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PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2006-2-8
pubmed:abstractText
This study investigated the changes in extracellular chemistry during reversible human cerebral ischaemia. Delayed analysis was performed on samples taken from a subgroup of patients during aneurysm surgery previously reported. Frozen microdialysis samples from 14 patients who had all undergone temporary clipping of the ipsilateral internal carotid artery (ICA) were analysed for another 15 amino acids with HPLC and for glycerol with CMA-600. Changes were characterised according to whether cerebral tissue oxygen pressure (PBO2) decreases were brief or prolonged. Brief ICA clipping (maximum duration of 16 minutes) in 11 patients was not associated with changes in amino acids or glycerol. Cerebral ischaemia, defined by a PBO2 decrease below 1.1 kPa for at least 30 minutes during ICA occlusion, occurred in 3 patients. None of whom developed an infarct in the monitored region. This prolonged reversible ischaemia was associated with transient delayed increases in gamma-amino butyric acid (GABA) as well as glutamate and glycerol, each by two-to-three folds. This study demonstrates detectable transient increases in human extracellular glutamate, GABA and glycerol during identified periods of reversible cerebral ischaemia, maximal 30-60 minutes after onset of ischaemia, but not in other amino acids detected by HPLC.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0065-1419
pubmed:author
pubmed:issnType
Print
pubmed:volume
95
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
83-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:16463826-Adult, pubmed-meshheading:16463826-Aged, pubmed-meshheading:16463826-Amino Acids, pubmed-meshheading:16463826-Biological Markers, pubmed-meshheading:16463826-Brain, pubmed-meshheading:16463826-Extracellular Fluid, pubmed-meshheading:16463826-Female, pubmed-meshheading:16463826-Glycerol, pubmed-meshheading:16463826-Humans, pubmed-meshheading:16463826-Intracranial Aneurysm, pubmed-meshheading:16463826-Ischemic Attack, Transient, pubmed-meshheading:16463826-Male, pubmed-meshheading:16463826-Microdialysis, pubmed-meshheading:16463826-Middle Aged, pubmed-meshheading:16463826-Monitoring, Physiologic, pubmed-meshheading:16463826-Neurotransmitter Agents, pubmed-meshheading:16463826-Oximetry, pubmed-meshheading:16463826-Oxygen, pubmed-meshheading:16463826-Reproducibility of Results, pubmed-meshheading:16463826-Sensitivity and Specificity, pubmed-meshheading:16463826-Treatment Outcome, pubmed-meshheading:16463826-gamma-Aminobutyric Acid
pubmed:year
2005
pubmed:articleTitle
Extracellular amino acid changes in patients during reversible cerebral ischaemia.
pubmed:affiliation
University Department of Neurosurgery and the Wolfson Brain Imaging Centre, Addenbrooke's Hospital and University of Cambridge, Cambridge, UK. rupert.kett-white@swansea-tr.wales.nhs.uk
pubmed:publicationType
Journal Article, Controlled Clinical Trial, Research Support, Non-U.S. Gov't