Willis环与缺血性脑血管病的相关性
Willis Circle and Ischemic Cerebrovascular Disease

作者: 付文君 :青岛大学医学院,山东 青岛; 李秋云 :菏泽市牡丹区黄堽镇妇幼保健计划生育服务中心,山东 菏泽; 李喜云 :菏泽市牡丹区中心医院,山东 菏泽;

关键词: willis环缺血性脑血管病短暂性脑缺血脑梗死脑白质病变胚胎型大脑后动脉Willis Circle Ischemic Cerebrovascular Disease Transient Ischemic Attack Cerebral Infarction White Matter Lesions Fetal-Type Posterior Cerebral Artery

摘要:
willis环是颅内侧枝循环的重要结构,其变异类型较多,随着神经影像学的发展,近年对willis环与缺血性脑血管病的关系的研究逐渐深入。本文主要阐述willis环的变异及与缺血性脑血管病的关系的研究进展。

Abstract: Being primary collateral circulation, Willis circle has more types of variation. With the development of neuroimaging, the research on the relationship between Willis circle and ischemic cere-brovascular disease has been deepened in recent years. In this paper, we reviewed the relationship between the variation of Willis circle and ischemic cerebrovascular disease.

文章引用: 付文君 , 李秋云 , 李喜云 (2018) Willis环与缺血性脑血管病的相关性。 临床医学进展, 8, 9-13. doi: 10.12677/ACM.2018.81002

参考文献

[1] Liebeskind, D.S. (2003) Collateral Circulation. Stroke, 34, 2279-2284.

[2] 黄家星, 林文华, 刘丽萍, 濮月华, 谭泽峰, 徐安定. 缺血性卒中侧支循环评估与干预中国专家共识[J]. 中国卒中杂志, 2013, 8(4): 285-293.

[3] Liebeskind, D.S., Cotsonis, G.A., Saver, J.L., Lynn, M.J., Cloft, H.J. and Chimowitz, M.I. (2011) Col-lateral Circulation in Symptomatic Intracranial Atherosclerosis. Journal of Cerebral Blood Flow & Metabolism, 31, 1293-1301.

[4] 陈东, 赵贵德, 考宏盛. 缺血性脑卒中发病机制研究新进展[J]. 国际神经病学神经外科学杂志, 2001, 28(1): 32-34.

[5] Okahara, M., Kiyosue, H., Mori, H., Tanoue, S., Sainou, M. and Nagatomi, H. (2002) Ana-tomic Variations of the Cerebral Arteries and Their Embryology: A Pictorial Review. European Radiology, 12, 2548-2561.

[6] Kapoor, K., Singh, B. and Dewan, L.I. (2008) Variations in the Configuration of the Circle of Willis. Anatomical Science International, 83, 96-106.

[7] Li, Q., Li, J., Lv, F., Li, K., Luo, T. and Xie, P. (2011) A Mul-tidetector CT Angiography Study of Variations in the Circle of Willis in a Chinese Population. Journal of Clinical Neuroscience, 18, 379-383.

[8] Hartkamp, M.J., Van, D.G.J., van Everdingen, K.J., Hillen, B. and Mali, W.P. (1999) Circle of Willis Collateral Flow Investigated by Magnetic Resonance Angiography. Stroke: A Journal of Cerebral Circulation, 30, 2671-2678.

[9] Horikoshi, T., Akiyama, I., Yamagata, Z., Sugita, M. and Nukui, H. (2002) Magnetic Resonance Angiographic Evidence of Sex-Linked Variations in the Circle of Willis and the Occurrence of Cerebral Aneurysms. Journal of Neurosurgery, 96, 697-703.

[10] 靳张宁, 董文涛, 张利通, 高峰, 张振, 李锋坦, 杨新宇. 脑卒中高危人群的Willis环特点[J]. 中国医学创新 2015, 12(19).

[11] 王小玲, 于铁链, 李建龙, 王瑞敏. 短暂性脑缺血患者脑供血动脉病变及Willis环的MRA评估[J]. 中国医学影像技术, 2007, 23(9): 1278-1281.

[12] 黄莹, 展群岭, 李富兰, 梁秀梅. Willis环完整性与后循环短暂性脑缺血发作发生的相关性研究[J]. 蚌埠医学院学报, 2016, 41(12): 1563-1565.

[13] 刘淑香. 脑血管缺血性病变患者Willis环发育及变异情况[J]. 临床荟萃, 2016, 31(7): 767-769.

