Evidence map›Paper›PMID 24690942›Full record

ArticleJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2014

Detecting tissue deterioration after brain injury: regional blood flow level versus capacity to raise blood flow.

Delphine Feuerstein, Masatoshi Takagaki, Markus Gramer, Andrew Manning, Heike Endepols, Stefan Vollmar, Toshiki Yoshimine, Antony J Strong, Rudolf Graf, Heiko Backes

Open access · hybridAbstract read
In one paragraph

Article in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 37 citations in OpenAlex.

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  14. Review
  15. Recording, analysis, and interpretation of spreading depolarizations in neurointensive care: Review and recommendations of the COSBID research group.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2017
    Review
  16. A role of the sodium pump in spreading ischemia in rats.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2017
    Article
  17. Advancing age and ischemia elevate the electric threshold to elicit spreading depolarization in the cerebral cortex of young adult rats.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2017
    Article
  18. The continuum of spreading depolarizations in acute cortical lesion development: Examining Leão's legacy.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2017
    Review
  19. Altered hypermetabolic response to cortical spreading depolarizations after traumatic brain injury in rats.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2017
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 3 countries.

Delphine FeuersteinMax Planck Institute for Neurological Research, Cologne, Germany.
Masatoshi TakagakiMax Planck Institute for Neurological Research, Cologne, Germany.
Markus GramerMax Planck Institute for Neurological Research, Cologne, Germany.
Andrew ManningDepartment of Clinical Neuroscience, Institute of Psychiatry, King's College London, London, UK.
Heike EndepolsMax Planck Institute for Neurological Research, Cologne, Germany.
Stefan VollmarMax Planck Institute for Neurological Research, Cologne, Germany.
Toshiki YoshimineDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Antony J StrongDepartment of Clinical Neuroscience, Institute of Psychiatry, King's College London, London, UK.
Rudolf GrafMax Planck Institute for Neurological Research, Cologne, Germany.
Heiko BackesMax Planck Institute for Neurological Research, Cologne, Germany.
Max Planck Institute for Metabolism Research · DEKing's College London · GBOsaka University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Regional cerebral blood flow (rCBF) is spatially and temporally adjusted to local energy needs. This coupling involves dilation of vessels both at the site of metabolite exchange and upstream of the activated region. Deficits in upstream blood supply limit the 'capacity to raise rCBF' in response to functional activation and therefore compromise brain function. We here demonstrate in rats that the 'capacity to raise rCBF' can be determined from real-time measurements of rCBF using laser speckle imaging during an energy challenge induced by cortical spreading depolarizations (CSDs). Cortical spreading depolarizations (CSDs) occur with high incidence in stroke and various other brain injuries and cause large metabolic changes. Various conditions of cerebral perfusion were induced, either by modifying microvascular tone, or by altering upstream blood supply independently. The increase in rCBF per unit of time in response to CSD was linearly correlated to the upstream blood supply. In an experimental model of stroke, we found that this marker of the capacity to raise rCBF which, in pathologic tissue may be additionally limited by impaired vasoactive signaling, was a better indicator of the functional status of cerebral tissue than local rCBF levels.

Indexed as

AnimalsBrainBrain InjuriesCerebrovascular CirculationCortical Spreading DepressionHumansMaleNeuroimagingRatsRats, Wistar

Identifiers

PMID24690942
PMCPMC4083373
OpenAlexW1984324656

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.