He Z, Yang S H, Naritomi H, Yamawaki T, Liu Q, King M A, Day A L, Simpkins J W
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Osaka, Japan.
J Neurol Sci. 2000 Dec 15;182(1):16-28. doi: 10.1016/s0022-510x(00)00434-2.
This manuscript delineates the territory of the anterior choroidal artery (AChA) in rats, as defined by the induction of an AChA infarction. By advancing a 0.24-mm surgical suture up the internal carotid artery (ICA) to a point 0.5-2 mm proximal to the middle cerebral artery (MCA) origin, the AChA could be occluded and a reliable AChA distribution infarction was produced in 62% (23/37) of animals. The infarct volume, as defined by TTC staining, was 55+/-7 mm(3). Maps of the infarction, generated by measuring the entire area of overlapping coronal slices, demonstrated that the internal capsule was always damaged. Other areas that might be affected included the hippocampus, thalamus, amygdaloid complex, piriform cortex, dorsal caudatoputamen, and lateral ventricular wall. Positioning the coated suture proximal to the AChA produced a much smaller infarct involving the medial and lateral hypothalamus, preoptic region, optic chiasm, and marginal region of the internal capsule near to the lateral hypothalamus exempt from AChA territory damage. A causative relationship between AChA occlusion and a deep cerebral infarct centered on the internal capsule was further established by: (1) identifying the AChA on the non-ischemic side with colored silicone perfusion, and subsequent similar delineation on the ischemic side, and (2) delineating infarction in the silicone perfused AChA region using hematoxylin and eosin staining and the TUNEL method. The AChA usually originated from the ICA (91% of cases), 1.75+/-0.12 mm proximal to the MCA bifurcation. Approximately 27% of the AChAs had periamygdaloid branch(es) on its initial segment.
本手稿描绘了大鼠脉络膜前动脉(AChA)的分布区域,该区域通过诱导AChA梗死来定义。将一根0.24毫米的手术缝线沿颈内动脉(ICA)推进至大脑中动脉(MCA)起始部近端0.5 - 2毫米处,可闭塞AChA,62%(23/37)的动物产生了可靠的AChA分布梗死。通过TTC染色定义的梗死体积为55±7立方毫米。通过测量重叠冠状切片的总面积生成的梗死图谱显示,内囊总是受损。其他可能受影响的区域包括海马体、丘脑、杏仁复合体、梨状皮质、背侧尾状核壳核和侧脑室壁。将包被缝线置于AChA近端会产生一个小得多的梗死灶,累及内侧和外侧下丘脑、视前区、视交叉以及靠近外侧下丘脑的内囊边缘区域,该区域不受AChA区域损伤影响。通过以下方式进一步确立了AChA闭塞与以内囊为中心的深部脑梗死之间的因果关系:(1)用彩色硅胶灌注在非缺血侧识别AChA,随后在缺血侧进行类似描绘;(2)使用苏木精和伊红染色以及TUNEL法在硅胶灌注的AChA区域描绘梗死情况。AChA通常起源于ICA(91%的病例),在MCA分叉近端1.75±0.12毫米处。大约27%的AChA在其起始段有杏仁核周围分支。