Perinatal Neurology and Neurosurgery by Pasko Rakic M.D., Sc.D. (auth.), Richard A. Thompson M.D.,

By Pasko Rakic M.D., Sc.D. (auth.), Richard A. Thompson M.D., John R. Green M.D., F.A.C.S., Stanley D. Johnsen M.D. (eds.)

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0 o. 4 Hypoxia 8 12 16 20 24 Recovery 28 32 36 40 .. Hours Figure 9. The time course of the edema which accompanies hypoxic-ischemic brain damage in the seven-day-old rat. The line depicts the computer-assisted best fit curve of cerebral hemispheric water content ipsilateral to the common carotid artery occlusion during and following cerebral hypoxia-ischemia. No increase in water content was noted in the contralateral cerebral hemisphere. equivalent to cerebral edema, occurred in 100% of the animals and, thus, was comparable to the 92% incidence of histological alteration seen in the brains of these animals [33] .

If these prove successful, they 52 Jan Goddard-Finegold may allow high-risk premature infants the chance to recover from initial physiological maladjustments and to combat other problems of prematurity without incurring PIVH_ Currently, studies of a sedating agent (phenobarbital), a capillarystabilizing drug, ethamsylate, (Dicynene) and a vasoactive agent, indomethacin, (Indocin) are being carried out in newborn animals and humans. Conflicting results have been obtained in two clinical studies of phenobarbital [65,66].

Four patterns of perinatal brain damage and their conditions of occurrence in primates. In: Advances in Neurology, Vol. 10, edited by B. S. Meldrum and C. D. Marsden. New York: Raven Press, 1975. 30. Vannucci, R. , and Duffy, T. E. Cerebral oxidative and energy metabolism of fetal and neonatal rats during anoxia and recovery. Am. J. Physiol. 230: 1269-1275,1976. 31. Vannucci, R. , and Duffy, T. E. Cerebral metabolism in newborn dogs during reversible asphyxia. Ann. Neurol. 1 :528-534,1977. 32. Vannucci, R.

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