H. Ohkuma et S. Suzuki, Histological dissociation between intra- and extraparenchymal portion of perforating small arteries after experimental subarachnoid hemorrhage in dogs, ACT NEUROP, 98(4), 1999, pp. 374-382
This study was conducted to investigate whether the intraparenchymal and ex
traparenchymal portions of small cerebral arteries show different histopath
ological changes after subarachnoid hemorrhage (SAH). SAH was produced in d
ogs by a two-hemorrhage method, and the dogs were perfusion-fixed at 7 and
14 days after SAH. Normal untreated animals were also examined to determine
whether or not the histological and morphological changes in the perforati
ng arteries were affected by the perfusion pressure during perfusion-fixati
on. Control dogs, which received cisternal injection of saline, and untreat
ed normal dogs, which were divided into two groups depending on the perfusi
on pressure during perfusion-fixation, were also examined. Microvascular co
rrosion casts produced by arterial injection of polyester resin were examin
ed by scanning electron microscopy (SEM) with morphometric analysis of the
caliber of the small perforating arteries. Slices sectioned parallel to the
pontine surface were examined by SEM and by light microscopy with morphome
tric analysis of the luminal diameter and wall thickness of the small perfo
rating arteries. Corrosion casts showed irregular width with folds in the p
erforating arteries 7 days after SAH. Sectioned slices showed an increased
wall thickness of the perforating arteries with intimal corrugation 7 days
after SAH. Morphometric analysis revealed that the extraparenchymal portion
of the perforating arteries showed no significant differences between any
of the groups tested; however, the intraparenchymal portion showed a signif
icant decrease of luminal diameter 7 days after SAH, and a significant incr
ease of wall thickness 7 and 14 days after SAH. The perfusion pressure duri
ng perfusion-fixation did not affect the histological changes in the perfor
ating arteries. The results of this study showed that the vasoconstrictive
response of the perforating arteries to SAH was different between the extra
parenchymal and the intraparenchymal portion, and showed that the intrapare
nchymal portion of the perforating arteries constrict after SAH, which may
affect cerebral ischemia during cerebral vasospasm by increasing total cere
brovascular resistance.