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CEREBRAL ARTERIOSCLEROSIS: SIGNS AND SYMPTOMS FROM COMPRESSION AND EROSION OF PARENCHYMATOUS TISSUE

CEREBRAL ARTERIOSCLEROSIS: SIGNS AND SYMPTOMS FROM COMPRESSION AND EROSION OF PARENCHYMATOUS TISSUE Abstract My object in this paper is to show that sclerotic blood vessels in the brain at times so press on and actually excavate the adjacent parenchymatous tissue that clinical pictures are produced resembling those of focal lesions. In the course of study of the pathologic changes in many cases of cerebral arteriosclerosis my colleagues and I were struck by the fact that in a small number the blood vessels acted as minute expansile lesions. We saw in some instances actual erosion of brain tissue, so that eventually a small groove was formed by the sclerotic, tortuous and frequently enlarged blood vessel at the expense of the functioning structure of the brain. This condition has not been entirely overlooked in the literature, since reference to it has been made particularly in conjunction with pressure on cranial nerves. Pappenheim,1 in 1926, claimed that trigeminal neuralgia can be caused by pressure of References 1. Pappenheim, M.: Trigeminusneuralgie durch Druck der arteriosklerotisch veränderten Art basillaris auf den Trigeminusstamm , Wien. med. Wchnschr. 76: 104, 1926. 2. Dandy, W. E.: Concerning the Cause of Trigeminal Neuralgia , Am. J. Surg. 24:447, 1934.Crossref 3. Schaeffer, J. P.: Some Points in the Regional Anatomy of the Optic Pathway, with Especial Reference to Tumors of the Hypophysis Cerebri and Resulting Ocular Changes , Anat. Rec. 28:243, 1924.Crossref 4. de Schweinitz, G. E.: Concerning Certain Ocular Aspects of Pituitary Body Disorders, Mainly Exclusive of the Usual Central and Peripheral Hemianopic Field Defects, Bowman Lecture for 1923 , London, Adlard & Son & West Newman, Ltd., 1924. 5. Uchimura, J.: Ueber die Gefässversorgung des Ammonhornes , Ztschr. f. d. ges. Neurol. u. Psychiat. 112:1, 1928.Crossref 6. Parker, H. L.: Epileptiform Convulsions: The Incidence of Attacks in Cases of Intracranial Tumor , Arch. Neurol. & Psychiat. 23:1032 ( (May) ) 1930. 7. Pike, F. H.; Elsberg, C. A.; McCulloch, W. S., and Chappell, M. N.: The Problem of Localization in Experimentally Induced Convulsions , Arch. Neurol. & Psychiat. 23:847 ( (May) ) 1930. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

CEREBRAL ARTERIOSCLEROSIS: SIGNS AND SYMPTOMS FROM COMPRESSION AND EROSION OF PARENCHYMATOUS TISSUE

Archives of Neurology & Psychiatry , Volume 41 (1) – Jan 1, 1939

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Publisher
American Medical Association
Copyright
Copyright © 1939 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1939.02270130108006
Publisher site
See Article on Publisher Site

Abstract

Abstract My object in this paper is to show that sclerotic blood vessels in the brain at times so press on and actually excavate the adjacent parenchymatous tissue that clinical pictures are produced resembling those of focal lesions. In the course of study of the pathologic changes in many cases of cerebral arteriosclerosis my colleagues and I were struck by the fact that in a small number the blood vessels acted as minute expansile lesions. We saw in some instances actual erosion of brain tissue, so that eventually a small groove was formed by the sclerotic, tortuous and frequently enlarged blood vessel at the expense of the functioning structure of the brain. This condition has not been entirely overlooked in the literature, since reference to it has been made particularly in conjunction with pressure on cranial nerves. Pappenheim,1 in 1926, claimed that trigeminal neuralgia can be caused by pressure of References 1. Pappenheim, M.: Trigeminusneuralgie durch Druck der arteriosklerotisch veränderten Art basillaris auf den Trigeminusstamm , Wien. med. Wchnschr. 76: 104, 1926. 2. Dandy, W. E.: Concerning the Cause of Trigeminal Neuralgia , Am. J. Surg. 24:447, 1934.Crossref 3. Schaeffer, J. P.: Some Points in the Regional Anatomy of the Optic Pathway, with Especial Reference to Tumors of the Hypophysis Cerebri and Resulting Ocular Changes , Anat. Rec. 28:243, 1924.Crossref 4. de Schweinitz, G. E.: Concerning Certain Ocular Aspects of Pituitary Body Disorders, Mainly Exclusive of the Usual Central and Peripheral Hemianopic Field Defects, Bowman Lecture for 1923 , London, Adlard & Son & West Newman, Ltd., 1924. 5. Uchimura, J.: Ueber die Gefässversorgung des Ammonhornes , Ztschr. f. d. ges. Neurol. u. Psychiat. 112:1, 1928.Crossref 6. Parker, H. L.: Epileptiform Convulsions: The Incidence of Attacks in Cases of Intracranial Tumor , Arch. Neurol. & Psychiat. 23:1032 ( (May) ) 1930. 7. Pike, F. H.; Elsberg, C. A.; McCulloch, W. S., and Chappell, M. N.: The Problem of Localization in Experimentally Induced Convulsions , Arch. Neurol. & Psychiat. 23:847 ( (May) ) 1930.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Jan 1, 1939

References