Summary: Following transient ischemia of the brain, the coupling between somatosensory activation and the he modynamic-metabolic response is abolished for a certain period despite the partial recovery of somatosensory evoked responses. To determine whether this disturbance is due to alterations of the stimulus-induced neuronal ex citation or to a breakdown of the coupling mechanisms, cortical spreading depression was used as a metabolic stimulus in rats before and after ischemia. Adult rats were subjected to 30 min of global forebrain ischemia and 3-6 h of recirculation. EEG, cortical direct current (DC) po tential, and laser-Doppler flow were continuously re corded. Local CBF (LCBF), local CMR g lc (LCMR g1 c), regional tissue contents of ATP, glucose, and lactate, and regional pH were determined by quantitative autoradiog raphy, substrate-induced bioluminescence, and fluorom etry. Amplitude and frequency of the DC shifts did not differ between groups. In control animals, spreading de pression induced a 77% rise in cortical glucose consump tion, a 66% rise in lactate content, and a drop in tissue pH of 0.3 unit. ATP and glucose contents were not depleted.If cerebral global ischemia exceeds 10 min, long lasting impairment of neurological function will re sult. In the four-vessel occlusion model in rats that allows long-term survival after an ischemic impact, disturbances of sensorimotor integration and motor performance persist for at least 2 days (Combs and D' Alecy, 1987), although the supply of energy-rich phosphates is replenished within 1 h (Pulsinelli and Duffy, 1983;Naruse et al. , 1984).It has been suggested that despite the early re covery of energy metabolism, impaired neurologi-
564During the passage of DC shifts, transient increases «2 min) in laser-Doppler flow were observed, followed by a post-spreading depression hypoperfusion. A comparable although less expressed pattern of hemodynamic and metabolic changes was observed in the postischemic rats. Although baseline LCMR g lc was depressed after isch emia, it was activated 47% during spreading depression. Lactate increased by 26%, pH decreased by 0.3 unit, and ATP and glucose remained unchanged. The extent of the transient increase in laser-Doppler flow did not differ from that of the control group, and a post-spreading de pression hypoperfusion was also found. The results dem onstrate that the postischemic brain may, although to a lesser degree, cover additional energy demands. The pre viously observed suppression of functional activation af ter ischemia is probably caused by both alterations in afferent synaptic transmission and subsequent neuronal excitation and the diminution of the metabolic response to a local stimulus as observed during spreading depres sion.