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J F Cusick

Publications and source records attributed to J F Cusick.

75 records · Page 5Linked to original sources

Continuous quantitative local cerebral blood flow measurement. Calibration of thermal conductivity measurements by the hydrogen clearance method.

The capability of a miniaturized probe to measure local cerebral blood flow in a continuous and quantitative manner is described. The incorporation of thermal conductivity measurements using the isothermal principle with the hydrogen clearance method allows calibration of the thermal conductivity component in absolute terms. Evaluation of this system in 14 cats showed a linear relationship between both measurement methods. The major limitation of this combination probe system is the need for routine intermittent recalibration in order that changes of tissues thermal conductivity induced by physiologic alterations during the experimental procedure may be recognized and resolved.

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Innovations in neurologic implant systems.

Physiologic findings and clinical observations with several new implant systems are discussed. One system studied is designed with electrodes implanted over the anterior region of the spinal cord. Another system is designed with an anterior-posterior spinal cord electrode passing current across the spinal cord. Also given are observation and description of cortical and cerebellar implant systems. Current-density plots of the electrode arrays are included.

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Reversal of delayed vasospasm by TS-011 in the dual hemorrhage dog model of subarachnoid hemorrhage.

PURPOSE: Arachidonic acid is avidly metabolized to a potent vasoconstrictor, 20-hydroxyeicosatetraenoic acid (20-HETE), in the cerebral circulation. 20-HETE has been reported to contribute to the acute fall in cerebral blood flow following subarachnoid hemorrhage (SAH), but its role in the development of delayed vasospasm is unknown. The present study examined whether delayed vasospasm is associated with elevations in 20-HETE in CSF in the dual hemorrhage model of SAH in dogs and if blockade of the synthesis of 20-HETE with N-(3-chloro-4-morpholin-4-yl)phenyl-N'-hydroxyimido formamide (TS-011) can reverse delayed vasospasm in this model. MATERIALS AND METHODS: Delayed vasospasm was induced in 22 adult beagle dogs by dual injection of blood (0.5 mL/kg) into the cisterna magna on days 1 and 4. Sequential samples of CSF were collected before intracisternal injections of blood on days 1 and 4 and after the development of delayed vasospasm on day 7. Sequential angiograms were obtained before and after intracisternal injection of blood on days 1 and 4 and before and 1 hour after administration of TS-011 (1 mg/kg IV) on day 7. RESULTS: The dogs consistently developed delayed vasospasm, and the diameter of the basilar artery fell to 68 +/- 3% (n = 15), 3 days after the second intracisternal injection of blood. The levels of 20-HETE in CSF increased from 4 +/- 2 to 39 +/- 16 pg/mL. In 9 dogs with delayed vasospasm, acute blockade of the synthesis of 20-HETE with TS011 (1 mg/kg IV) significantly increased the diameter of the basilar artery by 39%. Chronic administration of TS-011 (1 mg/kg per day) attenuated the development of delayed vasospasm, and the diameter of the basilar artery fell by 17 +/- 1% versus the 33 +/- 3% decrease in diameter seen in control animals 3 days following the second injection of blood into the cisterna magna. CONCLUSIONS: These results indicate that the development of delayed vasospasm in dogs is associated with an increase in 20-HETE levels in CSF, and acute blockade of the synthesis of 20-HETE with TS-011 reverses delayed vasospasm in this model.

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