Effect of central cholinergic stimulation on regional cerebral blood flow in Alzheimer disease

Lancet. 1990 Jun 23;335(8704):1484-7. doi: 10.1016/0140-6736(90)93028-n.

Abstract

Patients with Alzheimer disease (AD) had reduced regional cerebral blood flow (rCBF) in the posterior parietotemporal region compared with controls, as determined with technetium-99m hexamethyl propyleneamine oxime and single photon emission tomography. Central cholinergic stimulation with physostigmine produced a focal increase in rCBF in the posterior parietotemporal region in the patients with AD but not in controls.

MeSH terms

  • Aged
  • Alzheimer Disease / diagnostic imaging
  • Alzheimer Disease / physiopathology*
  • Analysis of Variance
  • Cerebrovascular Circulation / drug effects*
  • Cerebrovascular Circulation / physiology
  • Drug Evaluation
  • Female
  • Glycopyrrolate / administration & dosage
  • Glycopyrrolate / pharmacology
  • Humans
  • Infusions, Intravenous
  • Male
  • Middle Aged
  • Organotechnetium Compounds
  • Oximes
  • Parasympathetic Nervous System / drug effects*
  • Parietal Lobe / blood supply
  • Physostigmine / administration & dosage
  • Physostigmine / antagonists & inhibitors
  • Physostigmine / pharmacology*
  • Technetium Tc 99m Exametazime
  • Temporal Lobe / blood supply
  • Tomography, Emission-Computed, Single-Photon / methods

Substances

  • Organotechnetium Compounds
  • Oximes
  • Technetium Tc 99m Exametazime
  • Physostigmine
  • Glycopyrrolate