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Concurrently, this phenomenon induces a spreading depression of electrocorticographic activity, an increase in metabolic demand, and substantial disturbances in ionic homeostasis ( A key mechanism underlying the propagation of CSDs involves the passive diffusion of extracellular K + and glutamate, which induces depolarization within the cortical grey matter ( 2+ channels, and other voltage-gated channels, exacerbates glutamate release and K + -efflux, thereby sustaining the waves of depolarization ( -amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptors, leading to excessive neuronal excitation and eventual cell death ( CSDs can also propagate into brain regions initially unaffected by the triggering event, inducing a loss of spontaneous and evoked activity in neighboring neural networks, a phenomenon referred to as spreading depression ( In patients with aSAH, CSDs contribute to dynamic alterations in cerebral blood flow

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