Secondary motor dysfunction is often observed following ischemic episodes in the central nervous system. To study potential mechanisms of postischemic motor deterioration, we developed a rabbit spinal cord ischemia model that has characteristics similar to the clinical condition termed deteriorating stroke. In this model, 70% of the rabbits regained substantial motor function by 4 hours after complete hindlimb paralysis during lumbar spinal cord ischemia; however, over the next 20 hours motor function steadily declined to the point where only 30% of the rabbits had minimal hopping function. The role of eicosanoids in spinal cord ischemia was studied by radioimmunoassay of several prostaglandins (6-keto-PGF la , PGE 2 , and TxB 2 ) in the spinal cord. After 5 minutes of reperfusion, TxB 2 levels were markedly elevated (p<0.05) while 6-keto-PGF ln levels did not change. The TxB 2 :6-keto-PGFia ratio was also significantly increased. After 30 minutes of reperfusion, PGE 2 levels were also elevated (p<0.05). Tissue edema measured by microgravimetry was also increased after 30 minutes of reperfusion in both gray and white matter. By 4 hours of reperfusion, rabbits regained near-normal hindlimb motor function while PGEj, 6-keto-PGF, a , TxB 2 , and tissue water content were back to normal. However, by 18 hours of reperfusion, when hindlimb function was deteriorating, TxB 2 levels were elevated again, and edema in gray and white matter was increased as was the number of necrotic neurons observed by light microscopy. These results suggest that the secondary deterioration of motor neurologic function was due to the excess formation of TxA 2 primarily in the late reperfusion phase. However, further studies are necessary to elucidate the relation of TxA 2 with ischemic neural injury. (Stroke 1987;18:741-750)