Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 7-Day Trial for You or Your Team.

Learn More →

Collateral Circulation in Cerebrovascular Disease in Childhood via Rete Mirabile and Perforating Branches of Anterior Choroidal and Posterior Cerebral Arteries

Collateral Circulation in Cerebrovascular Disease in Childhood via Rete Mirabile and Perforating... Collateral Circulation in Cerebrovascular Disease in Childhood via Rete Mirabile and Perforating Branches of Anterior Choroidal and Posterior Cerebral Arteries 1 Norman E. Leeds , M.D. 2 and Kenneth H. Abbott , M.D. The Children's Hospital of Philadelphia 18th and Bainbridge Streets Philadelphia, Penna. 19146 ↵ 2 Present addresses: Children's Hospital of Philadelphia and Graduate Hospital of the University of Pennsylvania, Philadelphia, Penna. Excerpt Many patterns of collateral circulation between the external and internal carotid arteries are known. These include the communication between the internal maxillary, superficial temporal, or external maxillary branches of the external carotid artery with the ophthalmic branch of the internal carotid artery (5,7–9) ; or the middle meningeal branch of the external carotid artery with meningeal branches of the internal carotid artery (3,5). The direct communication between peripheral perforating branches of the external carotid artery and branches of the internal carotid artery from the surface of the brain has been called the rete mirabile (1,2,5,8,9). The collateral is known to the anatomists (1,2) and may occur normally in animals (1), but has received scant attention in the clinical literature (5,8,9). This communication will report the case studies of two children with occlusive cerebral vascular disease of unknown etiology, in whom there developed rete mirabile, as well as other modes of collateral circulation. Case Histories Case I : R. S., a 12-year-old American-born Japanese boy, was first seen in 1959 at the age of nine years with a history of an upper respiratory infection, fever, listlessness, awkwardness in walking, and inco-ordination and weakness of the left arm and leg. The past history was relevant in that the patient had experienced five episodes of left-sided weakness in the previous five years. Physical examination disclosed minimal weakness of the left upper extremity, decreased sensation to pin prick, astereognosis, with poor co-ordination on finger-finger-nose and finger-finger testing. There was winging of the left scapula, and the left pectoral muscles were mildly atrophied. The left lower extremity was normal. All reflexes were physiological, with none pathological. A lumbar puncture revealed a normal pressure, normal protein, and no cells. The electroencephalogram demonstrated focal slowing in the right parietal area. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Radiology Radiological Society of North America, Inc.

Collateral Circulation in Cerebrovascular Disease in Childhood via Rete Mirabile and Perforating Branches of Anterior Choroidal and Posterior Cerebral Arteries

Leeds, Norman E.; Abbott, Kenneth H.
Radiology , Volume 85 (4): 628 – Oct 1, 1965
Download PDF
7 pages

Loading next page...
 
/lp/radiological-society-of-north-america-inc/collateral-circulation-in-cerebrovascular-disease-in-childhood-via-hbhu700e1O

References (7)

Publisher
Radiological Society of North America, Inc.
Copyright
Copyright © 1965 by Radiological Society of North America
ISSN
1527-1315
eISSN
0033-8419
DOI
10.1148/85.4.628
pmid
5836744
Publisher site
See Article on Publisher Site

Abstract

Collateral Circulation in Cerebrovascular Disease in Childhood via Rete Mirabile and Perforating Branches of Anterior Choroidal and Posterior Cerebral Arteries 1 Norman E. Leeds , M.D. 2 and Kenneth H. Abbott , M.D. The Children's Hospital of Philadelphia 18th and Bainbridge Streets Philadelphia, Penna. 19146 ↵ 2 Present addresses: Children's Hospital of Philadelphia and Graduate Hospital of the University of Pennsylvania, Philadelphia, Penna. Excerpt Many patterns of collateral circulation between the external and internal carotid arteries are known. These include the communication between the internal maxillary, superficial temporal, or external maxillary branches of the external carotid artery with the ophthalmic branch of the internal carotid artery (5,7–9) ; or the middle meningeal branch of the external carotid artery with meningeal branches of the internal carotid artery (3,5). The direct communication between peripheral perforating branches of the external carotid artery and branches of the internal carotid artery from the surface of the brain has been called the rete mirabile (1,2,5,8,9). The collateral is known to the anatomists (1,2) and may occur normally in animals (1), but has received scant attention in the clinical literature (5,8,9). This communication will report the case studies of two children with occlusive cerebral vascular disease of unknown etiology, in whom there developed rete mirabile, as well as other modes of collateral circulation. Case Histories Case I : R. S., a 12-year-old American-born Japanese boy, was first seen in 1959 at the age of nine years with a history of an upper respiratory infection, fever, listlessness, awkwardness in walking, and inco-ordination and weakness of the left arm and leg. The past history was relevant in that the patient had experienced five episodes of left-sided weakness in the previous five years. Physical examination disclosed minimal weakness of the left upper extremity, decreased sensation to pin prick, astereognosis, with poor co-ordination on finger-finger-nose and finger-finger testing. There was winging of the left scapula, and the left pectoral muscles were mildly atrophied. The left lower extremity was normal. All reflexes were physiological, with none pathological. A lumbar puncture revealed a normal pressure, normal protein, and no cells. The electroencephalogram demonstrated focal slowing in the right parietal area.

Journal

Radiology – Radiological Society of North America, Inc.

Published: Oct 1, 1965

There are no references for this article.