Effects of carotid occlusion and left atrial stretch on supraoptic neurosecretory cells

1979 ◽  
Vol 237 (1) ◽  
pp. R63-R67 ◽  
Author(s):  
R. P. Menninger
Keyword(s):  
Carotid Artery ◽  
Left Atrial ◽  
Supraoptic Nucleus ◽  
Neuronal Response ◽  
Plasma Osmolality ◽  
Neurosecretory Cells ◽  
Carotid Occlusion ◽  
Plasma Vasopressin ◽  
Neurosecretory Neurons ◽  
The Right

Acute experiments were performed on pentobarbital-anesthetized cats to determine whether atrial and carotid baroreceptors affected the same neurosecretory neurons in the supraoptic nucleus (SON) of the hypothalamus. The osmosensitivity of these neurons was also determined. Eighty-two SON neurons were antidromically identified and 63 of these increased their firing rates during complete occlusion of the right carotid artery. Further testing of these 63 neurons demonstrated that 56 were inhibited by directly stretching the left atrium and 61 were excited by intracarotid injection of hypertonic saline. Left atrial stretch greatly reduced the neuronal response to carotid occlusion. These results show that the activity of the majority of the antidromically identified SON neurons is altered by left atrial and carotid artery receptors as well as changes in plasma osmolality. Results are consistent with the known influence of these receptors on plasma vasopressin.

Right atrial stretch decreases supraoptic neurosecretory activity and plasma vasopressin

1981 ◽  
Vol 241 (1) ◽  
pp. R44-R49
Author(s):  
R. P. Menninger
Keyword(s):  
Left Atrial ◽  
Supraoptic Nucleus ◽  
Right Atrial ◽  
Vasopressin Release ◽  
Plasma Vasopressin ◽  
Neurosecretory Neurons ◽  
Plasma Arginine ◽  
Right Atrial Appendage ◽  
The Right ◽  
Atrial Receptors

It is generally held that left atrial stretch (LAS) but not right atrial stretch (RAS) reflexly inhibits vasopressin release and results in a diuresis. To reexamine the influence of RAS on the release of vasopressin and on the behavior of antidromically identified supraoptic neurosecretory neurons, RAS and LAS were applied in pentobarbital-anesthetized cats. Weighted 20 or 30 g sutures were placed in the left atrium pulmonary vein junction and at the base of the right atrial appendage. Antidromically identified supraoptic nucleus neurons were inhibited by both RAS and LAS applied independently and together, although fewer neurons were responsive to RAS alone. Simultaneous stretch of both atria resulted in greater inhibition of these neurons than did stretch of either atrium alone. Stretch of the right atrium alone also resulted in a significant decrease in plasma arginine vasopressin measured by radioimmunoassay. Differences between these results and other reports may stem from differences in the method of RAS or the specific right atrial receptors affected.

Influence of volume changes on osmolality-vasopressin relationships in conscious dogs

1983 ◽  
Vol 244 (1) ◽  
pp. H73-H79 ◽  
Author(s):  
E. W. Quillen ◽  
A. W. Cowley
Keyword(s):  
Blood Volume ◽  
Left Atrial ◽  
Continuous Measurement ◽  
Plasma Osmolality ◽  
Conscious Dogs ◽  
Relative Importance ◽  
Volume Changes ◽  
Short Term ◽  
New Techniques ◽  
Plasma Vasopressin

The relative importance of plasma osmolality (Posm) and left atrial pressure (LAP) as controllers of plasma vasopressin concentration (PAVP) was investigated in conscious dogs (n = 8). New techniques for the continuous measurement of LAP and computerized data collection permitted monitoring of LAP and mean arterial pressure (MAP) while Posm was suppressed with intravenous distilled water and then elevated with hypertonic NaCl. PAVP was determined by radioimmunoassay. This relationship between Posm and PAVP was determined at low, normal, and high (-0.9 +/- 0.8, 1.8 +/- 0.8, and 7.7 +/- 1.1 cmH2O, respectively) levels of LAP produced by either hemorrhage or autotransfusion of whole blood. MAP was not altered by these maneuvers. The results of these short-term studies have demonstrated a significant modulation of the osmoregulation of PAVP by changes in blood volume as indexed by LAP. Because of this modulation, PAVP is regulated so that contraction or expansion of the blood volume is more expeditiously corrected than would occur if osmoreceptors alone regulated plasma vasopressin.

scholarly journals Carotid artery occlusion secondary to retropharyngeal abscess treated with endovascular carotid sacrifice

