Stroke, Vol 14, 781-790, Copyright © 1983 by American Heart Association
JG Walmsley, MR Campling and HM Chertkow
Human major cerebral arteries were fixed under pressure in the brain or
after excision and ligation. They were sectioned and stained for light
microscopy. Sterological point counting was used on mid-plane longitudinal
sections of ten segments to determine that the media occupied 52.0% +/-
6.39 (SD) of the arterial wall and that the smooth muscle comprised 72.0%
+/- 4.76 (SD) of the media. In arterial segments containing nine planar
bifurcations, areas of varying muscle orientation and composition were
identified and mapped out. A circumferential alignment of smooth muscle was
consistently found in the cerebral branching systems except for the
bifurcation region proximal to the apex at major bifurcations where the
regular pattern was replaced by multilayered multidirectional smooth
muscle. Theoretical models relating smooth muscle contraction to arterial
caliber in cylindrical segments are outlined. In the extreme case of
complete closure of an artery, our prediction is that for a typical
cerebral arterial media the outermost muscle cells should have to contract
to 42% of their relaxed length. The possible importance of medial smooth
muscle patterns in the pathogenesis of cerebrovascular lesions is
discussed.
ARTICLES
Interrelationships among wall structure, smooth muscle orientation, and contraction in human major cerebral arteries
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