Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1971 Apr;34(2):163–170. doi: 10.1136/jnnp.34.2.163

Clinico-radiological study of collateral circulation after internal carotid and middle cerebral occlusion

M Gado 1, John Marshall 1
PMCID: PMC493728  PMID: 5571602

Abstract

The intracranial collateral channels apart from the circle of Willis have been studied angiographically in 34 patients with internal carotid artery occlusion and 19 with occlusion of the middle cerebral artery. These collaterals are present in a high percentage of cases within a week of the ictus and are more common when the stroke has developed slowly. Their presence in occlusion of the middle cerebral artery seems to offer some protection against infarction but in internal carotid artery occlusion they are less important than the circle of Willis and when present suggest inadequacy of this structure.

Full text

PDF
163

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BOSSI R., PISANI C. Collateral cerebral circulation through the ophthalmic artery and its efficiency in internal carotid occlusion. Br J Radiol. 1955 Sep;28(333):462–469. doi: 10.1259/0007-1285-28-333-462. [DOI] [PubMed] [Google Scholar]
  2. DENNY-BROWN D. The treatment of recurrent cerebrovascular symptoms and the question of "vasospasm". Med Clin North Am. 1951 Sep;35(5):1457–1474. [PubMed] [Google Scholar]
  3. DONIGER D. E. BILATERAL COMPLETE CAROTID AND BASILAR ARTERY OCCLUSION IN A PATIENT WITH MINIMAL DEFICIT. CASE REPORT AND DISCUSSION OF DIAGNOSTIC AND THERAPEUTIC IMPLICATIONS. Neurology. 1963 Aug;13:673–678. doi: 10.1212/wnl.13.8.673. [DOI] [PubMed] [Google Scholar]
  4. FIELDS W. S., EDWARDS W. H., CRAWFORD E. S. Bilateral carotid artery thrombosis. Arch Neurol. 1961 Apr;4:369–383. doi: 10.1001/archneur.1961.00450100017004. [DOI] [PubMed] [Google Scholar]
  5. Hawkins T. D. The collateral anastomoses in cerebro-vascular occlusion. Clin Radiol. 1966 Jul;17(3):203–219. doi: 10.1016/s0009-9260(66)80026-0. [DOI] [PubMed] [Google Scholar]
  6. MOUNT L. A., TAVERAS J. M. Arteriographic demonstration of the collateral circulation of the cerebral hemispheres. AMA Arch Neurol Psychiatry. 1957 Sep;78(3):235–253. doi: 10.1001/archneurpsyc.1957.02330390017003. [DOI] [PubMed] [Google Scholar]
  7. Margolis M. T., Newton T. H. Collateral pathways between the cavernous portion of the internal carotid and external carotid arteries. Radiology. 1969 Oct;93(4):834–836. doi: 10.1148/93.4.834. [DOI] [PubMed] [Google Scholar]
  8. PITTS F. W. Variations of collateral circulation in internal carotid occlusion. Comparison of clinical and x-ray findings. Neurology. 1962 Jul;12:467–471. doi: 10.1212/wnl.12.7.467. [DOI] [PubMed] [Google Scholar]
  9. Taveras J. M., Gilson J. M., Davis D. O., Kilgore B., Rumbaugh C. L. Angiography in cerebral infarction. Radiology. 1969 Sep;93(3):549–558. doi: 10.1148/93.3.549. [DOI] [PubMed] [Google Scholar]
  10. WELCH K., STEPHENS J., HUBER W., INGERSOLL C. The collateral circulation following middle cerebral branch occlusion. J Neurosurg. 1955 Jul;12(4):361–368. doi: 10.3171/jns.1955.12.4.0361. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES