Thresholds in cerebral ischemia - the ischemic penumbra.
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چکیده
منابع مشابه
Thresholds in cerebral ischemia - the ischemic penumbra.
COMPLETE ARREST of the cerebral circulation leads within seconds to cessation of neuronal electrical activity and within a few minutes to deterioration of the energy state and ion homeostasis. Depletion of high energy phosphates, membrane ion pump failure, efflux of cellular potassium, influx of sodium, chloride and water, and membrane depolarization occur swiftly. If such chaos persists for lo...
متن کاملThe cerebral ischemic penumbra.
When neuronal activity is suppressed by ischemia of sufficient severity, maintained for a long enough period of time, permanent clinical deficit can be accompanied by radiographic signs of cerebral infarction and histological evidence of ischemic damage. Recent work suggests that this is not an all-ornone event. Between the most densely ischemic region and the more normally perfused brain, an i...
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Background: Pentoxifylline (PTX) is used in human for intermittent claudication and cerebral vascular disorders including cerebrovascular dementia. It also inhibits the synthesis of tumor necrosis factor-α (TNF-α), which is believed to be neurotoxic in animal models of cerebral ischemia. The objective of this study was to examine the role of PTX on ischemia/reperfusion injures in rat model of t...
متن کاملTargeting the ischemic penumbra.
BACKGROUND In the last 3 decades, and from a therapeutic point of view, the classical concept of ischemic penumbra based on hemodynamic and electrophysiological parameters has loosened up the rigidity of therapeutic windows in acute stroke management. Thirty years later, the ischemic penumbra is an evolved concept that presents more applications. Thus, the ischemic penumbra is a diagnostic targ...
متن کاملThe role of the cerebral capillaries in acute ischemic stroke: the extended penumbra model
The pathophysiology of cerebral ischemia is traditionally understood in relation to reductions in cerebral blood flow (CBF). However, a recent reanalysis of the flow-diffusion equation shows that increased capillary transit time heterogeneity (CTTH) can reduce the oxygen extraction efficacy in brain tissue for a given CBF. Changes in capillary morphology are typical of conditions predisposing t...
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ژورنال
عنوان ژورنال: Stroke
سال: 1981
ISSN: 0039-2499,1524-4628
DOI: 10.1161/01.str.12.6.723