The effect of glucose upon restitution after transient cerebral ischemia: a summary

Acta Neurol Scand. 1985 Jun;71(6):417-27. doi: 10.1111/j.1600-0404.1985.tb03224.x.

Abstract

The study describes a reproducible model of complete brain ischemia in rats. Rats with different plasma glucose concentrations were exposed to 10 min of complete cerebral ischemia achieved by compression of neck vessels by a pneumatic cuff. All 30 rats, except one, in which pre-ischemic plasma glucose level were lower than 22 mM (range 1.6-22) survived 10 min complete ischemia and made a similar recovery. Ten rats with pre-ischemic plasma glucose levels above 22 mM (range 22-47.2) died from seizures in the post-ischemic period. Post-ischemic treatment of seizures and hyperglycemia in the hyperglycemic rats significantly improved recovery. In conclusion, pre-ischemic hyperglycemia above 22 mM impairs recovery after complete ischemia by inducing seizures, post-ischemic hyperglycemia and lactic acidosis.

MeSH terms

  • Animals
  • Blood Glucose / analysis*
  • Brain / blood supply
  • Diazepam / therapeutic use
  • Disease Models, Animal
  • Insulin / therapeutic use
  • Ischemic Attack, Transient / blood*
  • Ischemic Attack, Transient / drug therapy
  • Ischemic Attack, Transient / physiopathology
  • Male
  • Pentobarbital / therapeutic use
  • Rats
  • Rats, Inbred Strains
  • Regional Blood Flow

Substances

  • Blood Glucose
  • Insulin
  • Pentobarbital
  • Diazepam