Pásztor A, Pásztor E
Acta Neurochir (Wien). 1980;52(1-2):85-97. doi: 10.1007/BF01400952.
A spinal vasomotor reflex that resembles the Cushing response (CR) can be evoked also by isolated intraspinal hypertension. The intensity of the spinal vasomotor reflex (SVR) depends primarily on the length of the isolated spinal cord, i.e., on the total vegetative elements that participate in this mechanism. The vasopressor effect produced by isolated intraspinal hypertension may be the consequence of ischaemia of the spinal vegetative structures. Cur data suggest that in the case of increased intracranial pressure, when craniospinal connections are free and there is no impaction, the CR is due not only the vasomotor centre in the brain stem, but also to spinal vegetative structures.
孤立的脊髓内高血压也可诱发一种类似于库欣反应(CR)的脊髓血管运动反射。脊髓血管运动反射(SVR)的强度主要取决于孤立脊髓的长度,即取决于参与该机制的总的自主神经成分。孤立的脊髓内高血压产生的升压效应可能是脊髓自主神经结构缺血的结果。我们目前的数据表明,在颅内压升高的情况下,当颅脊髓连接畅通且不存在压迫时,库欣反应不仅归因于脑干中的血管运动中枢,还归因于脊髓自主神经结构。