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NEUROLOGY 1987;37:94
© 1987 American Academy of Neurology

Regional variation in cerebral perfusion during acute hypertension

Allan M. Burke, Joel H. Greenberg, John Sladky and Martin Reivich

Cerebrovascular Research Center, Department of Neurology, University of Pennsylvania, Philadelphia, PA.

Regional cerebral blood flow (rCBF) was measured in rats to define the autoregulatory response at different levels of hypertension. Mean arterial blood pressure (MABP) was raised with IV metaraminol. rCBF was measured using 14C-iodoantipyrine. Autoregulation was intact in normotensive animals and those with MABP of 152 to 158 mm Hg. At higher pressures, autoregulation was abnormal and heterogeneous. Hyperperfusion was most prominent in cerebellum, parietal gray matter, thalamus, striatum, and pons. These anatomic sites are recognized sites of hypertensive hemorrhage in humans.

Address correspondence and reprint requests to Dr. Burke, Department of Neurology, Michael Reese Hospital and Medical Center, 29th and Ellis Avenue, Chicago, IL 60616.

Supported by USPHS Program Project Grant NS 10939–11.

Received January 6, 1984. Accepted for publication April 24, 1986.




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