Red cerebral veins and the cerebral steal syndrome

Feindel, William; Yamamoto, Y. Lucas; Hodge, Charles P.

doi:10.3171/jns.1971.35.2.0167

Cited by 101 publications

(17 citation statements)

References 35 publications

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“…3 Certain labels were attributed to these situations such as preoperative "steal" and postoperative "breakthrough" in the case of edema formation or hemorrhage. 1,4 A theory was formulated in 1978 derived from clinical observations and animal experiments (Normal Perfusion Pressure Breakthrough Theory, NPPB). 4 It was postulated that AVMs cause a reduction of cerebral perfusion pressure (CPP), which induces a maximum reduction of cerebrovascular resistance (CVR) in the surrounding brain tissue to the point where ischemia occurs and cerebral pressure autoregulation is lost.…”

mentioning

confidence: 99%

Distributions of Local Oxygen Saturation and Its Response to Changes of Mean Arterial Blood Pressure in the Cerebral Cortex Adjacent to Arteriovenous Malformations

Meyer

Schaller

Frenkel

et al. 1999

Stroke

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Background and Purpose-To test the hypothesis that neither "steal" as cortical ischemia caused by reduced perfusion pressure nor "breakthrough" on the grounds of loss of pressure autoregulation exist in brain tissue surrounding arteriovenous malformations (AVMs), we established patterns of cortical oxygen saturation (SO 2 ) adjacent to AVMs and its behavior after alterations of mean arterial blood pressure. Methods-With a microspectrophotometer, SO 2 was scanned in the cortex around AVMs of 44 patients before and after resection and in that of a non-AVM group (nϭ42) before transsylvian dissection. Autoregulation was evaluated by linear regression analysis after elevation of mean arterial blood pressure (5 g/min IV noradrenaline

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mentioning

confidence: 99%

Distributions of Local Oxygen Saturation and Its Response to Changes of Mean Arterial Blood Pressure in the Cerebral Cortex Adjacent to Arteriovenous Malformations

Meyer

Schaller

Frenkel

et al. 1999

Stroke

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“…[592] In the field of neurosurgery, fluorescein has been used in cerebral angiography to detect arteriovenous malformations,[26] superficial temporal artery-middle cerebral artery anastomoses,[60] and to aid in treating cerebral aneurysms. [122]…”

Section: Fluorescein Sodiummentioning

confidence: 99%

Neurosurgical confocal endomicroscopy: A review of contrast agents, confocal systems, and future imaging modalities

et al. 2014

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Background:The clinical application of fluorescent contrast agents (fluorescein, indocyanine green, and aminolevulinic acid) with intraoperative microscopy has led to advances in intraoperative brain tumor imaging. Their properties, mechanism of action, history of use, and safety are analyzed in this report along with a review of current laser scanning confocal endomicroscopy systems. Additional imaging modalities with potential neurosurgical utility are also analyzed.Methods:A comprehensive literature search was performed utilizing PubMed and key words: In vivo confocal microscopy, confocal endomicroscopy, fluorescence imaging, in vivo diagnostics/neoplasm, in vivo molecular imaging, and optical imaging. Articles were reviewed that discussed clinically available fluorophores in neurosurgery, confocal endomicroscopy instrumentation, confocal microscopy systems, and intraoperative cancer diagnostics.Results:Current clinically available fluorescent contrast agents have specific properties that provide microscopic delineation of tumors when imaged with laser scanning confocal endomicroscopes. Other imaging modalities such as coherent anti-Stokes Raman scattering (CARS) microscopy, confocal reflectance microscopy, fluorescent lifetime imaging (FLIM), two-photon microscopy, and second harmonic generation may also have potential in neurosurgical applications.Conclusion:In addition to guiding tumor resection, intraoperative fluorescence and microscopy have the potential to facilitate tumor identification and complement frozen section analysis during surgery by providing real-time histological assessment. Further research, including clinical trials, is necessary to test the efficacy of fluorescent contrast agents and optical imaging instrumentation in order to establish their role in neurosurgery.

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“…The mean hemispheric blood flow rate increased from 41.0 ± 5. 3 min at a Paco, of 32 mm Hg. Postoperatively, the intrahemispheric steal phenom¬ enon was no longer demonstrable.…”

Section: Report Of Casesmentioning

confidence: 99%

Symptomatic Intracranial Steal

Hachinski¹,

Norris²,

Cooper³

et al. 1977

Archives of Neurology

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The phenomenon of shunting of blood in association with various intracranial lesions is well known; however, usually clinical symptoms are attributable to the lesion and not to the redistribution of regional cerebral blood flow (rCBF). We report three patients investigated by angiography and rCBF studies in whom symptoms appeared to be due to a hemodynamic steal within one cerebral hemisphere, between hemispheres, and from the brain into a tumor, respectively.

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Red cerebral veins and the cerebral steal syndrome

Cited by 101 publications

References 35 publications

Distributions of Local Oxygen Saturation and Its Response to Changes of Mean Arterial Blood Pressure in the Cerebral Cortex Adjacent to Arteriovenous Malformations

Distributions of Local Oxygen Saturation and Its Response to Changes of Mean Arterial Blood Pressure in the Cerebral Cortex Adjacent to Arteriovenous Malformations

Neurosurgical confocal endomicroscopy: A review of contrast agents, confocal systems, and future imaging modalities

Symptomatic Intracranial Steal

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