼠从麻醉中恢复,72小时后用于组织病理学检查。在第二组(n = 8)中,夹闭2小时后移除夹子,并进行相同的操作。在整个实验过程中监测SEP。在MCA夹闭前记录到两个正向峰和一个负向峰。MCA夹闭后SEP立即减弱。移除夹子后,在第一组大鼠中观察到SEP完全恢复。然而,在第二组中,SEP的恢复极小。在第一组中,再灌注3分钟后感觉运动皮层的LCGU与对侧同源区域相比降低了22%。相比之下,在第二组中,观察到LCGU降低了66%。实验结果表明,缺血早期恢复期的SEP和LCGU能够预测缺血性脑的可逆性。