SUMMARY The present study was designed to clarify the relationship of cerebral blood flow (CBF) to blood-brain barrier (BBB) in the ischemic brains with or without recirculation, which were produced by clipping of both common carotid arteries in spontaneously hypertensive rats. CBF was measured by the hydrogen clearance method and BBB function was evaluated by the permeability of I31 I-albumin and Evans blue dye.Cortical CBF was reduced from 48.8 ± 9.5 to 4.0 ± 1.2 ml/100 gm/min during 1 hr ischemia and further to 2.6 ± 0.3 ml/100 gm/min during 3 hrs ischemia, while thalamic CBF was reduced much less from 50.0 ± 3.6 to 17.9 ± 6.5 ml/100 gm/min and to 17.5 ± 11.0 ml/100 gm/min, respectively. There was no increase in permeability to protein tracers observed in such 1 hr or 3 hrs ischemic brain.Both cortical and thalamic CBF were markedly increased 2.5 to 6 fold of resting values at 5 min after recirculation in the 1 hr ischemic brain. In the 3 hrs ischemic brain, however, both CBF were only slightly increased but never restored to the resting level even at 30 min after recirculation. In such reperfused brains, exudation to Evans blue dye was observed in none of 16 animals with 1 hr ischemia, but in 18 of 23 with 3 hrs ischemia. Disruption of BBB was twice more frequent in the cortex (77.8%) than in either thalamus (33.3%) or hippocampus (33.3%). Permeability index of l31 I-albumin (brain albumin/blood albumin) was significantly higher in the ischemic areas stained with blue dye (2.07 ± 0.45%) than in non ischemic control brain (0.10 ± 0.01%).It was concluded that disruption of BBB was not evident until the brain was reperfused after ischemia. The critical level of CBF and its duration to induce postischemic edema were approximately 17 ml/100 gm/ min and 3 hrs, respectively.
Stroke Vol 14, No 6, 1983ISCHEMIC BRAIN EDEMA is a major cause of death in patients with acute cerebral infarction.
1Such edema is primarily due to abnormal accumulation of fluid in and around the ischemic lesions, although its mecha nism is still under discussion. Recent advances in mi crosurgical techniques have generated interest in intra cranial reconstructive surgery. However, surgical treatment of ischemic strokes is both challenging and controversial. One of the reasons for its unsatisfactory outcome is assumed to be the result of widening de struction from the original infarct and of increased edema associated with secondary hemorrhage, known as hemorrhagic infarct, in some cases. There might be a critical period of ischemia which causes rather seri ous edema after restoration of blood flow.
2-4Previously we reported that spontaneously hyper tensive rats (SHR) developed cerebral ischemia by bi lateral occlusion of common carotid arteries.
5-8Bio chemical and morphological studies of the ischemic brains have shown the metabolic derangements such as anaerobic glycolysis and impaired energy metabo lism, 7 and pathological changes quite similar to those in humans. 6 In the present study, we examined changes in permeability to Evans blue dye...