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Cerebral Vasomotor Responsiveness During 100% Oxygen Inhalation in Cerebral Ischemia
Shinji Nakajima, MD;
John Stirling Meyer, MD;
Takahiro Amano, MD;
Terry Shaw, PhD;
Takashi Okabe, MD;
Karl F. Mortel, PhD
Arch Neurol. 1983;40(5):271-276.
Abstract
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Cerebral vasoconstrictor responsiveness to 100% oxygen inhalation was measured in 149 subjects, including normal healthy volunteers and those with risk factors for cerebral arteriosclerosis (N = 87). Test results were compared among patients with hemispheric stroke and vertebrobasilar insufficiency (N = 62) with the 133Xe inhalation method. Normal volunteers without risk factors (N = 49), aged 25 to 86 years, showed symmetrical vasoconstriction. Asymptomatic subjects with risk factors (N = 38) and those with vertebrobasilar insufficiency (N = 25) had decreased hemispheric gray matter flow (Fg) values during rest, but vasoconstrictor responsiveness to 100% oxygen inhalation was not significantly reduced. In patients with acute hemispheric infarction, regional vasoconstrictor responsiveness to 100% oxygen inhalation was lost and/or paradoxically reversed; in patients with chronic hemispheric infarction, it was decreased. Testing vasomotor responses during hyperoxia is safe, clinically helpful, and demonstrates impaired vasomotor reactivity in infarcted regions.
Author Affiliations
From the Cerebrovascular Research Center, Veterans Administration Medical Center, Houston, and the Department of Neurology, Baylor College of Medicine, Houston.
Footnotes
Accepted for publication Aug 3, 1982.
Reprint requests to Cerebrovascular Research Center, Veterans Administration Medical Center, 2002 Holcombe Blvd, Houston, TX 77211 (Dr Meyer).
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