Summary:We report the regional variation in [3H]nimodipine binding in vivo during focal cerebral isch emia. After intravenous injection, 30 min of circulation of eH]nimodipine was sufficient to establish a secular equi librium of distribution in the brain. Rats sustained left middle cerebral and common carotid artery occlusions for 5 min, and 4, 24, and 48 h (n ?o 6 per group). They were decapitated 30 min after injection of 250 /l-Ci of eH]nimodipine and their brains were submitted to auto radiography. The concentrations of r3Hjnimodipine in plasma and brain structures, corrected for metabolism of nimodipine, were used to calculate the regional volumes Correlating these data with CBF and histologic determi nations performed in separate groups of rats, we conclude that eH]nimodipine binding increases earlier in the more severely ischemic structures than in those with more moderate reductions in perfusion. Furthermore, when binding declines in a region where it was previously in creased, infarction is likely. These studies afford new in sight into the concept of ischemic penumbra and suggest that this model may allow testing for therapeutic effec tiveness.