Studies in vitro suggest that the basilar artery has distinctive responses to endotheliumdependent stimuli. Our first goal was to examine the effects of acetylcholine on diameter of the basilar artery in vivo. Because aggregating platelets may have important effects on cerebral arteries, our second goal was to examine the effects on the basilar artery of products that are released by platelets (thromboxane, serotonin, and adenosine 5'-diphosphate). Diameter of the basilar artery was measured through a cranial window in anesthetized rats (n=25). Baseline diameter of the basilar artery was 247 ±10 /im mean±SEM. Topical application of acetylcholine at 10 6 and 10" 5 M dilated the basilar artery by 13±2% and 19±2%, respectively. The thromboxane analogue U46619 at 10"' and 10" 7 M reduced the diameter of the basilar artery by 18±5% and 29±4%, respectively. At 10" 8 and 10" 7 M, serotonin had little effect on pial arterioles on the cerebrum but constricted the basilar artery by 18 ±2% and 29±4%, respectively. At 10" 6 and 10~s M, adenosine 5'-diphosphate produced marked dilatation of pial arterioles on the cerebrum (9±2% and 20±3%, respectively) but had little effect on the basilar artery (increased diameter by 4±2% and 6±2%, respectively). Thus, in contrast to some studies of the basilar artery in vitro, acetylcholine produces dilatation of the basilar artery in vivo. Potent constrictor responses to thromboxane and serotonin, in combination with the minimal dilator effect of adenosine 5'-diphosphate, suggest that release of these products during platelet aggregation would favor constriction of the basilar artery. (Stroke 1991;22:56-60) C erebral blood vessels respond to a variety of vasoactive substances through endotheliumdependent mechanisms in vitro.1 " 4 In contrast to numerous studies of peripheral arteries, in which acetylcholine produces relaxation through an endothelium-dependent mechanism, several studies in vitro suggest that acetylcholine has little effect on the basilar artery, or may even produce contraction. 5 ' 6 These findings differ from studies of pial arteries on the cerebrum in vivo in which acetylcholine has been shown to be an effective dilator, 7 -9 suggesting that unusual endothelium-dependent responses are present in the basilar artery.Variables such as vascular tone appear to be important determinants of vascular responses to certain agonists. 1011 In vitro, blood vessels are often Received May 11, 1990; accepted August 27, 1990. studied under quiescent conditions or during pharmacologically induced tone, and it is not clear how closely these conditions mimic the normal in vivo situation. We have developed a method that allows study of the basilar artery and microcirculation of the brain stem in vivo. 12 Our first goal was to examine the effects of acetylcholine and the endothelium-independent agonist nitroglycerin on the basilar artery in vivo. For comparison, we also examined the responses of arteriolar branches of the basilar artery and pial arterioles on the cerebrum.Platelet aggrega...