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Brain, Vol. 114, No. 2, 1001-1011, 1991
© 1991 Oxford University Press


research-article

STIMULATION OF THE SUPERIOR SAGITTAL SINUS INCREASES METABOLIC ACTIVITY AND BLOOD FLOW IN CERTAIN REGIONS OF THE BRAINSTEM AND UPPER CERVICAL SPINAL CORD OF THE CAT

P. J. GOADSBY and A. S. ZAGAMI

Department of Neurology, The Prince Henry and Prince of Wales Hospitals, and School of Medicine, University of New South Wales Sydney, Australia

Correspondence to: Correspondence to: Dr P.J.Goadsby, Department of Neurology, The Prince Henry Hospital, Little Bay, Sydney NSW 2036, Australia.

To investigate the anatomical distribution of cells concerned with relaying craniovascular nociception, local cerebral blood flow was examined in the cat using the tracer [14C]-iodoantipyrine and local cerebral glucose utilization determined by the 2-deoxyglucose method in tissue autoradiographs. The superior sagitial sinus was stimulated electrically and its effect on caudal brainstem and upper cervical spinal cord blood flow and metabolism evaluated. This caused increased metabolic activity and blood flow in the trigeminal nucleus caudalis, in the cervical dorsal horn and in a discrete area in the dorsolateral spinal cord at the second cervical segment. Responses in these 3 areas were blocked by ablation of the trigeminal ganglia. The dorsolateral area activated in the spinal cord corresponds to a group of cells in or near the lateral cervical nucleus that may form an important relay for craniovascular nociception and thus be of relevance to the mechanism of headache.

Received December 28, 1989. Revised June 5, 1990. Accepted June 26, 1990.


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