Microcirculatory Obstruction in Focal Cerebral Ischemia: An Electron Microscopic Investigation in Monkeys

John R. Little1, Frederick W.L. Kerr1, Thoralf M. Sundt1

  • 1From the Cerebrovascular Clinical Research Center and the Department of Neurologic Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55901.

Stroke
|December 10, 2019
PubMed

Insights

Cerebral ischemia in squirrel monkeys shows microvascular obstruction within three hours of middle cerebral artery occlusion. This obstruction is mainly due to glial swelling and edema, not endothelial damage.

Area of Science:

  • Neuroscience
  • Cerebrovascular Research
  • Pathology

Background:

  • Focal cerebral ischemia disrupts brain microcirculation.
  • Understanding microvascular changes is crucial for stroke treatment.

Purpose of the Study:

  • To investigate the fine structure of microvasculature in focal cerebral ischemia.
  • To compare microvascular filling in impaired and unimpaired areas.

Main Methods:

  • Studied microvasculature fine structure in squirrel monkeys.
  • Used carbon perfusion to define areas of impaired and unimpaired microvascular filling.
  • Examined changes three hours after middle cerebral artery occlusion.

Main Results:

  • Microcirculatory obstruction observed three hours post-middle cerebral artery occlusion.
  • Obstruction linked to perivascular glial swelling and cerebral edema.
  • Endothelial swelling was common; tight junctions remained intact.
  • Neuronal injury often preceded microvascular obstruction.

Conclusions:

  • Microvascular obstruction in focal cerebral ischemia is primarily caused by edema and glial swelling.
  • Endothelial integrity is largely maintained initially.
  • Neuronal damage is a significant factor preceding microvascular impairment.

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