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Cerebral Blood Flow in Acute Hypertension
Henry B. Dinsdale, MD;
David M. Robertson, MD;
Richard A. Haas, PhD
Arch Neurol. 1974;31(2):80-87.
Abstract
Cerebral blood flow (CBF) was measured in rabbits subject to acute hypertension produced by angiotensin infusion. Hypertension led to cerebral hyperperfusion at the time of maximum systolic blood pressure (MSBP) with hypoperfusion five minutes post-MSBP. Focal cortical areas of greatly decreased flow were found at MSBP and up to 60 minutes post-MSBP. These regions were located primarily in arterial boundary zones, were confined to cortex, and were usually larger than the territory supplied by a single penetrating cortical arteriole. Angiotensin infused into carotid arteries had no direct effect on CBF. Passive vasodilation and intense vasoconstriction may coexist and breakdown of the blood-brain barrier may result from vascoconstriction rather than passive vasodilation. Locations of ischemic lesions in arterial boundary zones remain unexplained but may reflect an unusual degree of reactivity of vessels in those regions.
Author Affiliations
Kingston, Ontario, Canada
From the Division of Neurology, departments of medicine (Dr. Dinsdale) and pathology (Neuropathology) (Drs. Robertson and Haas), Queen's University, Kingston, Ontario, Canada.
Footnotes
Accepted for publication Nov 14, 1974.
Read in part before the 98th annual meeting of the American Neurological Association and the Canadian Congress of Neurological Sciences, Montreal, June 12, 1973.
Reprint requests to Division of Neurology, 82 Barrie St, Kingston, K7L 3J8, Canada (Dr. Dinsdale)
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