Cerebral blood flow, oxidative metabolism and cerebrovascular carbon dioxide reactivity in patients with acute bacterial meningitis

Background: The optimal arterial carbon dioxide tension (PaCO2) in patients with acute bacterial meningitis (ABM) is unknown and controversial. The objective of this study was to measure global cerebral blood flow (CBF), cerebrovascular CO2 reactivity (CO2R), and cerebral metabolic rates (CMR) of oxygen (O2), glucose (glu), and lactate (lac), in patients with ABM and compare the results to those obtained in healthy volunteers.

[1]  T. C. Smith,et al.  Cerebral Carbohydrate Metabolism During Hypocarbia in Man Studies During Nitrous Oxide Anesthesia , 1965, Anesthesiology.

[2]  H. Wollman,et al.  Cerebral carbohydrate metabolism of man during respiratory and etabolic alkalosis. , 1968, Journal of applied physiology.

[3]  M. Hennerici,et al.  Cerebrovascular involvement in the acute phase of bacterial meningitis , 1996, Journal of Neurology.

[4]  K. Tatsch,et al.  Abnormalities of cerebral blood flow in the acute phase of bacterial meningitis in adults , 1992, Journal of Neurology.

[5]  G. Cold,et al.  Cerebral Metabolic Rate of Oxygen (CMRO2) in the Acute Phase of Brain Injury , 1978, Acta anaesthesiologica Scandinavica.

[6]  S. Mun,et al.  Cerebral blood flow in humans following resuscitation from cardiac arrest. , 1989, Stroke.

[7]  R. Grossman,et al.  Cerebral arteriovenous oxygen difference as an estimate of cerebral blood flow in comatose patients. , 1989, Journal of neurosurgery.

[8]  M. Täuber,et al.  Lactate and glucose concentrations in brain interstitial fluid, cerebrospinal fluid, and serum during experimental pneumococcal meningitis. , 1992, The Journal of infectious diseases.

[9]  C F SCHMIDT,et al.  The effects of increased intracranial pressure on cerebral circulatory functions in man. , 1948, The Journal of clinical investigation.

[10]  F. Plum,et al.  Cerebral Blood Flow During , 1970 .

[11]  O. Paulson,et al.  Regional cerebral blood flow, cerebral metabolic rate of oxygen, and cerebrospinal fluid acid-base variables in patients with acute meningitis and with acute encephalitis. , 2009, Acta medica Scandinavica.

[12]  I Kanno,et al.  Two Methods for Calculating Regional Cerebral Blood Flow from Emission Computed Tomography of Inert Gas Concentrations , 1979, Journal of computer assisted tomography.

[13]  K. Schimrigk,et al.  Alteration of cerebral blood flow in patients with bacterial and viral meningoencephalitis. , 1998, AJNR. American journal of neuroradiology.

[14]  K. Schimrigk,et al.  Clinical relevance and frequency of transient stenoses of the middle and anterior cerebral arteries in bacterial meningitis. , 1995, Stroke.

[15]  N. Lassen,et al.  Regional cerebral blood flow in man determined by intra-arterial injection of radioactive inert gas. , 1966, Circulation research.

[16]  O. Paulson,et al.  Acid-base pattern of cerebrospinal fluid and arterial blood in bacterial meningitis and in encephalitis. , 2009, Acta medica Scandinavica.

[17]  D. Purdie Statistical Methods in Medical Research, 4th edn , 2003 .

[18]  O. Pryds,et al.  Intravenous 133Xe clearance in preterm neonates with respiratory distress. Internal validation of CBF infinity as a measure of global cerebral blood flow. , 1988, Scandinavian journal of clinical and laboratory investigation.

[19]  Larsen Fs Cerebral circulation in liver failure: Ohm's law in force. , 1996 .

[20]  T A Gennarelli,et al.  Cerebral blood flow and metabolism in comatose patients with acute head injury. Relationship to intracranial hypertension. , 1984, Journal of neurosurgery.

[21]  N. Lassen,et al.  A Method for Calculating Regional Cerebral Blood Flow from Emission Computed Tomography of Inert Gas Concentrations , 1981, Journal of computer assisted tomography.

