Decrease in 18F-Florbetapir Accumulation in the Cerebral Hemisphere With Hypoperfusion and Misery Perfusion Due to Chronic Atherosclerotic Occlusion of the Internal Carotid Artery

2020 ◽  
Vol 45 (2) ◽  
pp. e115-e116
Author(s):  
Tatsuhiko Takahashi ◽  
Masakazu Kobayashi ◽  
Shunrou Fujiwara ◽  
Yoshitaka Kubo ◽  
Kazunori Terasaki ◽  
...  
2018 ◽  
Vol 44 (1) ◽  
pp. 7
Author(s):  
Juliana Voll ◽  
Rui Campos

Background: Trachemys scripta elegans, in Brazil, has been considered an exotic and invasive turtle; it competes with autochthon species for habitat and food, threatening biodiversity. These animals have been exported to Brazil as pets; however, despite of the commercial interest in the last years, there are only few reports about the turtle central nervous system vascularization. Therefore, this study had the objective to describe and systematize the middle cerebral artery at the brain surface of the turtle (Trachemys scripta elegans), determining a standard model of irrigation and the main ramifications and territory, in this species.Materials, Methods & Results: Thirty turtles received pre-anesthetic medication composed of ketamine (80 mg/kg) and midazolam (2 mg/kg) followed by euthanasia with a sodium thiopental (100 mg/kg) overdose. The aortic arches were cannulated through the single ventricle, the cranial cava veins were incised and the vascular system washed with saline solution and heparin, and then filled with latex. Pieces remained immersed in running water and a bone window was opened in the cranial vault. Samples were fixed with formaldehyde and each brain with a spinal cord segment was removed from the cranial vault, the duramater was removed and the arteries dissected. Results were recorded and it was observed that the middle cerebral artery, collateral branch of the rostral branch of the internal carotid artery, varied between one to three components. These vessels anastomosed, originating a net that was projected from the base of the brain dorsorostralwards, reaching the convex surface of the olfactory bulb. Their lateral ramifications formed the convex hemispheric arteries, which ascended to the convex surface of the cerebral hemisphere and reached, caudally, the proximities of the caudal pole, anastomosing with the occipital hemispheric branches of the caudal cerebral artery and, dorsally, anastomosed with the caudal medial hemispheric branches of the caudal inter-hemispheric artery. Rostrally, its terminal branches, dorsal and ventral, formed a vascular ring around the coronal sulcus, which separated the cerebral hemisphere from the sessile olfactory bulb together with the rostral medial hemispheric branches of the rostral inter-hemispheric artery, branch of the rostral cerebral artery. The arteries of the olfactory bulb were originated from this ring. The middle cerebral artery in 63.4% of the samples to the right and in 56.7% to the left was double. But in 33.3% to the right and 20% to the left was triple, whereas in 3.3% to the right and in 23.3% to the left was a single vessel.Discussion: Authors reported that the middle cerebral artery, in reptiles, was originated as a single trunk, which subdivided into several arteries or was formed from several short trunks that ramified towards the convex surface of the cerebral hemisphere. In a study about turtles, the middle cerebral artery presented single origin and was emitted from the rostral branch of the internal carotid artery, emitting secondary branches that irrigated a portion of the dorsolateral surface of the cerebral hemispheres. In alligators, the rostral branch of the internal carotid artery originated a large middle cerebral artery, which emitted secondary branches towards the lateral surface of the cerebral hemisphere, continuing as rostral cerebral artery. In Cayman, the middle cerebral artery consisted of a formation of a net originated from one to five vessels, which was projected in sequence as collateral branches of the rostral branch of the internal carotid artery. This pattern of the middle cerebral artery was also observed in Trachemys, however, the net formation of the middle cerebral artery was after the emission of one to three vessels.


1976 ◽  
Vol 45 (4) ◽  
pp. 442-446 ◽  
Author(s):  
William A. Shucart ◽  
Eddy Garrido

✓ Four cases are presented in which intermittent ischemic symptomatology was referable to a cerebral hemisphere. Arteriography in each case showed complete occlusion of the ipsilateral internal carotid artery in the neck with collateral filling of the ipsilateral intracranial carotid artery into the cavernous portion. Endarterectomy was performed successfully in each case from 1 to 5 weeks after the demonstrated complete occlusion. The collateral circulation to the intracranial portion of the internal carotid artery and the probable reasons for the technical success of these operations are discussed.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Ljiljana Vasović ◽  
Milena Trandafilović ◽  
Slobodan Vlajković ◽  
Ivan Jovanović ◽  
Slađana Ugrenović

The continuation of the cranial branch of the primitive internal carotid artery is called the primitive olfactory artery (POℓA). It takes this name according to the fact that it is mainly concerned with supplying the developing nasal region. We reported two new cases of the persistent POℓA (PPOℓA) in Serbian population after retrospective analysis of digital images of 200 fetal and 269 adult cases. This PPOℓA originated from the precommunicating part (A1) of the right anterior cerebral artery, coursed along the olfactory tract, and turned on the medial cerebral hemisphere in both male adults. Some vascular variations (fenestration of the A1 and the median artery of the corpus callosum) were associated with this persistent vessel. According to the fact that we did not find aneurysm in our previous and two recent cases, we are of the opinion that PPOℓA is usually asymptomatic in Serbian population.


Cephalalgia ◽  
1981 ◽  
Vol 1 (1) ◽  
pp. 7-10 ◽  
Author(s):  
Jes Olesen

With the intraarterial 133Xenon injection method, regional cerebral blood flow (rCBF) was measured from 35 regions of a cerebral hemisphere. The effect of a constant infusion of serotonin (10–33 μg/min) for 2–5 min into the internal carotid artery was studied eight times in five patients. During rest, mean rCBF was 43.5 ml/100g/min as compared to 42.6 ml/100g/min during serotonin infusion. The latter value was altered to 42.8 ml/100g/min if correction for altered PaCO2 was carried out. In neither instance was the difference significant. It is concluded that circulating serotonin is unlikely to cause the cerebrovascular alterations associated with classical migraine attacks.


2021 ◽  
Vol 14 (7) ◽  
pp. e243520
Author(s):  
Yaşar Türk ◽  
Atakan Küskün

A rare case of a hypoplastic internal carotid artery (ICA) terminating in the ophthalmic artery with multiple intracranial saccular aneurysms in the contralateral ICA, anterior communicating artery fenestration and triple A2 was identified. The aetiology and pathogenesis of ICA hypoplasia are subjected to certain hypotheses. Developing several collaterals to preserve the blood supply of the ipsilateral cerebral hemisphere could result in aneurysm formation due to flow overload on the contralateral vasculature, but it could also result in hemicranial hypoplasia, cerebral atrophy and deep watershed infarcts, as in our case.


VASA ◽  
2011 ◽  
Vol 40 (6) ◽  
pp. 491-494 ◽  
Author(s):  
Vávrová ◽  
Slezácek ◽  
Vávra ◽  
Karlová ◽  
Procházka

Internal carotid artery pseudoaneurysm is a rare complication of deep neck infections. The authors report the case of a 17-year-old male who presented to the Department of Otorhinolaryngology with an acute tonsillitis requiring tonsillectomy. Four weeks after the surgery the patient was readmitted because of progressive swallowing, trismus, and worsening headache. Computed tomography revealed a pseudoaneurysm of the left internal carotid artery in the extracranial segment. A bare Wallstent was implanted primarily and a complete occlusion of the pseudoaneurysm was achieved. The endovascular approach is a quick and safe method for the treatment of a pseudoaneurysm of the internal carotid artery.


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