Document Detail


Preservation of autoregulation of cerebral blood flow in autonomic failure.
MedLine Citation:
PMID:  7354367     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cerebral blood flow (CBF) measurements have been made at systolic pressures between 40 and 170 mm Hg in 8 patients with chronic autonomic failure and widespread sympathetic efferent defects. Hypotension was produced by head up tilt. Cerebral autoregulation was preserved over a wide range and only failed at a systolic pressure close to 60 mm Hg, which is below the level at which it fails in normal subjects. Therefore, although autoregulation is probably mediated largely by local myogenic factors, its lower limit appears to be reduced by defective sympathetic function. These findings help to explain the remarkable tolerance of severe postural hypotension in autonomic failure.
Authors:
D J Thomas; R Bannister
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  44     ISSN:  0022-510X     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  1980 Jan 
Date Detail:
Created Date:  1980-04-23     Completed Date:  1980-04-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  205-12     Citation Subset:  IM; S    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Atrophy
Autonomic Nervous System*
Blood Pressure
Cerebrovascular Circulation*
Female
Homeostasis
Humans
Hypotension, Orthostatic / physiopathology
Male
Middle Aged
Nervous System Diseases / physiopathology*
Sympathetic Nervous System
Syndrome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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