Transcranial optical monitoring of cerebrovascular hemodynamics in acute stroke patients

Opt Express. 2009 Mar 2;17(5):3884-902. doi: 10.1364/oe.17.003884.

Abstract

"Diffuse correlation spectroscopy" (DCS) is a technology for non-invasive transcranial measurement of cerebral blood flow (CBF) that can be hybridized with "near-infrared spectroscopy" (NIRS). Taken together these methods hold potential for monitoring hemodynamics in stroke patients. We explore the utility of DCS and NIRS to measure effects of head-of-bed (HOB) positioning at 30 degrees , 15 degrees , 0 degrees , -5 degrees and 0 degrees angles in patients with acute ischemic stroke affecting frontal cortex and in controls. HOB positioning significantly altered CBF, oxy-hemoglobin (HbO(2)) and total-hemoglobin (THC) concentrations. Moreover, the presence of an ipsilateral infarct was a significant effect for all parameters. Results are consistent with the notion of impaired CBF autoregulation in the infarcted hemisphere.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Case-Control Studies
  • Cerebral Infarction / blood
  • Cerebral Infarction / physiopathology
  • Cerebrovascular Circulation*
  • Diagnostic Techniques, Neurological*
  • Female
  • Functional Laterality
  • Hemoglobins / metabolism
  • Homeostasis
  • Humans
  • Male
  • Middle Aged
  • Optical Phenomena
  • Oxyhemoglobins / metabolism
  • Point-of-Care Systems*
  • Posture
  • Spectroscopy, Near-Infrared / methods
  • Stroke / blood
  • Stroke / physiopathology*

Substances

  • Hemoglobins
  • Oxyhemoglobins
  • deoxyhemoglobin