Perret J, Crouzet G, Pellat J, Pasquier B, Larribau E, Chirossel J P
Rev Neurol (Paris). 1975 Apr;131(4):243-58.
The authors report an angiographic observation, where a stenosis of the left middle cerebral artery, with Moya-Moya networks, is described. The anatomical study has shown an atresy of the middle cerebral artery, and has confirmed the hypothesis of a supplying role played by the Moya networks. Most of their anatomical findings are in agreement with a malformative aspect, which is speculated by the authors to be related to the failure, at the embryon level, of a good development of the middle cerebral artery; in this way, Moya might represent the remaining features of primitive plexiform networks. From this particular anatomical observation, the authors discuss some nosological problems and propose the hypothesis of several groups, which may be related to the moment when the stenosis is suspected to occur.
作者报告了一项血管造影观察结果,其中描述了伴有烟雾状血管网的左大脑中动脉狭窄。解剖学研究显示大脑中动脉闭锁,并证实了烟雾状血管网起供血作用的假说。他们的大多数解剖学发现与一种畸形表现相符,作者推测这与胚胎期大脑中动脉发育不良有关;这样一来,烟雾状血管可能代表了原始丛状血管网的残留特征。基于这一特殊的解剖学观察,作者讨论了一些疾病分类学问题,并提出了几个组别的假说,这可能与怀疑狭窄发生的时间有关。