Summary:The blood flow of brain tissue often returns to normal after an ischemic episode. As "luxury" rather than "reactive" reperfusion, this hyperemia is associated with low metabolism. It is not known to what extent the high blood flow accompanies a high, normal, or low den sity of capillaries. The resolution of this question may indicate whether the functional capillary density is vari able and, if so, whether it is coupled to blood flow or metabolism. To answer these questions, we defined func tional capillaries as capillaries that transport glucose. We then calculated the density of functional capillaries (D cap) and the mean time of transit of blood through the capil laries (tca p) from hemodynamic variables obtained in vivo by positron tomography of five patients afflicted by cere bral ischemic stroke. Each patient was studied twice, within 36 h of the insult and 1 week later. We identified nominally "ischemic" regions in the first study as cortical gray matter regions, contiguous with the ischemic focus,The density of capillaries varies between the re gions of the brain (Craigie, 1945). The variation ap pears to have a cytoarchitectural basis, suggesting that the total number of capillaries in any region is a reflection of the normal average energy require ment of that region. However, evidence from other organs in animal experiments suggests that not all capillaries in a brain region function equally well as