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脑水肿中皮质下U形纤维层的保留

Subcortical U-fibers layer preservation in brain edema.

作者信息

Cervós-Navarro J, Lafuente J V, Gutierrez E, Kannuki S

机构信息

Institute of Neuropathology, Free University Berlin, Federal Republik of Germany.

出版信息

Acta Neurochir Suppl (Wien). 1994;60:151-4. doi: 10.1007/978-3-7091-9334-1_40.

Abstract

The mechanism involved in the relative preservation of the subcortical U-fibers in the arcuate zone was studied in a post infarct edema after sagittal superior sinus occlusion. Superior sagittal sinus (SSS) of 36 mongrel cats were occluded by polymer injection. Immediately before the occlusion Evans-blue (EB) was administered intravenously. The cats were killed 1, 2, 3, 6, 12, 24, 72 and 120 hours after sinus occlusion. In 20 cats in which cortical veins were occluded, in addition to the SSS, EB was extravasated. In 9 of these cats, which had moderate edema, EB-staining was present only in the cortex. In 11 cats with severe edema, massive EB extravasation was observed also in the white matter. The U-fiber layer was free of EB, suggesting that the extension of edema was blocked by this zone. Our findings demonstrated that the U-fibers act not only as a resistance against extension of edema from white to gray matter, but also in a reverse direction. The characteristics of the spread of brain edema is not yet completely understood; both anatomical and biochemical peculiarities from its basis. Different morphological patterns in the astrocytic reaction as well as the U-fibers sector vascularization are important. To evaluate the role of each one of these factors in the preservation of subcortical U-fiber layer in brain edema further investigations should be done.

摘要

在矢状窦上矢状窦闭塞后的梗死性水肿中,研究了弓形区域皮质下U形纤维相对保留所涉及的机制。通过聚合物注射闭塞36只杂种猫的上矢状窦(SSS)。在闭塞前立即静脉注射伊文思蓝(EB)。在窦闭塞后1、2、3、6、12、24、72和120小时处死猫。在20只除了SSS还闭塞了皮质静脉的猫中,EB发生了外渗。在其中9只出现中度水肿的猫中,EB染色仅出现在皮质。在11只重度水肿的猫中,在白质中也观察到大量EB外渗。U形纤维层没有EB,这表明水肿的扩展被该区域阻断。我们的研究结果表明,U形纤维不仅起到抵抗水肿从白质向灰质扩展的作用,而且在相反方向上也起作用。脑水肿扩散的特征尚未完全了解;其基础既有解剖学上的也有生物化学上的特殊性。星形细胞反应以及U形纤维区域血管化的不同形态模式很重要。为了评估这些因素中的每一个在脑水肿中皮质下U形纤维层保留中的作用,还需要进一步研究。

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