A comprehensive review of the scientific and clinical studies that have led to the resurgence of interest in hypothermia as a neuroprotective strategy in the treatment of stroke and traumatic brain injury. Topics of special importance include intraoperative and intensive care management of hypotherm
Cerebral Ischemia and Basic Mechanisms
β Scribed by M. D. Oβbrien (auth.), Professor Dr. med Alexander Hartmann, Professor Dr. med. Frank Yatsu, Professor Dr. med. Wolfgang Kuschinsky (eds.)
- Publisher
- Springer-Verlag Berlin Heidelberg
- Year
- 1994
- Tongue
- English
- Leaves
- 446
- Edition
- 1
- Category
- Library
No coin nor oath required. For personal study only.
β¦ Synopsis
In this volume, one of a series of monographs devoted to the problems of cerebral ischemia and related topics, we present the proceedings of an international conference on Cerebral Ischemia and Basic Mechanisms held in Bad Schachen/Lake Constance, Germany in June 1992. The enormous progress in research recently on the basic mechanisms associated with cerebral ischemia has provided greater insight into the pathophysiological mechanisms of reduced brain perfusion and decreased cerebral metabolism. The high technology instrumentation used to unravel the intricacies of cerebral blood flow and metabolism includes positron emission tomography and magnetic resonance imaging. A description of sophisticated neurophysiological techniques will give the reader insight into new models of reversible and irreversible tissue damage and changes at the molecular level have been described. The therapeutic approaches which have developed from this reΒ search have been or will be used in clinical trials and will open new avenues in the treatment of stroke. The organizers of the meeting would like to thank the advisory board for its helpful suggestions and the Deutsche Forschungsgemeinschaft and other sponsors for their important support.
β¦ Table of Contents
Front Matter....Pages I-XIV
The Window of Opportunity for the Treatment of Cerebral Ischaemia....Pages 1-5
Front Matter....Pages 7-7
Uncoupling of Flow and Metabolism in Early Ischemic Stroke....Pages 9-18
Recovery from Motor Stroke: Different Patterns of Functional Reorganisation in Individual Patients....Pages 19-27
Head Injuries: A Target for Neuroprotection....Pages 28-35
Changes in the Biophysical Environment of Water Following Focal Brain Ischemia in the Rat....Pages 36-48
Front Matter....Pages 49-49
Aspects of Acid-Base Homeostasis in Ischemia....Pages 51-57
Acidosis: A Marker for Penumbra or a Target for Treatment?....Pages 58-63
Astrocytic H + and Ca 2+ Changes: Implications for Ischemic Brain Injury....Pages 64-76
Anoxic Injury of Central Myelinated Axons: Nonsynaptic Ionic Mechanisms....Pages 77-90
In Vivo Nuclear Magnetic Resonance Observation of Cerebral Metabolism....Pages 91-102
Effects of Extracellular Acidosis on Glial Cell Intracellular pH: Evidence for a Glial Spatial H + -Buffering Mechanism?....Pages 103-110
Front Matter....Pages 111-111
Calcium Channel Blockers Prevent Delayed Cerebral Ischemia After Intracranial Aneurysmal Subarachnoid Hemorrhage....Pages 113-124
Monosialoganglioside GM 1 in Experimental Models of Stroke....Pages 125-129
What Are We Learning from Clinical Trials in Acute Cerebral Ischemia?....Pages 130-136
Threshold of Calcium Influx After Global and Focal Ischemia: Implications for the Window of Therapeutic Opportunity....Pages 137-146
Non-NMDA Glutamate Receptors in the Regulation of Neuronal Ca 2+ and Excitotoxicity....Pages 147-157
Phenylalkylamine Calcium Antagonists as Cerebroprotective Agents....Pages 158-170
Intracellular Messengers After Ischemia....Pages 171-179
Influence of NMDA Receptor Antagonists on Glycine Receptor Isoform Expression in Spinal Cord Cultures....Pages 180-189
Effects of Calcium Antagonists on Experimentally Induced Carotid Intimal Proliferations....Pages 190-197
Front Matter....Pages 199-199
Unsettled Role of Glutamate/Glutamate Receptors in Ischemic Excitotoxic Neuronal Damage....Pages 201-203
Neuroprotective Effects of 5-HT 1A Receptor Agonists....Pages 204-216
In Vitro Ischemia in the Hippocampal Slice....Pages 217-229
Glial Swelling and Damage by Arachidonic Acid....Pages 230-234
Front Matter....Pages 235-235
Disturbances of Cerebral Protein Synthesis in Global and Focal Ischemia....Pages 237-249
Neurotrophin Expression and Gene Regulation in a Focal Cerebral Ischemia Model in the Rat....Pages 250-263
Nitroarginine Reduces Infarction After Middle Cerebral Artery Occlusion in Rats....Pages 264-272
No Appreciable Swelling of Cultured Neurons After Oxygen Deprivation, and Cell Damage Occasionally Aggravated by Oxygen Resupply....Pages 273-280
Front Matter....Pages 281-281
Changes in Gene Expression After Brief Ischemic Insults as Potential Mediators of Induced Tolerance: Postischemic Temperature as a Variable Affecting the Stress Response....Pages 283-291
Heat Shock Gene Expression as a Marker of Ischemic and Other Types of Injury....Pages 292-300
Gene Expression and Functional Changes After Acute Ischemia: Age-Related Differences in Outcome and Mechanisms....Pages 301-311
Models of Neural Circuit Reorganization After Injury....Pages 312-324
Clinical Relevance of Gene Expression in Cerebral Ischemia....Pages 325-328
Front Matter....Pages 329-329
Mechanisms of Leukocyte-Mediated No-Reflow and Tissue Injury in the Microcirculation....Pages 331-351
Microcirculatory Changes in Cerebral Ischemia....Pages 352-365
Current Evidence on a Pathophysiological Function of Leukocyte/Endothelial Interactions in Cerebral Ischemia....Pages 366-372
Do Leukocytes Contribute to the Brain Lesion That Begins When an Intracranial Artery Is Occluded?....Pages 373-380
Contribution of Neutrophils to Ischemic Brain Damage....Pages 381-390
Polymorphonuclear Leukocyte Adherence and Microvascular Reflow After Focal Cerebral Ischemia/Reperfusion....Pages 391-400
Activation of the Coagulation System and Concomitant Impairment of White Cell Rheology in Patients with Acute Cerebral Infarction....Pages 401-404
Front Matter....Pages 329-329
Microcirculatory Disturbance and Leukocytes: Influence of Leukocyte-Produced Superoxide on Red Blood Cell Aggregation....Pages 405-410
Small Volume Resuscitation in Hemorrhagic Shock by Hypertonic/Hyperoncontic Saline-Dextran: Effects on the Central Nervous System....Pages 411-420
Effects of Pentoxifylline on Recovery from Cerebral Ischemia and Reperfusion Injury....Pages 421-429
Regional Cerebral Blood Flow in Acute Stroke: Comparison of Two Calcium Antagonists....Pages 430-437
Back Matter....Pages 439-443
β¦ Subjects
Neurosciences; Neurosurgery
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