[22]  S. Vorstrup Tomographic cerebral blood flow measurements in patients with ischemic cerebrovascular disease and evaluation of the vasodilatory capacity by the acetazolamide test. , 1988, Acta neurologica Scandinavica. Supplementum.

[23]  O. Paulson,et al.  Changes in cerebral blood flow and carbohydrate metabolism during acute hyperketonemia. , 1996, The American journal of physiology.

[24]  G. Knudsen,et al.  Transcranial doppler sonography and internal jugular bulb saturation during hyperventilation in patients with fulminant hepatic failure , 2001, Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society.

[25]  N. Lassen,et al.  The luxury-perfusion syndrome and its possible relation to acute metabolic acidosis localised within the brain. , 1966, Lancet.

[26]  S. Kety,et al.  THE NITROUS OXIDE METHOD FOR THE QUANTITATIVE DETERMINATION OF CEREBRAL BLOOD FLOW IN MAN: THEORY, PROCEDURE AND NORMAL VALUES. , 1948, The Journal of clinical investigation.

[27]  E. Sveinsdottir,et al.  Regional Cerebral low in Man Determined by Intral‐artrial Injection of Radioactive Inert Gas , 1966 .

[28]  G. Knudsen,et al.  Regional cerebral blood flow during hyperventilation in patients with acute bacterial meningitis. , 2000, Clinical physiology.

[29]  G. Knudsen,et al.  Effect of short-term hyperventilation on cerebral blood flow autoregulation in patients with acute bacterial meningitis. , 2000, Stroke.

[30]  S. Kety,et al.  THE EFFECTS OF ALTERED ARTERIAL TENSIONS OF CARBON DIOXIDE AND OXYGEN ON CEREBRAL BLOOD FLOW AND CEREBRAL OXYGEN CONSUMPTION OF NORMAL YOUNG MEN. , 1948, The Journal of clinical investigation.

[31]  S. Kety,et al.  THE GASEOUS METABOLISM OF THE BRAIN OF THE MONKEY , 1945 .

[32]  O. Paulson,et al.  Cerebral blood flow following normavolemic hemodilution in patients with high hematocrit , 1981, Annals of neurology.

[33]  S. Ashwal,et al.  Cerebral blood flow and carbon dioxide reactivity in children with bacterial meningitis. , 1990, The Journal of pediatrics.

[34]  J. Olesen,et al.  Influence of carbon monoxide and of hemodilution on cerebral blood flow and blood gases in man. , 1973, Journal of applied physiology.

[35]  O. Paulson,et al.  Journal of Cerebral Blood Flow and Metabolism Kinetic Analysis of the Human Blood-brain Barrier Transport of Lactate and Its Influence by Hypercapnia Materials and Methods Patients Blood-brain Barrier Permeability Measurements , 2022 .

[36]  R. Grossman,et al.  The predictive value of cerebral anaerobic metabolism with cerebral infarction after head injury. , 1987, Journal of neurosurgery.

[37]  F. Larsen Cerebral Circulation in Liver Failure: Ohm's Law in Force , 1996, Seminars in liver disease.

[38]  A. Kampfl,et al.  Time course of cerebral blood flow velocity in central nervous system infections. A transcranial Doppler sonography study. , 1993, Archives of neurology.

[39]  F. Plum,et al.  Cerebral blood flow during and after hyperventilation. , 1970, Archives of neurology.

[40]  E. Skinhøj,et al.  Regional cerebral blood flow in acute apoplexy. The "luxury perfusion syndrome" of brain tissue. , 1967, Archives of neurology.

[41]  M. Pourcyrous,et al.  Hyperthermia increases cerebral metabolic rate and blood flow in neonatal pigs. , 1988, The American journal of physiology.

[42]  E. Donnemiller,et al.  Cerebral blood flow velocity and perfusion in purulent meningitis: a comparative TCD and 99MTC‐HMPAO‐SPECT study , 1998, European journal of neurology.

[43]  N. Lassen,et al.  Average Blood Flow and Oxygen Uptake in the Human Brain during Resting Wakefulness: A Critical Appraisal of the Kety—Schmidt Technique , 1993, Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism.