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Research Article| Volume 30, ISSUE 3, P269-282, August 01, 1991

Alterations of local cerebral blood flow and glucose uptake by electroconvulsive shock in rats

  • Amiram I. Barkai
    Correspondence
    Address reprint requests to Dr. Amiram I. Barkai, Box 54, New York State Psychiatric Institute, 722 West 168th Street, New York, N.Y. 10032.
    Affiliations
    From the New York State Psychiatric Institute, College of Physicians and Surgeons, Columbia University, New York, NY, USA

    Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA
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  • Isak Prohovnik
    Affiliations
    From the New York State Psychiatric Institute, College of Physicians and Surgeons, Columbia University, New York, NY, USA

    Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA

    Departments of Neurology and Radiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA
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  • William L. Young
    Affiliations
    Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA
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  • Margaret Durkin
    Affiliations
    From the New York State Psychiatric Institute, College of Physicians and Surgeons, Columbia University, New York, NY, USA
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  • Henry D. Nelson
    Affiliations
    From the New York State Psychiatric Institute, College of Physicians and Surgeons, Columbia University, New York, NY, USA
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      Abstract

      The effects of single and repeated electroconvulsive shock (ECS) treatments on regional cerebral blood flow (rCBF) and on rates of glucose flow from blood to local brain areas (rCGF), were investigated in pentobarbital-anesthetized rats, using quantitative autoradiographic techniques. Effects of single ECS on rCBF were assessed at two average time points of 15 and 55 sec after the application of the electric current, whereas the effects on rCGF were assessed at 70 and 110 sec. Effects of repeated ECS were assessed 24 hr after the last ECS in a series of eight daily treatments. Single ECS caused marked increases in rCGF in different brain structures, but no significant effects were observed after repeated ECS. Similarly, substantial increases in rCBF were seen during and immediately after the ECS-induced seizure, but not 24 hr after the last treatment of repeated ECS. Single ECS appeared to have differential effects on rCBF in hind-brain structures as compared to more anterior regions. A linear relationship between rCBF and rCGF values was established in control animals, indicating coupling of these two variables with a constant rCBF/rCGF ratio. ECS caused an apparent increase in the CBF/CGF ratio, which might be attributed to the different temporal resolution of the two methods used here to estimate rCGF and rCBF. Analysis of the increments of rCGF and rCBF extrapolated to the same point in time after a single ECS (10 sec), revealed that in many of the examined structures the CBF/CGF ratio was similar to that observed in control animals, indicating that the coupling of CBF and CGF is maintained during the seizure. But in some brain stem structures such as the dorsal raphe, inferior colliculi, superior olivary nucleus, and the vestibular nucleus there were large increases in CGF associated with a marked drop in the CBF/CGF ratio. This observation suggests that high metabolic demands can be met by increased local blood flow up to a given “ceiling” keeping the glucose clearance from blood to brain tissue constant. However, when the metabolic demands exceed this upper limit, the additional demands could be met by an increased clearance of glucose without a change in CBF.

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