Abstract
✓ Spinal cord blood flow (SCBF) was measured in 24 rhesus monkeys after injury to the cord produced by the inflatable circumferential extradural cuff technique. Measurement of regional blood flow in the white and gray matter of the cord in areas of 0.1 sq mm was achieved with the 14C-antipyrine autoradiographic technique and a scanning microscope photometer. After moderate cord injury (400 mm Hg pressure in the cuff maintained for 5 minutes), which produced paraplegia in 50% of animals and moderate to severe paresis in the other 50%, mean white matter SCBF was significantly decreased for up to 1 hour. White matter blood flow then rose to normal levels by 6 hours posttrauma and was significantly increased by 24 hours posttrauma. Gray matter SCBF was significantly decreased for the entire 24-hour period post-trauma. After severe cord injury (150 mm Hg pressure in the cuff maintained for 3 hours), which produced total paraplegia in almost all animals, SCBF in white and gray matter was reduced to extremely low levels for 24 hours posttrauma. In addition, focal decreases in SCBF were seen in white and gray matter for considerable distances proximal and distal to the injury site. It is concluded that acute compression injury of the spinal cord is associated with long-lasting ischemia in the cord that increases in severity with the degree of injury.
References
43
Referenced
160
10.3171/jns.1964.21.6.0485
/ J Neurosurg / Blood pressure responses in acute compression of the spinal cord. by Alexander (1964){'key': 'b2', 'series-title': 'Am J Pathol', 'first-page': '437', 'article-title': 'Cerebral ischemia. II. The no-reflow phenomenon.', 'volume': '52', 'author': 'Ames', 'year': '1968'}
/ Am J Pathol / Cerebral ischemia. II. The no-reflow phenomenon. by Ames (1968){'key': 'b3', 'series-title': 'J Neurosurg', 'first-page': '162', 'article-title': 'Blood flow in normal and injured monkey spinal cord.', 'volume': '43', 'author': 'Bingham', 'year': '1965'}
/ J Neurosurg / Blood flow in normal and injured monkey spinal cord. by Bingham (1965)10.3171/jns.1975.42.2.0174
/ J Neurosurg / Catecholamine levels in the injured spinal cord of monkeys. by Bingham (1975)10.1001/archneur.1967.00470260070008
/ Arch Neurol / The physiologic response to therapy in experimental cerebral ischemia. by Brawley (1967){'key': 'b6', 'series-title': 'Scand J Clin Lab Invest (Suppl)', 'article-title': 'Regional cerebral blood flow (rCBF) changes following local brain compression in the cat.', 'volume': '102', 'author': 'Brock', 'year': '1968'}
/ Scand J Clin Lab Invest (Suppl) / Regional cerebral blood flow (rCBF) changes following local brain compression in the cat. by Brock (1968)10.3171/jns.1973.38.2.0131
/ J Neurosurg / Regional cerebral blood flow, intracranial pressure, and brain metabolism in comatose patients. by Bruce (1973){'key': 'b8', 'series-title': 'Am J Pathol', 'first-page': '455', 'article-title': 'Cerebral ischemia. III. Vascular changes.', 'volume': '52', 'author': 'Chiang', 'year': '1968'}
/ Am J Pathol / Cerebral ischemia. III. Vascular changes. by Chiang (1968){'key': 'b9', 'series-title': 'Cerebral Circulation and Metabolism.', 'first-page': '314', 'article-title': 'The relationship between focal lesions and rCBF calculated by bi-compartmental analysis and initial slope index in patients with acute brain injuries', 'author': 'Cold', 'year': '1975'}
/ Cerebral Circulation and Metabolism. / The relationship between focal lesions and rCBF calculated by bi-compartmental analysis and initial slope index in patients with acute brain injuries by Cold (1975){'key': 'b10', 'series-title': 'Surg Neurol', 'first-page': '5', 'article-title': 'Monoamine changes in experimental head and spinal cord trauma: failure to confirm previous observations.', 'volume': '2', 'author': 'de', 'year': '1974'}
/ Surg Neurol / Monoamine changes in experimental head and spinal cord trauma: failure to confirm previous observations. by de (1974)10.3171/jns.1971.35.3.0263
/ J Neurosurg / The microvasculature in transitory traumatic paraplegia. An electron microscopic study in the monkey. by Dohrmann (1971){'key': 'b12', 'article-title': 'Experimental spinal cord trauma. II. Monkeys who were paraplegic, paraparetic, or normal.', 'author': 'Ducker'}
