Cerebral Ischemia

Molecular and Cellular Pathophysiology

Buch | Softcover

278 Seiten

2013 | Softcover reprint of the original 1st ed. 1999
Humana Press Inc. (Verlag)
978-1-4757-4735-5 (ISBN)

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The human brain represents about 2% of the body weight, yet it accounts for approximately 20% of aerobic metabolism. This high dependency on energy-consuming processes is mainly caused by the active transport of ions, which is necessary to compensate for the transmembrane ion currents that are part ofthe complex signaling processes in the brain. Ninety-five percent ofthe brain's ATP is derived from mitochondrial oxidative phosphorylation. Since that organ' s storage capacity for oxygen is minimal, any interruption of oxygen delivery to brain cells willlead to changes in membrane excitability and, there fore, to disruption of neuronal signaling within seconds. It seems that mamma lian brain is especially vulnerable to such an interruption, since oxygen deprivation leads to activation of ion channel mechanisms in neurons that impair their communications. Thus, the function of the brain as a coordinator of vital homeostatic reflexes, and complex body reactions to external challenges, depends critically on the rate of oxygen delivery and oxygen consumption. Oxygen delivery depends on two variables described in the Fick relation ship: volume flow rate ofblood and the arterial oxygen content. A reduction in either of these two variables will have serious effects on vital brain func tions. Reduction of arterial blood flow to the brain can be caused by cardiac arrest, shock, carotid occlusion, Of hypotension (global ischemia). Oxygen content is progressively decreased in asphyxia (including drowning).

1 Mechanisms of Cerebral Ischemic Damage.- 2 Spreading Depression Waves as Mediators of Secondary Injury and of Protective Mechanisms.- 3 Cell Swelling in Cerebral Ischemia.- 4 Calcium Overload.- 5 Oxygen Radicals.- 6 Mechanisms of Neuroprotective Cytokines: Pleiotrophic Effects of TNF? and TGF? on Brain Injury.- 7 Reprogramming of Gene Expression After Ischemia.- 8 Neurons: Necrotic vs Apoptotic Changes.- 9 Reactive Astrogliosis in the Injured and Postischemic Brain.- 10 Activated and Phagocytic Microglia.

Erscheint lt. Verlag	24.3.2013
Reihe/Serie	Contemporary Neuroscience
Zusatzinfo	15 Illustrations, black and white; IX, 278 p. 15 illus.
Verlagsort	Totowa, NJ
Sprache	englisch
Maße	155 x 235 mm
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Neurologie
ISBN-10	1-4757-4735-7 / 1475747357
ISBN-13	978-1-4757-4735-5 / 9781475747355
Zustand	Neuware