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Related Concept Videos

Vascular Spasm01:16

Vascular Spasm

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The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
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An In Vivo Duo-color Method for Imaging Vascular Dynamics Following Contusive Spinal Cord Injury
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Cerebrovascular Reactivity Following Spinal Cord Injury.

Alexander Mark Weber1,2,3,4, Tom E Nightingale5,6,7, Michael Jarrett8

  • 1Division of Neurology, Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada.

Topics in Spinal Cord Injury Rehabilitation
|May 27, 2024
PubMed
Summary
This summary is machine-generated.

Spinal cord injury (SCI) impacts cerebrovascular reactivity (CVR), with longer CVR components observed in SCI individuals. Longer time since injury and hypotensive episodes are linked to poorer CVR outcomes.

Keywords:
blood pressurefunctional magnetic resonance imagingspinal cord injuriessteady state cerebrovascular reactivitytau

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Area of Science:

  • Neuroscience
  • Cardiovascular Science
  • Medical Imaging

Background:

  • Spinal cord injuries (SCI) are frequently associated with cardiovascular complications, elevating the risk of stroke and cognitive impairment.
  • Understanding the impact of SCI on cerebrovascular health is crucial for managing associated risks.

Purpose of the Study:

  • To assess cerebrovascular reactivity (CVR) in individuals with SCI compared to non-injured controls.
  • To investigate the relationship between CVR, time since injury, and cardiovascular parameters in SCI.

Main Methods:

  • Functional magnetic resonance imaging (fMRI) was employed to measure CVR during a hypercapnic challenge.
  • Participants included 8 individuals with SCI and 6 healthy controls.
  • CVR was quantified by analyzing fMRI signal changes.

Main Results:

  • SCI participants exhibited a significantly longer CVR component (tau) in grey matter compared to controls.
  • Time since injury (TSI) negatively correlated with steady-state CVR in grey matter and brainstem.
  • Lower diastolic blood pressure and a higher frequency of hypotensive episodes were associated with reduced CVR in SCI individuals.

Conclusions:

  • Preliminary findings indicate altered dynamic CVR in individuals with SCI, potentially contributing to their increased cerebrovascular health burden.
  • Further research is warranted to confirm these associations and explore causal relationships between SCI, CVR, and cardiovascular factors.