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  • 1
    ISSN: 0942-0940
    Keywords: Nd∶YAG laser ; cerebral tissue changes ; pial vessels
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Experimental brain lesions were created by Nd∶YAG laser (wave length 1.06 μm) irradiation on the cerebral cortex of anaesthesized adult cats with 20 Watts impacts of 0.5, 1.0, 2.5, and 5.0 seconds exposure time through cranial windows. Histological changes, disruption of the blood-brain barrier (Evans blue extravasation) and pial vessel reaction (large vessels more than 100 μm and vessels smaller than 100 μm) were studied under constant PaCO2, blood pH, and mean arterial pressure. Histological changes of the lesions consisted of a zone of dense coagulation, a pale zone of homogeneous coagulation and an oedematous zone. Evans blue extravasation was uniformly seen extending from the histologically changed area into the surrounding tissue in all experiments. Pial arteries in the area with morphological changes showed pronounced dilatation (100.0±7.2%) and one third of these arteries were closed by thrombi. Pial arteries in the area of Evans blue extravasation but outside of histological changes also dilated (large arteries 60±4.1%, small arteries 77±5.9%). Pial arteries outside of the Evans blue extravasation were affected transiently and only in a very small zone: Within a distance of 200 μm from the Evans blue extravasation, large arteries initially dilated by 41±8.3%; small arteries dilated within 400 μm (42±3.7%). Within 4 minutes after irradiation arterial dilatation was again significantly reduced (p〈0.01). It is concluded that no important vascular changes occur beyond the zones of histologically altered brain tissue.
    Type of Medium: Electronic Resource
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