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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 58 (1981), S. 149-160 
    ISSN: 0942-0940
    Keywords: Brain swelling ; mannitol ; perfluorochemicals
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Using the incomplete cerebral hemisphere infarction in dogs, we have been able to produce brain swelling in all animals after six hours of vascular occlusion followed by recirculation of blood. The current study tested the effects of mannitol, perfluorochemicals (FC), and inhalation of oxygen in various combinations on such brain swelling. 1. Mannitol alone, FC alone, and FC together with oxygen were ineffective. Mannitol together with oxygen was to some extent effective in suppressing brain swelling. 2. Mannitol followed by FC was effective in suppressing brain swelling, and this effectiveness was further enhanced by inhalation of oxygen. 3. Noteworthy is the fact that among these experimental groups, there were animals in which brain swelling was severe, yet extravasation of Evans blue was slight and, contrarily, animals in which brain swelling was slight but extravasation severe.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 105 (1990), S. 107-111 
    ISSN: 0942-0940
    Keywords: Cerebral blood flow ; moyamoya disease ; autoregulation CO2 response
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In order to clarify the cerebrovascular response in Moyamoya disease, the autoregulation and CO2 response was investigated using the81mKr continuous cerebral blood flow (CBF) measurement technique. A total of 32 measurements were made over the anterior and posterior circulation in 16 Moyamoya patients (seven adults, nine children). CBF measurements were made during four loading trials (hypertension, hypotension, CO2 inhalation and hyperventilation). Study was then made of the vascular response of the frontal lobe, perfused by the internal carotid artery (ICA), and the occipital lobe and cerebellum, perfused by the vertebral artery (VA). Deficits of autoregulation were more severe among the juvenile cases in response to hypotension than to hypertension in both the ICA and VA regions, but the deficits were mild. The CO2 response to hypercapnea in the juvenile cases tended to be abnormal in both the ICA and VA regions. Both adult and juvenile patients showed deficits in the ICA region in response to hyperventilation, some of whom exhibited paradoxial responses. Notable differences in the severity of the deficits of the vascular response in adult and juvenile cases were seen, with the deficits in the response being more severe among the juvenile cases. Moreover, significant regional differences in the deficits were also found.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 105 (1990), S. 30-34 
    ISSN: 0942-0940
    Keywords: Cerebral blood flow ; moyamoya disease ; internal carotid artery occlusion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A study has been made of the cerebral blood flow (CBF) in moyamoya disease from the perspective of hemispheric cerebral blood flow and regional CBF (rCBF). The material includes 21 children between the ages of 5 and 15 years with moyamoya disease, and 19 adult moyamoya cases-all of which had virtually no neurological symptoms at the time of the study. CBF was measured using the133Xe intravenous injection method. Comparsion was made with the measurements from 16 normal children and 14 normal adults. Study was also made of the relationship between the angiographic stage of the disease and the CBF. With the exception of the more elderly patients, CBF was found to be significantly lower in the moyamoya cases than in normal subjects of the same age group. In all age groups, the distribution of rCBF showed a dominant posterior distribution, dissimilar to the dominant anterior distribution found in the normals. Among the juvenile moyamoya cases, there was a tendency toward decreasing hemispheric blood flow together with advancing disease-as determined angiographically. Moreover, with advancing stages of the disease, there was a continuing transition from the normal pattern of frontal dominance to one of occipital dominance. This dominance of posterior rCBF is thought to be a characteristic feature of moyamoya disease.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 0942-0940
    Keywords: Cerebral infarction ; brain swelling ; mannitol ; glycerol
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Using our previously published “incomplete cerebral hemispheric infarction model in dogs” (produced by simultaneous ipsilateral occlusions of the anterior cerebral artery at the branching of the ethmoidal artery from its A1 portion, the A2 portion, the internal carotid artery, the posterior communicating artery, the posterior cerebral artery, and the anterior cerebellar artery), two, four, or six hours occlusion of blood flow was undertaken. Observations were then made on the degree of brain swelling following recirculation due to administration of mannitol or glycerol solutions. Furthermore, the leakage of Evans blue was investigated to determine the damage to the blood brain barrier. 1. In the animals given mannitol or glycerol, brain swelling was suppressed, following two hours occlusion. In the animals given mannitol, however, brain swelling was not suppressed after four or six hours occlusion. 2. After two hours occlusion in the animals given mannitol, leakage of Evans blue was slight compared with the untreated group. In the six hours occlusion groups, severe leakage of Evans blue was seen in both the untreated animals and the mannitol-treated animals. After two hours occlusion, in some animals which had been given glycerol, severe leakage of Evans blue was seen, even when there was little brain swelling.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 0942-0940
    Keywords: Cerebral ischaemia ; mannitol ; fluorocarbon emulsion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Using the “canine model of complete ischemic brain regulated with a perfusion method” in which it is possible to control the degree of blood flow to a cerebral hemisphere via a perfusion pump, the effects of mannitol (which acts as a free radical scavenger) and fluorcarbon emulsion (FC) (which has 0.1 μm of average particle size and a high oxygen-carrying capacity) on cerebral ischaemia were investigated. After pretreatment with the drugs, blood flow was reduced via the pump to 1/10 the normal state and 1 hour later, return to a normal state allowed. Subsequent changes in electrical activity were observed and the effects of the drugs evaluated. In the control group, no recovery of electrical activity was seen, but in the animals treated with either mannitol or FC, incomplete, yet distinct recovery was apparent. In the animals administered mannitol together with FC, however, marked recovery was evident. These experimental results indicate that the combined administration of mannitol and FC is effective in protecting the brain from cerebral ischaemia.
    Type of Medium: Electronic Resource
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