IN a previous report1 we demonstrated that carbon dioxide (CO2) may increase cerebral blood flow (CBF) when supplied to the brain via the subarachnoid space (SAS) while the arterial carbon dioxide tension (Paco2) is kept at a low level, suggesting that the effect of CO2 on CBF may not necessarily be mediated by its effect on the smooth muscle of the cerebral arterial wall, but perhaps by another mechanism, such as mediation through a chemoreceptor reflex mechanism.
Reviewing previous pertinent work, it was somewhat surprising to discover that no direct demonstration of the effect of CO2 on the smooth muscle of the cerebral arterial wall had been described. The only direct investigation, frequently quoted in various reviews dealing with this subject, is the work of Cow2 in 1911 who observed that isolated segments of the carotid artery dilate when CO2 is added
Shalit MN, Reinmuth OM, Shimojyo S, Scheinberg P. Carbon Dioxide and Cerebral Circulatory Control: II. The Intravascular Effect. Arch Neurol. 1967;17(4):337–341. doi:10.1001/archneur.1967.00470280003001
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: