Document Detail


Histopathology of the brain vascular network in moyamoya disease.
MedLine Citation:
PMID:  6823686     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is an unusual vascular network at the base of the brain in patients with moyamoya disease. We detected various histologic lesions in the perforating arteries of 22 patients. Vessels showing rupture ranged from 50 to 530 microns in diameter; they were dilated, some had fibrin deposits in the wall, fragmented elastic laminae and attenuated media. Non-ruptured perforating arteries (diameter 200 to 550 microns) revealed microaneurysm formation, focal fibrin deposits and marked attenuation of the wall thickness with diminution of the elastic lamina. These changes seem to predispose to rupture of perforating arteries. Stenotic changes such as fibrous intimal thickening, collapse of the lumen and thrombosis were detected in 14 out of 22 cases. Morphometric analysis of perforating arteries indicated that arteries showing extreme degrees of stenosis or dilatation were more frequent in the patients with moyamoya disease than in the control cases. Dilative arteries were more frequent in the young patients and stenotic vessels were, in contrast, less frequent in the young patients.
Authors:
M Yamashita; K Oka; K Tanaka
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  14     ISSN:  0039-2499     ISO Abbreviation:  Stroke     Publication Date:    1983 Jan-Feb
Date Detail:
Created Date:  1983-03-11     Completed Date:  1983-03-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  50-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arterial Occlusive Diseases / physiopathology*
Brain / blood supply*
Carotid Artery, Internal / physiopathology,  radiography
Cerebral Hemorrhage / complications,  physiopathology
Child
Circle of Willis / pathology,  physiopathology,  radiography
Female
Humans
Intracranial Aneurysm / complications,  physiopathology
Male
Middle Aged
Moyamoya Disease / complications,  physiopathology*,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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