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1Human Brain Research Center, Kyoto University Graduate School of Medicine, Sakyo-ku, Kyoto; 2Department of Psychiatry, Osaka Prefectural General Hospital, Osaka; Departments of 3Psychiatry, 4Anesthesiology, and 5Radiology, National Center Hospital for Mental, Nervous, and Muscular Disorders, National Center of Neurology and Psychiatry (NCNP), Kodaira, Tokyo; 6Department of Psychiatry, Teikyo University School of Medicine, Kawasaki, Kanagawa; 7Department of Psychiatry, National Institute of Mental Health, NCNP, Ichikawa, Chiba; and 8Department of Psychiatry, Shiga University of Medical Science, Otsu, Shiga, Japan
Submitted 24 June 2004 ; accepted in final form 17 December 2004
This study aimed to identify brain regions with the least decreased cerebral blood flow (CBF) and their relationship to physiological parameters during human non-rapid eye movement (NREM) sleep. Using [15O]H2O positron emission tomography, CBF was measured for nine normal young adults during nighttime. As NREM sleep progressed, mean arterial blood pressure and whole brain mean CBF decreased significantly; arterial partial pressure of CO2 and, selectively, relative CBF of the cerebral white matter increased significantly. Absolute CBF remained constant in the cerebral white matter, registering 25.9 ± 3.8 during wakefulness, 25.8 ± 3.3 during light NREM sleep, and 26.9 ± 3.0 (ml·100 g1·min1) during deep NREM sleep (P = 0.592), and in the occipital cortex (P = 0.611). The regression slope of the absolute CBF significantly differed with respect to arterial partial pressure of CO2 between the cerebral white matter (slope 0.054, R = 0.04) and frontoparietal association cortex (slope 0.776, R = 0.31) (P = 0.005) or thalamus (slope 1.933, R = 0.47) (P = 0.004) and between the occipital cortex (slope 0.084, R = 0.06) and frontoparietal association cortex (P = 0.021) or thalamus (P < 0.001), and, with respect to mean arterial blood pressure, between the cerebral white matter (slope 0.067, R = 0.10) and thalamus (slope 0.637, R = 0.31) (P = 0.044). The cerebral white matter CBF keeps constant during NREM sleep as well as the occipital cortical CBF, and may be specifically regulated by both CO2 vasoreactivity and pressure autoregulation.
cerebral white matter; carbon dioxide; non-rapid eye movement sleep; cerebral blood flow; PET
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