[14] Manninen, H., Mäkinen, K., Vanninen, R., Ronkainen, A. and Tulla, H. (2009) How Often Does an Incomplete Circle of Willis Predispose to Cerebral Ischemia during Closure of Carotid Artery? Postmortem and Clinical Imaging Studies. Acta Neurochirurgica, 151, 1099-1105.

[15] Silvestrini, M., Vernieri, F.E., Passarelli, F., Matteis, M., Pasqualetti, P., Rossini, P. and Caltagirone, C. (1999) Cerebrovascular Reactivity in Carotid Artery Oc-clusion: Possible Implications for Surgical Management of Selected Groups of Patients. Acta Neurologica Scandinavica, 99, 187-191.

[16] Hoksbergen, A.W., Legemate, D.A., Csiba, L., Csati, G., Siro, P. and Fulesdi, B. (2003) Absent Collateral Function of the Circle of Willis as Risk Factor for Ischemic Stroke. Cerebrovascular Diseases, 16, 191-198.
https://doi.org/10.1159/000071115

[17] Battacharji, S.K., Hutchinson, E.C. and Mccall, A.J. (1967) The Circle of Willis—The Incidence of Developmental Abnormalities in Normal and Infarcted Brains. Brain, 90, 747-758.

[18] Kameyama, M. and Okinaka, S.H. (1963) Collateral Circulation of the Brain with Special Reference to Atherosclerosis of the Major Cervial and Cerebral Arteries. Neurology, 2, 279-286.

[19] Arjal, R.K., Zhu, T. and Zhou, Y. (2014) The Study of Fetal-Type Posterior Cerebral Circulation on Multislice CT Angiography and Its Influence on Cerebral Ischemic Strokes. Clinical Imaging, 38, 221-225.

[20] Lochner, P., Golaszewski, S., Caleri, F., Ladurner, G., Tezzon, F., Zuccoli, G. and Nardone, R. (2011) Posterior Circulation Ischemia in Patients with Fetal-Type Circle of Willis and Hypoplastic Vertebrobasilar System. Neurological Sciences Official Journal of the Italian Neurological Society & of the Italian Society of Clinical Neurophysiology, 32, 1143-1146.

[21] Ryan, D.J., Byrne, S., Dunne, R., Harmon, M. and Harbison, J. (2015) White Matter Disease and an Incomplete Circle of Willis. International Journal of Stroke, 10, 547-552.
https://doi.org/10.1111/ijs.12042

[22] Saba, L., Raz, E., Fatterpekar, G., Montisci, R., di Martino, M., Bassareo, P.P. and Piga, M. (2015) Correlation between Leukoaraiosis Volume and Circle of Willis Variants. Journal of Neuroimaging, 25, 226-231.
https://doi.org/10.1111/jon.12103

[23] Saba, L., Sanfilippo, R., Porcu, M., Lucatelli, P., Montisci, R., Zaccagna, F., Suri, J.S., Anzidei, M. and Wintermark, M. (2017) Relationship between White Matter Hyperintensities Volume and the Circle of Willis Configurations in Patients with Carotid Artery Pathology. European Journal of Radiology, 89, 111-116.
https://doi.org/10.1016/j.ejrad.2017.01.031

[24] Chuang, Y.M., Huang, K.L., Chang, Y.J., Chang, C.H., Chang, T.Y., Wu, T.C., Lin, C.P., Wong, H.F., Liu, S.J. and Lee, T.H. (2011) Associations between Circle of Willis Morphol-ogy and White Matter Lesion Load in Subjects with Carotid Artery Stenosis. European Neurology, 66, 136-144.
https://doi.org/10.1159/000329274

[25] Fazekas, F., Chawluk, J.B., Alavi, A., Hurtig, H.I. and Zimmerman, R.A. (1987) MR Signal Abnormalities at 1.5 T in Alzheimer’s Dementia and Normal Aging. American Journal of Roent-genology, 149, 351.

[26] Li, H., Xiong, Y., Xu, G., Zhang, R., Zhu, W., Yin, Q., Ma, M., Fan, X., Yang, F., Liu, W., Duan, Z. and Liu, X. (2015) The Circle of Willis and White Matter Lesions in Patients with Carotid Atherosclerosis. Journal of Stroke and Cerebrovascular Diseases, 24, 1749-1754.
https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.03.048

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