Brain blood-shift theory: a note on the abortion of visual closure.
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Biomedical subjects
Publications and source records attributed to D Chyatte.
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Hemifacial spasm is a symptom complex comprising involuntary, painless spasms of the orbicularis muscle that may progress to involve all facial muscles. It is frequently the result of compression of the facial nerve at its root exit zone from the brain stem by vascular loops or aneurysms of the posterior inferior cerebellar artery, anterior inferior cerebellar artery, vertebral artery, or cochlear artery. Coronal and axial T1-weighted images clearly depict the course of the facial nerve from the brain stem to the internal auditory canal and its relation to the vertebrobasilar system. This case demonstrates the magnetic resonance appearance of a tortuous vertebral artery and its relationship to the facial nerve in a patient with long standing hemifacial spasm.
We performed experiments in human cerebral arteries to determine the source of activator calcium during contractions induced by 5-hydroxytryptamine. Rings of human basilar artery obtained at autopsy were mounted for isometric tension recording in organ baths filled with a physiological salt solution. Contractile responses to 5-hydroxytryptamine were virtually abolished in Ca++-free solution, and inhibited significantly by nimodipine. In both cases, the depression of the response to 5-hydroxytryptamine was comparable to that seen when KCl was used to contract the vessels. These experiments demonstrate that 5-hydroxytryptamine mediates contraction of the smooth muscle in human basilar artery by increasing membrane permeability to extracellular calcium.
We describe a relatively unusual case of carotid cavernous fistula in association with a persistent trigeminal artery, presumably related to aneurysm rupture near the carotid origin of the vessel. We emphasize the use of a second, nondetachable balloon solely for the purpose of stabilizing placement of the first device at the time of detachment.