Brain Neurotransmitters in CerebraI Ischemia and StrakeDisturbances of .biogenic amines and other putative neurotransmitters due to disorders of energY-depending synthesis, degradation and transport mechanism have been demonstrated in both experimental cerebraI ischemia and human brain infaretion. Their changes depend on the type, severity and duration of ischemia. Since neurotransmitters have variable effeets on cerebral vasculature, blood-brain barrier, (BBB), cerebraI blood flow and metabolism, their disorders may contribute to the development of postischemic brain damage and the complicating cerebraI edema.During short-term experimental cerebraI ischemia there are only minimal changes in cerebral biogenic amines, but despite improved cerebral energy metabolism significant alterations in catecholamine and indoleamine turnover and in the aetivity of degradating enzymes (MAO, COMT, etc.! occur in the postischemic reperfusion period, suggesting a "maturation phenomenon". Long-term cerebraI ischemia and cerebraI infarction are associated with severe depletion of dopamine, serotonin, with increased levels of their metabolites homovanillic acid and 5-hydroxy-indole acetic acid es weil as of GABA and cyclic AMP in both the necrotic area and the surrounding tissue. These changes are related to increased release, decreased synthesis, degradation and washout, and disorders of vascular amine transport due to reduced activity of related enzymes. Simultaneous increase of the 5-HT precursor tryptophan and its main metabolite kynurenine sUllllest decreased synthesis and turnover of 5-HT. Reduced activity of tyrosine hydroxylase and other degradating enzymes indicate reduced activities of catecholamine and serotonergic neuronal systems in postischemia. There is reduced synaptosomal uptake of DA, 5-HT and GABA with reduction in the number of aminergic receptor binding sites due to irreversible ischemic demage to synaptosomal membranes. Transient opening of the blood-brain barrier and increased amine transport from blood into brain tissue may promote postischemic disorders of microcirculation and edema. Bilateral changes in energy metabolism and decrease in monoamines seen after unilateral focal ischemia (in experimental models and human brain) are caused by remote effects of ischemia ("diaschisis") due to reduced cerebraI blood flow and edema. However, no bilateral effect of ischemia on the number of specific neuronal DA-and 5-HT binding sites and on DA uptake are evident which indicate a certain resistance of synaptosomal membranes towards ischemia.Th_ data and rather normal activity of cerebral tyrosine hydroxylase in metabolie encephalopathies (hepatic and diabetic coma) indicate a preferential oxygen supply to neuronal transmitter systems. Severe and long-Iasting ischemia, cerebral infarction with destruction of neurons and metabolie catastrophes (hepatic comal, however, induce a breakdown of energy-depending systems and are associated with disorders of the BBB. The perifocal edema zone surrounding recent infarction shows ...