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PATHOLOGICAL FEATURES AND PATHOGENESIS OF THE INTRACRANIAL ARTERY DISSECTION

Research Project

Project/Area Number 08671569
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Cerebral neurosurgery
Research InstitutionTOYAMA MEDICAL AND PHARMACEUTICAL UNIVERSITY

Principal Investigator

ENDO Shunro  TOYAMA MEDICAL AND PHARMACEUTICAL UNIVERSITY,DEPARTMENT OF NEUROSURGERY,ASSOCIATE PROFESSOR, 医学部, 助教授 (70125269)

Co-Investigator(Kenkyū-buntansha) KUWAYAMA Naoya  TOYAMA MEDICAL AND PHARMACEUTICAL UNIVERSITY,DEPARTMENT OF NEUROSURGERY,ASSISTAN, 医学部・附属病院, 講師 (30178157)
赤井 卓也  富山医科薬科大学, 医学部, 助手 (50222500)
Project Period (FY) 1996 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥2,500,000 (Direct Cost: ¥2,500,000)
Fiscal Year 1997: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 1996: ¥1,300,000 (Direct Cost: ¥1,300,000)
Keywordsintracranial artery / wall dissection / dissecting aneurysm / vasa vasorum / intra-wall hemorrhage / atherosclerosis / pathology / cerebral artery / dissecting aneurysm / intramural hemorrhage / vasavasorum / elastin / pathogenesis / vaso vasorum / elestin
Research Abstract

This research is a clinicopathological and experimental study to investigate characteristic features and pathogenesis of the cerebral artery dissection, especially focusing on development and disruption of the intra-arterial wall vasa vasorum, The following results were revealed and presented in som papers.
# Clinicopathological study : Histopathological studies of the lesions of the intracranial dissecting aneurysm and atherosclerotic occlusive disease of the carotid artery were studied. In these diseases of the different clinical categories, the following common findings were revealed ; 1)intra-arterial wall hemorrhage associated with rich development of the vasa vasorum in the media, 2)findings showing wall-disruption of the vasa vasorum communicating with intra-wall hemorrhage, 3)advanced and localized atherosclerotic changes around these lesions.
Judging from these pathological findings, significance of advanced atherosclerotic changes with abnormal development of the vasa vasorum in the media were suspected to be a causative factor of the arterial wall dissections. Clincal study for true diagnosis and treatment of the intracranial dissecting aneurysms were also performed based on these pathological studies.
# Experimental study : Production of the animal model of advanced atherosclerosis with development of the vasa vasorum were tried, but this purpose were not succeed. We would like to continue and accomplish the experimental studies.

Report

(3 results)
  • 1997 Annual Research Report   Final Research Report Summary
  • 1996 Annual Research Report
  • Research Products

    (11 results)

All Other

All Publications (11 results)

  • [Publications] Endo S et al.: "Acute pathological featares with angiographic correlates of the uearly or complctely occluded lesion" Surg Neurol. 46. 222-228 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 遠藤俊郎 他: "クモ膜下出血例における動脈解離の病理形態" 脳卒中の外科. 25(2). 169-176 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Endo S.et al: "Resalts of urgent thranbolysis in patients with wajior stroke and atherosclerotic occlusion of the ICA" Ars.J Neuroradiol. 19. 1169-1175 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Takaba M.et al: "Vasa vasorum of the intracraniel arteries" Acta Neurochir. 140. 411-416 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Endo S: "Acute pathological features with anguographic correlates of the nearly or completely occluded lesions of the cervical internal carotid artery." Surg Neurol. 46. 222-228 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Endo S: "Pathological study of intracranial artery dissection (Japanese)" Surgery for Cerebral Stroke. 25. 169-176 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Endo S: "Results of urgent thrombolysis in patients with major stroke and atherothrombotic occlusion of the cervical internal carotid artery." Am J Neuroradiol. 19. 1169-1175 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Takaba M: "Vasa vasorum of the intracranial arteries." Acta Neurochir. 140. 411-416 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 遠藤俊郎他: "くも膜下出血例における動脈解離の病理形態" 脳卒中の外科. 25巻. 169-176 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Endo S.et al: "Vasa vasorum in the intracranial arteries" Acta Neurochir.(in press).

    • Related Report
      1997 Annual Research Report
  • [Publications] Endo S.et al.: "Clinicopathological study of intracraniel dissection." Neurosurgery. (掲載予定).

    • Related Report
      1996 Annual Research Report

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Published: 1996-04-01   Modified: 2016-04-21  

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