Summary: Delayed neuronal damage in the ischemic re gion of the rat brain following middle cerebral artery (MCA) occlusion in stroke-prone spontaneously hyper tensive rats was studied. The distribution of neuronal damage was determined by 45Ca autoradiography. Accu mulation of45Ca was observed in the corpus callosum and ipsilateral cerebral cortex immediately following MCA occlusion. After 3 days of occlusion, 45Ca had accumu lated in the ipsilateral pyramidal tract, the ventral poste rior nucleus of the thalamus, and the lateral portion of the striatum. Significant accumulation of 45Ca was observed in the same areas after 7 and 14 days of occlusion. Next the effect of MK-SOI on accumulation of 45Ca after MCA occlusion was examined using the same technique. MK SOl (0.5-10 mg/kg i.v.) or saline was administered 15 min Occlusion of the rat middle cerebral artery (MCA) is a widely used model of focal cerebral ischemia. In most models, ischemia results in dam age to the cortex and the lateral part of the striatum (Tamura et aI., 1981; Bederson et aI., 1986; Naga sawa and Kogure, 1989). It has been demonstrated that distal occlusion to the striate branches of the MCA resulted in a reproducible focal infarction in stroke-prone spontaneously hypertensive rats, but not in normotensive rats (Coyle, 1982;Coyle and Jokelainen, 1983). The infarct produced by this pro cedure was limited to the ipsilateral cerebral cortex and did not extend to the basal ganglia. A rise in the intracellular calcium concentration has been postu lated to initiate or represent a "final common path- Received February 18, 1993; final revision received February 8, 1994; accepted February 8, 1994.Address correspondence and reprint requests to Dr. Toshiki Shirotani, Department of Neurosurgery, National Defense Med ical College, 3-2, Namiki, Tokorozawa, Saitama 359, Japan.Abbreviations used: MCA, middle cerebral artery; NMDA, N-methyl-D-aspartate.
831before MCA occlusion, and volumes of accumulation of 45Ca were calculated 1 week after ischemic insults. MK SOl significantly reduced 45Ca uptake in the cortex, stri atum, and thalamus. Furthermore, there was a strong sta tistical correlation between the volume of accumulation of 45Ca in the cortex and that in the thalamus (r = 0.S974; p < 0.001; n = 25). We speculate that delayed neuronal damage in the corpus callosum, ipsilateral pyramidal tract, and thalamus may be caused by secondary neuronal degeneration. However, neuronal damage in the striatum, a segment not supplied by the MCA, may be related to excessive release of glutamate.