/ Experimental spinal cord trauma. II. Monkeys who were paraplegic, paraparetic, or normal. by Ducker{'key': 'b13', 'article-title': 'Experimental spinal cord trauma. I. Blood flow and tissue oxygen in acute paraplegic dogs.', 'author': 'Ducker'}
/ Experimental spinal cord trauma. I. Blood flow and tissue oxygen in acute paraplegic dogs. by Ducker{'key': 'b14', 'series-title': 'Proc Veterans Adm Spinal Cord Inj Conf', 'first-page': '29', 'article-title': 'Local tissue oxygen and blood flow in the acutely injured spinal cord.', 'volume': '18', 'author': 'Ducker', 'year': '1971'}
/ Proc Veterans Adm Spinal Cord Inj Conf / Local tissue oxygen and blood flow in the acutely injured spinal cord. by Ducker (1971){'key': 'b15', 'series-title': 'Surg Forum', 'first-page': '413', 'article-title': 'Spinal cord oxygen and blood flow in trauma.', 'volume': '22', 'author': 'Ducker', 'year': '1971'}
/ Surg Forum / Spinal cord oxygen and blood flow in trauma. by Ducker (1971)10.3171/jns.1973.38.3.0326
/ J Neurosurg / Cardiovascular response to experimental spinal cord compression. by Eidelberg (1973)10.3171/jns.1971.34.5.0618
/ J Neurosurg / Lactate accumulation in primate spinal cord during circulatory arrest. by Feldman (1971){'key': 'b18', 'series-title': 'N Engl J Med', 'first-page': '120', 'article-title': 'Über die Messung des Blutquantums in den Herzventrikeln.', 'volume': '239', 'author': 'Fick', 'year': '1948'}
/ N Engl J Med / Über die Messung des Blutquantums in den Herzventrikeln. by Fick (1948){'key': 'b19', 'series-title': 'Blood Flow and Metabolism in The Brain.', 'first-page': '27', 'article-title': 'Spinal cord blood flow after acute injury', 'author': 'Griffiths', 'year': '1975'}
/ Blood Flow and Metabolism in The Brain. / Spinal cord blood flow after acute injury by Griffiths (1975)10.3171/jns.1975.42.2.0155
/ J Neurosurg / Vasogenic edema following acute and chronic spinal cord compression in the dog. by Griffiths (1975){'key': 'b21', 'series-title': 'Blood Flow and Metabolism in The Brain.', 'first-page': '20', 'article-title': 'Flow in the grey and white matter of the spinal cord measured by a hydrogen clearance technique', 'author': 'Griffiths', 'year': '1975'}
/ Blood Flow and Metabolism in The Brain. / Flow in the grey and white matter of the spinal cord measured by a hydrogen clearance technique by Griffiths (1975)10.3171/jns.1974.40.1.0037
/ J Neurosurg / Studies in experimental spinal cord trauma. Part I: Alterations in catecholamine levels. by Hedeman (1974){'key': 'b23', 'series-title': 'Cerebral Circulation and Metabolism.', 'first-page': '241', 'article-title': 'Intracranial pressure, cerebral blood flow, and prognosis in patients with severe head injuries', 'author': 'Kelly', 'year': '1975'}
/ Cerebral Circulation and Metabolism. / Intracranial pressure, cerebral blood flow, and prognosis in patients with severe head injuries by Kelly (1975){'key': 'b24', 'series-title': 'Methods Med Res', 'first-page': '228', 'article-title': 'Measurement of local blood flow by the exchange of an inert diffusible substance.', 'volume': '8', 'author': 'Kety', 'year': '1960'}
/ Methods Med Res / Measurement of local blood flow by the exchange of an inert diffusible substance. by Kety (1960){'key': 'b25', 'series-title': 'Pharmacol Rev', 'first-page': '1', 'article-title': 'The theory and applications of the exchange of inert gas at the lungs and tissues.', 'volume': '3', 'author': 'Kety', 'year': '1951'}
/ Pharmacol Rev / The theory and applications of the exchange of inert gas at the lungs and tissues. by Kety (1951){'key': 'b26', 'series-title': 'Methods Med Res', 'first-page': '223', 'article-title': 'Theory of blood-tissue exchange and its application to measurement of blood flow.', 'volume': '8', 'author': 'Kety', 'year': '1960'}
/ Methods Med Res / Theory of blood-tissue exchange and its application to measurement of blood flow. by Kety (1960)10.3171/jns.1975.42.2.0144
/ J Neurosurg / Local spinal cord blood flow in experimental traumatic myelopathy. by Kobrine (1975){'key': 'b28', 'series-title': 'Lancet', 'first-page': '1113', 'article-title': 'The luxury-perfusion syndrome and its possible relation to acute metabolic acidosis localised within the brain.', 'volume': '2', 'author': 'Lassen', 'year': '1966'}
