scholarly journals Cerebral cross-perfusion and the Circle of Willis: does physiology trump anatomy?

2017 ◽  
Vol Volume 5 ◽  
pp. 35-40
Author(s):  
Korana Musicki ◽  
Katherine Hurst ◽  
Zoltán Molnár ◽  
Elizabeth Hardy ◽  
Ashok Handa
Keyword(s):  
VASA ◽  
2011 ◽  
Vol 40 (5) ◽  
pp. 404-407
Author(s):  
Maras ◽  
Tzormpatzoglou ◽  
Papas ◽  
Papanas ◽  
Kotsikoris ◽  
...  

Foetal-type posterior circle of Willis is a common anatomical variation with a variable degree of vessel asymmetry. In patients with this abnormality, carotid endarterectomy (CEA) may create cerebral hypo-perfusion intraoperatively, and this may be underestimated under general anaesthesia. There is currently no evidence that anatomical variations in the circle of Willis represent an independent risk factor for stroke. Moreover, there is a paucity of data on treating patients with such anatomical variations and co-existing ICA stenosis. We present a case of CEA under local anaesthesia (LA) in a 52-year-old female patient with symptomatic stenosis of the right ICA and coexistent foetal-type posterior circle of Willis. There were no post-operative complications and she was discharged free from symptoms. She was seen again 3 months later and was free from complications. This case higlights that LA should be strongly considered to enable better intra-operative neurological monitoring in the event of foetal-type posterior circle of Willis.


1998 ◽  
Vol 39 (3) ◽  
pp. 249-256 ◽  
Author(s):  
M. Strotzer ◽  
C. Fellner ◽  
S. Fraunhofer ◽  
J. Gmeinwieser ◽  
H. Albrich ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Durga Shankar Meena ◽  
Gopal Krishana Bohra ◽  
Mahadev Meena ◽  
Bharat Kumar Maheshwari

Moyamoya disease is a chronic progressive cerebrovascular disease characterized by bilateral occlusion or stenosis of arteries around circle of Willis. We report a case of 18-year-old female presented with recurrent episodes of headache and vertigo. On cerebral angiography, the patient was diagnosed to have moyamoya disease. On further evaluation, thrombophilia profile showed increased homocysteine level. The patient was treated conservatively with cobalamin and aspirin and advised for revascularization. According to the literature, there are few case reports of moyamoya disease with thrombotic disorders. Hence, we are reporting this interesting and rare case.


2021 ◽  
pp. 096777202110007
Author(s):  
Penelope Hunting

Thomas Willis was born four hundred years ago on 27 January 1621 in Wiltshire. He has been dubbed ‘the father of neurology’ and is remembered for the Circle of Willis at the base of the brain. Young Thomas was educated at Oxford as a schoolboy and undergraduate. From 1646 he practised medicine and studied chemistry; he joined the Oxford Experimental Philosophical Club, and was Sedleian Professor of Natural Philosophy from 1660. He established a prosperous medical practice at The Angel on Oxford High Street, and achieved international acclaim for Cerebri anatome (1664). Lured to London in 1667, Willis lived in style but attended the sick poor on Sundays and worshipped twice daily at St Martin-in-the-Fields.


Author(s):  
Yang Zhao ◽  
Ningde Shu ◽  
Qingxin Liu ◽  
He Jiang

Radiology ◽  
1995 ◽  
Vol 195 (2) ◽  
pp. 445-449 ◽  
Author(s):  
D A Katz ◽  
M P Marks ◽  
S A Napel ◽  
P M Bracci ◽  
S L Roberts

2017 ◽  
Vol 51 (2) ◽  
pp. 146-148 ◽  
Author(s):  
Adam Piechna ◽  
Leszek Lombarski ◽  
Paweł Krajewski ◽  
Bogdan Ciszek ◽  
Krzysztof Cieslicki

1995 ◽  
Vol 03 (03) ◽  
pp. 653-659 ◽  
Author(s):  
J. J. NIETO ◽  
A. TORRES

We introduce a new mathematical model of aneurysm of the circle of Willis. It is an ordinary differential equation of second order that regulates the velocity of blood flow inside the aneurysm. By using some recent methods of nonlinear analysis, we prove the existence of solutions with some qualitative properties that give information on the causes of rupture of the aneurysm.


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