2015 ◽  
Vol 42 (S1) ◽  
pp. S44-S44
Author(s):  
S Ahmed ◽  
L Peeling ◽  
ME Kelly
Keyword(s):  
Carotid Artery ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Carotid Occlusion ◽  
Retropharyngeal Abscess ◽  
Horner’S Syndrome ◽  
Horner's Syndrome ◽  
Therapeutic Decisions ◽  
The Right ◽  
Permanent Neurological Deficit

Introduction: Carotid occlusion is a rare but serious complication of retropharyngeal abscess (RPA). Management questions that must be addressed include the choice between reconstruction and occlusion in the setting of an active infectious process. Case Report: A 4 year old female presented with hoarseness, shortness of breath, and a right-sided Horner’s syndrome. A CT scan confirmed the diagnosis of RPA, and contrast studies showed no filling in the right internal carotid artery (ICA). Surgical exploration of the abscess disrupted the occluded artery, causing deep, uncontrolled bleeding. Emergent angiographic evaluation was completed, and the decision was made to sacrifice the ICA. The patient recovered on antibiotics, but the Horner’s syndrome persisted. Discussion: The presence of a carotid artery occlusion must be ruled out in the setting of a RPA. When suspected, it should be investigated further. Therapeutic decisions regarding sacrifice or reconstruction of the carotid artery are burdened by risks associated with the setting of an infection, notably infection and systemic dissemination. Conclusion: The presence of a carotid occlusion is a serious complication resulting from a RPA that can lead to permanent neurological deficit. Endovascular vessel sacrifice is a viable treatment option for carotid occlusion in the setting of a retropharyngeal abscess, but must be considered on a case-by-case basis.

Response of supraoptic neurosecretory cells to changes in left atrial distension

1979 ◽  
Vol 236 (5) ◽  
pp. R261-R267
Author(s):  
R. P. Menninger
Keyword(s):  
Left Atrium ◽  
Left Atrial ◽  
Supraoptic Nucleus ◽  
Neurosecretory Cells ◽  
Simultaneous Increase ◽  
Atrial Wall ◽  
Firing Rates ◽  
Series Of Experiments ◽  
Atrial Receptors ◽  
Left Atrial Distension

Acute studies were conducted in cats to determine the effects of small changes in left atrial pressure (LAP) on the activity of antidromically identified neurons in the supraoptic nucleus (SON). Inflation of left atrial balloons reproducibly altered the frequency of 15% of the SON neurons. More than half of these increased frequency, probably due to a simultaneous increase in arterial pressure. In a second series, the firing rates of 20% of the SON neurons tested were inversely related to changes in LAP produced by pumping blood into or out of the left atrium. A third series of experiments were conducted in which the left atrium was directly stretched by pulling on a suture placed in the atrial wall in addition to one of the above methods of changing LAP. Directly stretching the left atrium inhibited over 70% of the SON neurons; this included all the neurons that responded to changes in LAP. The results suggest that these SON neurons have differential sensitivities to inputs from left atrial receptors.

Inhibition of thermal panting by intracarotid infusion of hypertonic saline in dogs

1985 ◽  
Vol 249 (6) ◽  
pp. R787-R791 ◽  
Author(s):  
M. A. Baker ◽  
D. D. Dawson
Keyword(s):  
Body Temperature ◽  
Carotid Artery ◽  
Common Carotid Artery ◽  
Intravenous Infusion ◽  
Venous Blood ◽  
Plasma Osmolality ◽  
Solute Concentration ◽  
Body Temperatures ◽  
Blood Samples ◽  
The Right

Six dogs were surgically prepared with a right carotid loop and with the left common carotid artery ligated low in the neck. Respiratory frequency (f) and body temperature (Tb) were measured while the animals were at rest in a warm chamber (36–40 degrees C) in four separate experiments: 1) right intracarotid infusion of hypertonic NaCl; 2) right intracarotid infusion of isotonic NaCl; 3) intravenous infusion of hypertonic NaCl; and 4) no infusions. In a fifth experiment, right and left jugular and cephalic venous blood samples were collected before, during, and after the hypertonic intracarotid infusions. A 10-min infusion of hypertonic NaCl into the right common carotid artery elevated right jugular plasma osmolality by 33 mosmol/kg H2O, left jugular plasma osmolality by 26 mosmol/kg H2O, and cephalic plasma osmolality by 8 mosmol/kg H2O. A significant reversible drop in f and a rise in Tb occurred during hypertonic intracarotid infusions. Neither intracarotid infusion of isotonic NaCl nor intravenous infusion of hypertonic NaCl affected f or Tb. In experiments with no infusion, f and Tb did not change. It is concluded that brain receptors sensitive to extracellular solute concentration are able to influence the rate of thermoregulatory panting. This may underlie, in part, the reduced evaporation and elevated body temperatures that occur in dehydrated mammals exposed to heat.