/ Lancet / The luxury-perfusion syndrome and its possible relation to acute metabolic acidosis localised within the brain. by Lassen (1966)10.3171/jns.1971.34.5.0614
/ J Neurosurg / Ischemia in primate spinal cord injury. by Locke (1971)10.3171/jns.1970.32.3.0304
/ J Neurosurg / Cerebral hemodynamics and metabolism following experimental head injury. by Meyer (1970)10.3171/jns.1974.40.1.0052
/ J Neurosurg / Biogenic amine concentrations in traumatized spinal cords in cats. Effect of drug therapy. by Naftchi (1974){'key': 'b32', 'series-title': 'Cerebral Circulation and Metabolism.', 'first-page': '109', 'article-title': 'Regional blood flow in the brain and in the cervical cord in experimental head trauma', 'author': 'Nilsson', 'year': '1975'}
/ Cerebral Circulation and Metabolism. / Regional blood flow in the brain and in the cervical cord in experimental head trauma by Nilsson (1975)10.3171/jns.1972.36.4.0386
/ J Neurosurg / Altered norepinephrine metabolism following experimental spinal cord injury. Part 1: Relationship to hemorrhagic necrosis and post-wounding neurological deficits. by Osterholm (1972)10.1152/jappl.1969.27.2.296
/ J Appl Physiol / Measurement of regional cerebral blood flow with antipyrine-14C in awake cats. by Reivich (1969){'key': 'b35', 'series-title': 'Blood Flow and Metabolism in the Brain.', 'first-page': '22', 'article-title': 'The effect of spinal cord trauma on spinal cord blood flow in primates', 'author': 'Sandler', 'year': '1975'}
/ Blood Flow and Metabolism in the Brain. / The effect of spinal cord trauma on spinal cord blood flow in primates by Sandler (1975){'key': 'b36', 'article-title': 'Pathological effect and therapeutic value of durotomy in acute experimental spinal cord trauma in monkeys.', 'author': 'Sandler'}
/ Pathological effect and therapeutic value of durotomy in acute experimental spinal cord trauma in monkeys. by Sandler10.3171/jns.1976.45.6.0647
/ J Neurosurg / Regional spinal cord blood flow in primates. by Sandler (1976)10.3171/jns.1976.45.6.0638
/ J Neurosurg / Review of the effect of spinal cord trauma on the vessels and blood flow in the spinal cord. by Sandler (1976){'key': 'b39', 'series-title': 'Brain Res', 'article-title': 'Review of the measurement of normal spinal cord blood flow.', 'author': 'Sandler'}
/ Brain Res / Review of the measurement of normal spinal cord blood flow. by Sandler{'key': 'b40', 'series-title': 'Can J Surg', 'first-page': '221', 'article-title': 'Acute spinal cord injury in primates produced by an inflatable extradural cuff.', 'volume': '16', 'author': 'Tator', 'year': '1973'}
/ Can J Surg / Acute spinal cord injury in primates produced by an inflatable extradural cuff. by Tator (1973)10.3171/jns.1973.39.1.0052
/ J Neurosurg / Value of normothermic perfusion, hypothermic perfusion, and durotomy in the treatment of experimental acute spinal cord trauma. by Tator (1973){'key': 'b42', 'article-title': 'Effect of duration of compression on recovery from acute compression injury of primate spinal cord.', 'author': 'Tator'}
/ Effect of duration of compression on recovery from acute compression injury of primate spinal cord. by Tator10.1007/978-3-642-65734-4_23
/ Advances in Neurosurgery I. / Regional cerebral blood flow and regional cerebrovascular reactivity following local brain injury by Wallenfang (1973)
Dates
Type | When |
---|---|
Created | 16 years, 3 months ago (May 7, 2009, 11:09 a.m.) |
Deposited | 3 years, 1 month ago (July 25, 2022, 1:33 a.m.) |
Indexed | 50 minutes ago (Aug. 28, 2025, 6:59 p.m.) |
Issued | 48 years, 8 months ago (Dec. 1, 1976) |
Published | 48 years, 8 months ago (Dec. 1, 1976) |
Published Print | 48 years, 8 months ago (Dec. 1, 1976) |
@article{Sandler_1976, title={Effect of acute spinal cord compression injury on regional spinal cord blood flow in primates}, volume={45}, ISSN={0022-3085}, url={http://dx.doi.org/10.3171/jns.1976.45.6.0660}, DOI={10.3171/jns.1976.45.6.0660}, number={6}, journal={Journal of Neurosurgery}, publisher={Journal of Neurosurgery Publishing Group (JNSPG)}, author={Sandler, Alan N. and Tator, Charles H.}, year={1976}, month=dec, pages={660–676} }