Journal of Ultrasound in Medicine, Vol 8, Issue 3 143-148, Copyright © 1989 by American Institute of Ultrasound in Medicine
Relationship of cerebral blood flow regulation to acute mountain sickness
S. M. Otis, M. E. Rossman, P. A. Schneider, M. P. Rush and E. B. Ringelstein
Division of Neurology, Scripps Clinic and Research Foundation, La Jolla, California 92037.
Acute mountain sickness (AMS) is a prevalent illness seen in humans exposed
to high altitudes. An increase in cerebral blood flow as a result of
cerebrovasodilatation is felt by many to be responsible for its occurrence.
Using the recently developed transcranial Doppler (TCD), it has become
possible to detect and quantify flow velocity in the large cerebral
vessels. By this method, intracranial arterial blood flow velocities and
vasodilatation were measured at high altitude and correlated with clinical
symptoms. Mean middle cerebral artery velocity (MCA-V) showed a significant
increase from 55 +/- 7 cm/s at sea level to 71 +/- 13 cm/s at 13,500 feet.
The pulsatility index (PI) and vasomotor reactivity (VMR) both decreased
(.71 +/- .11 at sea level to .53 +/- .12 at 13,500 and 45 +/- 17% sea level
to 23 +/- 15% at 8,000 feet, respectively). These preliminary studies
indicated that TCD technique is a viable tool for measurement of cerebral
blood flow velocities and cerebral arterial vasodilatation at altitude.