Suppr超能文献

Willis 环的功能。

Function of circle of Willis.

机构信息

1] Department of Anatomy and Neuroscience, Medical School of J. J. Strossmayer University in Osijek, Osijek, Croatia [2] Department of Radiology, Osijek University Medical Center, Osijek, Croatia.

Department of Biophysics, Medical Statistics and Medical Informatics, Medical School of J. J. Strossmayer University in Osijek, Osijek, Croatia.

出版信息

J Cereb Blood Flow Metab. 2014 Apr;34(4):578-84. doi: 10.1038/jcbfm.2014.7. Epub 2014 Jan 29.

Abstract

Nearly 400 years ago, Thomas Willis described the arterial ring at the base of the brain (the circle of Willis, CW) and recognized it as a compensatory system in the case of arterial occlusion. This theory is still accepted. We present several arguments that via negativa should discard the compensatory theory. (1) Current theory is anthropocentric; it ignores other species and their analog structures. (2) Arterial pathologies are diseases of old age, appearing after gene propagation. (3) According to the current theory, evolution has foresight. (4) Its commonness among animals indicates that it is probably a convergent evolutionary structure. (5) It was observed that communicating arteries are too small for effective blood flow, and (6) missing or hypoplastic in the majority of the population. We infer that CW, under physiologic conditions, serves as a passive pressure dissipating system; without considerable blood flow, pressure is transferred from the high to low pressure end, the latter being another arterial component of CW. Pressure gradient exists because pulse wave and blood flow arrive into the skull through different cerebral arteries asynchronously, due to arterial tree asymmetry. Therefore, CW and its communicating arteries protect cerebral artery and blood-brain barrier from hemodynamic stress.

摘要

大约 400 年前,Thomas Willis 描述了大脑底部的动脉环(Willis 环,CW),并认识到它是在动脉阻塞时的一种代偿系统。这一理论至今仍被接受。我们提出了一些通过反面论证应该摒弃代偿理论的论据。(1) 现有理论是以人为中心的;它忽略了其他物种及其类似结构。(2) 动脉疾病是老年病,出现在基因传播之后。(3) 根据现有理论,进化具有前瞻性。(4) 它在动物中的普遍性表明,它可能是一种趋同进化的结构。(5) 人们观察到,交通动脉太小,无法有效流动,而且(6) 在大多数人中缺失或发育不全。我们推断,在生理条件下,CW 充当被动压力耗散系统;在没有相当大的血流量的情况下,压力从高压端转移到低压端,后者是 CW 的另一个动脉成分。由于动脉树的不对称性,脉搏波和血流通过不同的脑动脉异步进入颅骨,因此存在压力梯度。因此,CW 及其交通动脉保护脑动脉和血脑屏障免受血流动力应激。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验