The brain structure and neurosecretory cells of noctuid moth Anadevidia peponis: Noctuidae

1990 ◽  
Vol 48 (3) ◽  
pp. 436-437
Author(s):  
M. Sato ◽  
Y. Ogawa ◽  
M. Sasaki ◽  
T. Matsuo
Keyword(s):  
Biological Clock ◽  
Virgin Female ◽  
Basic Structure ◽  
Fixed Time ◽  
Neurosecretory Cells ◽  
Nerve Cells ◽  
Noctuid Moth ◽  
The Right ◽  
20 Nm ◽  
The Brain

A virgin female of the noctuid moth, a kind of noctuidae that eats cucumis, etc. performs calling at a fixed time of each day, depending on the length of a day. The photoreceptors that induce this calling are located around the neurosecretory cells (NSC) in the central portion of the protocerebrum. Besides, it is considered that the female’s biological clock is located also in the cerebral lobe. In order to elucidate the calling and the function of the biological clock, it is necessary to clarify the basic structure of the brain. The observation results of 12 or 30 day-old noctuid moths showed that their brains are basically composed of an outer and an inner portion-neural lamella (about 2.5 μm) of collagen fibril and perineurium cells. Furthermore, nerve cells surround the cerebral lobes, in which NSCs, mushroom bodies, and central nerve cells, etc. are observed. The NSCs are large-sized (20 to 30 μm dia.) cells, which are located in the pons intercerebralis of the head section and at the rear of the mushroom body (two each on the right and left). Furthermore, the cells were classified into two types: one having many free ribosoms 15 to 20 nm in dia. and the other having granules 150 to 350 nm in dia. (Fig. 1).

scholarly journals Clinical Impact of Contralateral Carotid Occlusion in Patients Undergoing Carotid Artery Revascularization

2021 ◽  
Vol 74 (1) ◽  
pp. 335
Author(s):  
A.K. Krawisz ◽  
K. Rosenfield ◽  
C.H. White ◽  
M.R. Jaff ◽  
J. Campbell ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Clinical Impact ◽  
Carotid Occlusion

scholarly journals Role of Extradural Clinoidectomy and Optic Unroofing in Resection of an Anterior Clinoidal Meningioma with Encasement of the Internal Carotid Artery and Its Branches

2021 ◽  
Author(s):  
Sima Sayyahmelli ◽  
Zhaoliang Sun ◽  
Emel Avci ◽  
Mustafa K. Başkaya
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Skull Base ◽  
Vision Loss ◽  
Internal Carotid ◽  
Extent Of Resection ◽  
World Health ◽  
Who Grade ◽  
The Right ◽  
Supraclinoid Internal Carotid Artery

AbstractAnterior clinoidal meningiomas (ACMs) remain a major neurosurgical challenge. The skull base techniques, including extradural clinoidectomy and optic unroofing performed at the early stage of surgery, provide advantages for improving the extent of resection, and thereby enhancing overall outcome, and particularly visual function. Additionally, when the anterior clinoidal meningiomas encase neurovascular structures, particularly the supraclinoid internal carotid artery and its branches, this further increases morbidity and decreases the extent of resection. Although it might be possible to remove the tumor from the artery wall despite complete encasement or narrowing, the decision of whether the tumor can be safely separated from the arterial wall ultimately must be made intraoperatively.The patient is a 75-year-old woman with right-sided progressive vision loss. In the neurological examination, she only had light perception in the right eye without any visual acuity or peripheral loss in the left eye. MRI showed a homogeneously enhancing right-sided anterior clinoidal mass with encasing and narrowing of the supraclinoid internal carotid artery (ICA). Computed tomography (CT) angiography showed a mild narrowing of the right supraclinoid ICA with associated a 360-degree encasement. The decision was made to proceed using a pterional approach with extradural anterior clinoidectomy and optic unroofing. The surgery and postoperative course were uneventful. MRI confirmed gross total resection (Figs. 1 and 2). The histopathology was a meningothelial meningioma, World Health Organization (WHO) grade I. The patient continues to do well without any recurrence and has shown improved vision at 15-month follow-up.This video demonstrates important steps of the microsurgical skull base techniques for resection of these challenging tumors.The link to the video can be found at https://youtu.be/vt3o1c2o8Z0

scholarly journals Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Alessandro Robaldo ◽  
Guido Carignano ◽  
Alberto Balderi ◽  
Claudio Novali
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Common Carotid Artery ◽  
Carotid Arteries ◽  
High Risk Patient ◽  
Carotid Bifurcation ◽  
Left Common Carotid Artery ◽  
The Right ◽  
Bovine Aortic Arch ◽  
Common Carotid Arteries

