Uemura K, Goto K, Ishii K, Ito Z, Hen R, Kawakami H
Neuroradiology. 1978;16:228-32. doi: 10.1007/BF00395257.
Sequential changes of regional cerebral circulation and effects of spontaneous recanalization of occluded artery on cerebral circulation were observed in 50 patients with cerebral infarction. 1) Luxury perfusion was predominantly recognized in the recanalized patients within 16 days after onset. 2) Impairment of vasomotor responses was almost the same in the recanalized patients and the occluded patients. 3) CO2 response tended to recover about 3-4 weeks after onset, but disautoregulation to induced hypertension persisted up to 2 months after onset. Some clinical problems are discussed.
观察了50例脑梗死患者局部脑循环的序贯变化以及闭塞动脉自发再通对脑循环的影响。1)再通患者在发病后16天内主要表现为过度灌注。2)再通患者和闭塞患者的血管运动反应损害几乎相同。3)二氧化碳反应在发病后约3 - 4周趋于恢复,但对诱导性高血压的自主调节障碍在发病后持续长达2个月。讨论了一些临床问题。