Relationship between intracranial pressure and the carotid sinus baroreceptor reflex. 1990

M Kanai, and S Matsuura
Department of Physiology, Osaka City University Medical School, Japan.

The effects on cerebral circulation and intracranial pressure (ICP) of the carotid sinus nerve stimulation were examined in mongrel cats anesthetized with alpha-chloralose. In 214 trials with stimulation at normal ICP (less than 20mm Hg) in seven cats, mean arterial blood pressure (mABP), heart rate (HR), and ICP decreased significantly (p less than 0.05 in paired Student's t-tests), and the decreased magnitudes for mABP, HR and ICP were 29.9mm Hg, 32 beats/min and 0.9mm Hg, respectively. Correlation was linear between changes in the ICP and mABP (r = 0.61). After spinal ligation at the second cervical segment, bradycardia and depressor responses to the stimulation were observed. However, after vagosympathectomy of the cats with ligated cords, sinus nerve stimulation did not change the ABP, HR, ICP, CBF, or cerebral blood volume. This suggested that carotid sinus baroreceptor reflexes had no direct effect on cerebral vasodilation. When the levels before stimulation of the ICP were increased without evocation of Cushing's response by gradual inflation of a balloon placed extradurally, the ABP and the HR still decreased after stimulation. When Cushing's response was brought about, the responses in ABP and HR caused by the stimulation were not apparent at the peak of arterial hypertension. However, the amplitude of the decrease in the ICP caused by stimulation was enhanced with an increase in the levels of ICP before stimulation. Thus, the arterial baroreflex is preserved at increased levels of ICP without Cushing's response, and works more effectively to cancel the possible increase of ICP that can arise when there is a pulsatile increase in the ABP for one of several reasons.

UI MeSH Term Description Entries
D007427 Intracranial Pressure Pressure within the cranial cavity. It is influenced by brain mass, the circulatory system, CSF dynamics, and skull rigidity. Intracerebral Pressure,Subarachnoid Pressure,Intracerebral Pressures,Intracranial Pressures,Pressure, Intracerebral,Pressure, Intracranial,Pressure, Subarachnoid,Pressures, Intracerebral,Pressures, Intracranial,Pressures, Subarachnoid,Subarachnoid Pressures
D008297 Male Males
D011311 Pressoreceptors Receptors in the vascular system, particularly the aorta and carotid sinus, which are sensitive to stretch of the vessel walls. Baroreceptors,Receptors, Stretch, Arterial,Receptors, Stretch, Vascular,Stretch Receptors, Arterial,Stretch Receptors, Vascular,Arterial Stretch Receptor,Arterial Stretch Receptors,Baroreceptor,Pressoreceptor,Receptor, Arterial Stretch,Receptor, Vascular Stretch,Receptors, Arterial Stretch,Receptors, Vascular Stretch,Stretch Receptor, Arterial,Stretch Receptor, Vascular,Vascular Stretch Receptor,Vascular Stretch Receptors
D012018 Reflex An involuntary movement or exercise of function in a part, excited in response to a stimulus applied to the periphery and transmitted to the brain or spinal cord.
D002346 Carotid Sinus The dilated portion of the common carotid artery at its bifurcation into external and internal carotids. It contains baroreceptors which, when stimulated, cause slowing of the heart, vasodilatation, and a fall in blood pressure. Sinus, Carotid
D002415 Cats The domestic cat, Felis catus, of the carnivore family FELIDAE, comprising over 30 different breeds. The domestic cat is descended primarily from the wild cat of Africa and extreme southwestern Asia. Though probably present in towns in Palestine as long ago as 7000 years, actual domestication occurred in Egypt about 4000 years ago. (From Walker's Mammals of the World, 6th ed, p801) Felis catus,Felis domesticus,Domestic Cats,Felis domestica,Felis sylvestris catus,Cat,Cat, Domestic,Cats, Domestic,Domestic Cat
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D005260 Female Females
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

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