Skip to main content

Effects of Revascularisation on Evoked Cerebral Blood Oxygenation Responses in Stroke Patients

  • Conference paper
  • First Online:
Oxygen Transport to Tissue XXXI

Abstract

We demonstrated that ischemic strokes exhibit an increase of deoxyhemoglobin during activation. We evaluated the effect of revascu-larization on the abnormal evoked cerebral blood oxygenation (CBO) re-sponses in these patients, employing near-infrared spectroscopy (NIRS). We selected five patients who exhibited an increase of deoxyhemoglobin associated with increases of oxyhemoglobin and total hemoglobin during activation for this study. These patients showed marked reductions of base-line regional cerebral blood flow and cerebrovascular reserve capacity, which were improved 1 week after revascularization. Postoperative NIRS demonstrated that the increase of deoxyhemoglobin during activa-tion was not observed after revascularization. This preliminary study demonstrated that the abnormal evoked-CBO response in ischemic stroke patients could be improved by revascularization.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Cramer SC, Nelles G, Benson RR et al. (1997) A functional MRI study of subjects recovered from hemiparetic stroke. Stroke 28:2518–2527

    PubMed  CAS  Google Scholar 

  2. Cao Y, D’Olhaberriague L, Vikingstad EM et al. (1998) Pilot study of functional MRI to assess cerebral activation of motor function after poststroke hemiparesis. Stroke 29:112–122

    PubMed  CAS  Google Scholar 

  3. Kato H, Izumiyama M, Koizumi H et al. (2002) Near-infrared spectroscopic topography as a tool to monitor motor reorganization after hemiparetic stroke: A comparison with functional MRI. Stroke 33:2032–2036

    Article  PubMed  Google Scholar 

  4. Pineiro R, Pendlebury S, Johansen-Berg H et al. (2002) Altered hemodynamic responses in patients after subcortical stroke measured by functional MRI. Stroke 33:103–109

    Article  PubMed  CAS  Google Scholar 

  5. Röther J, Knab R, Hamzei F et al. (2002) Negative dip in BOLD fMRI is caused by blood flow-oxygen consumption uncoupling in humans. NeuroImage 15:98–102

    Article  PubMed  Google Scholar 

  6. D'Esposito M, Deouell LY, Gazzaley A (2003) Alterations in the BOLD fMRI signal with aging and disease: A challenge for neuroimaging. Nature Rev Neurosci 4:863–872

    Article  Google Scholar 

  7. Hamzei F, Knab R, Weiller C et al. (2003) The influence of extra- and intracranial artery disease on the BOLD signal in FMRI. NeuroImage 20:1393–1399

    Article  PubMed  Google Scholar 

  8. Rossini PM, Altamura C, Ferretti A et al. (2004) Does cerebrovascular disease affect the coupling between neuronal activity and local haemodynamics? Brain 127:99–110

    Article  PubMed  CAS  Google Scholar 

  9. Binkofski F, Seitz RJ (2004) Modulation of the BOLD-response in early recovery from sensorimotor stroke. Neurology 63:1223–1229

    PubMed  Google Scholar 

  10. Krainik A, Hund-Georgiadis M, Zysset S et al. (2005) Regional impairment of cerebrovascular reactivity and BOLD signal in adults after stroke. Stroke 36:1146–1152

    Article  PubMed  Google Scholar 

  11. Ogawa S, Lee TM, Kay AR et al. (1990) Brain magnetic resonance imaging with contrast dependent on blood oxygenation. Proc Natl Acad Sci USA 87:9868–9872

    Article  PubMed  CAS  Google Scholar 

  12. Murata Y, Sakatani K, Hoshino T et al. (2006) Effects of cerebral ischemia on evoked cerebral blood oxygenation responses and BOLD contrast functional MRI in stroke patients. Stroke 37:2514–2520

    Article  PubMed  Google Scholar 

  13. Sakatani K, Murata Y, Fujiwara N et al. (2007) Comparison of blood-oxygen-level–dependent functional magnetic resonance imaging and near-infrared spectroscopy recording during functional brain activation in patients with stroke and brain tumors. J Biomed Optics 12:062110

    Article  Google Scholar 

  14. Jöbsis FF (1977) Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science 198:1264–1267

    Article  PubMed  Google Scholar 

  15. Hoshino T, Sakatani K, Katayama Y et al. (2005) Application of multi-channel near infrared spectroscopic topography to physiological monitoring of the cortex during cortical mapping: Technical case report. Surg Neurol 64:272–275

    Article  PubMed  Google Scholar 

  16. Hoshino T, Katayama Y, Sakatani K et al. (2006) Intraoperative monitoring of cerebral blood oxygenation and hemodynamics during EC-IC bypass surgery by a newly developed visual light spectroscopy system. Surg Neurol 65:569–576

    Article  PubMed  Google Scholar 

  17. Anderson DE, McLane MP, Reichman OH et al. (1992) Improved cerebral blood flow and CO2 reactivity after microvascular anastomosis in patients at high risk for recurrent stroke. Neurosurgery 31:26–33

    Article  PubMed  CAS  Google Scholar 

  18. Gibbs JM, Wise RJ, Thomas DJ et al. (1987) Cerebral hemodynamic changes after extracranial-intracranial bypass surgery. J Neurol Neurosurg Psychiatry 50:140–150

    Article  PubMed  CAS  Google Scholar 

  19. Powers WJ, Martin WR, Herscovitch P et al. (1984) Extracranial-intracranial bypass surgery: hemodynamic and metabolic effects. Neurology 34:1168–1174

    PubMed  CAS  Google Scholar 

  20. Boxerman JI, Bandettini PA, Kwong KK et al. (1995) The intravascular contribu-tion to fMRI signal change: Monte Carlo modeling and diffusion-weighted stud-ies in vivo. Magn Reson Med 34:4–10

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shin Nakamura .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this paper

Cite this paper

Nakamura, S. et al. (2010). Effects of Revascularisation on Evoked Cerebral Blood Oxygenation Responses in Stroke Patients. In: Takahashi, E., Bruley, D. (eds) Oxygen Transport to Tissue XXXI. Advances in Experimental Medicine and Biology, vol 662. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-1241-1_76

Download citation

Publish with us

Policies and ethics