Management of the symptomatic multiple stenosis of supra-aortic vessels (MSSVs) in a “bovine” aortic arch (BAA) configuration is infrequently reported. The optimal treatment choice remains debatable. A successful hybrid treatment for a proximal critical stenosis of the innominate and left common carotid artery was performed in a high-risk patient with a tandem symptomatic lesion in the right carotid bifurcation and a concentric vulnerable plaque in the bovine trunk. This case supports the feasibility, safety, and efficacy of a combined carotid bifurcation endarterectomy and retrograde kissing stenting of common carotid arteries with cerebral protection after evaluation of radiological, anatomical, and clinical parameters.

scholarly journals POS0586 RHEUMATOID ARTHRITIS IS AN INFLAMMATORY DISEASE WITH A HIGH CARDIOVASCULAR RISK

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 526.1-526
Author(s):  
L. Nacef ◽  
H. Riahi ◽  
Y. Mabrouk ◽  
H. Ferjani ◽  
K. Maatallah ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Risk Factors ◽  
Cardiovascular Risk ◽  
Carotid Artery ◽  
Internal Carotid ◽  
Subclinical Atherosclerosis ◽  
External Carotid ◽  
Significant Difference ◽  
The Mean ◽  
The Right

Background:Hypertension, diabetes, and dyslipidemia are traditional risk factors of cardiac events. Carotid ultrasonography is an available way to detect subclinical atherosclerosis.Objectives:This study aimed to compare the intima-media thickness in RA patients based on their personal cardiovascular (CV) history of hypertension (hypertension), diabetes, and dyslipidemia.Methods:The present study is a prospective study conducted on Tunisian RA patients in the rheumatology department of Mohamed Kassab University Hospital (March and December 2020). The characteristics of the patients and those of the disease were collected.The high-resolution B-mode carotid US measured the IMT, according to American Society of Echocardiography guidelines. The carotid bulb below its bifurcation and the internal and external carotid arteries were evaluated bilaterally with grayscale, spectral, and color Doppler ultrasonography using proprietary software for carotid artery measurements. IMT was measured using the two inner layers of the common carotid artery, and an increased IMT was defined as ≥0.9 mm. A Framingham score was calculated to predict the cardiovascular risk at 10-year.Results:Forty-seven patients were collected, 78.7% of whom were women. The mean age was 52.5 ±11.06 [32-76]. The rheumatoid factor (RF) was positive in 57.8% of cases, and anti-citrullinated peptide antibodies (ACPA) were positive in 62.2% of cases. RA was erosive in 81.6% of cases. Hypertension (hypertension) was present in 14.9% of patients, diabetes in 12.8% of patients, and dyslipidemia in 12.8% of patients. Nine patients were active smokers. The mean IMT in the left common carotid (LCC) was 0.069 ±0.015, in the left internal carotid (LIC) was 0.069 ±0.015, in the left external carotid (LEC) was 0.060 ±0.023. The mean IMT was 0.068 ±0.01 in the right common carotid (RCC), 0.062 ±0.02 in the right internal carotid (RIC), and 0.060 ±0.016 in the right external carotid (REC). The IMT was significantly higher in the left common carotid (LCC) in patients with hypertension (p=0.025). There was no significant difference in the other ultrasound sites (LIC, LEC, RCC, RIC, and REC) according to the presence or absence of hypertension. The IMT was also significantly increased in patients with diabetes at LCC (p=0.017) and RIC (p=0.025). There was no significant difference in the IMT at different ultrasound sites between patients with and without dyslipidemia.Conclusion:Hypertension was significantly associated with the increase in IMT at the LCC level in RA patients. Diabetes had an impact on IMT in LCC and RIC. However, dyslipidemia did not affect the IMT at the different ultrasound sites.References:[1]S. Gunter and al. Arterial wave reflection and subclinical atherosclerosis in rheumatoid arthritis. Clinical and Experimental Rheumatology 2018; 36: Clinical E.xperimental.[2]Aslan and al. Assessment of local carotid stiffness in seronegative and seropositive rheumatoid arthritis. SCANDINAVIAN CARDIOVASCULAR JOURNAL, 2017.[3]Martin I. Wah-Suarez and al, Carotid ultrasound findings in rheumatoid arthritis and control subjects: A case-control study. Int J Rheum Dis. 2018;1–7.[4]Gobbic C and al. Marcadores subclínicos de aterosclerosis y factores de riesgo cardiovascular en artritis temprana. Subclinical markers of atherosclerosis and cardiovascular risk factors in early arthritis marcadores subclínicos de aterosclerose e fatores de risco cardiovascular na artrite precoce.Disclosure of Interests:None declared

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