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Nishimoto's disease: Significance of its angiographic appearances

Maladie de Nishimoto: Valeur des signes angiographiques

Nishimoto Erkarankung: Die Bedeutung der angiographischen Erscheinungen

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Summary

The authors conclude, on the basis of personal cases and despite several unanswered questions, that the angiographic picture known as Nishimoto's disease, covers two distinct entities, viz. a true congenital disease characterized by arterial stenosis occurring early in embryonal development, with persistence of a patent arterial capillary network at the base of the skull which plays a part as a collateral pathway for the cerebral blood flow, and secondly, angiographic appearances which are similar but unilateral in distribution, related to acquired stenosis of the main arterial trunks. Only the first group should be called Nishimoto's disease.

Résumé

Sur la base de cas personnels et en dépit de plusieurs questions restées sans réponse, les auteurs concluent que l'image angiographique connue sous le nom de maladie de Nishimoto correspond en fait à deux entités distinctes, c'est à dire d'une part à une maladie congénitale vraie caractérisée par une sténose artérielle survenant précocément lors du développement embryonnaire avec persistance d'un réseau artériel capillaire à la base du crâne. Ce réseau joue le rôle de dérivation collatérale pour le flux sanguin cérébral. La maladie de Nishimoto couvre d'autre part des traductions angiographiques qui sont similaires mais unilatérales dans la distribution, relatives à une sténose acquise des príncipaux troncs artériels. Seul le premier groupe mérite le nom de maladie de Nishimoto.

Zusammenfassung

Die Autoren sind der Ansicht, daß die Nishimoto Erkrankung zwei unterschiedliche Gruppen umfaßt. Einmal kann es sich um eine echte angeborene Erkrankung handeln, die durch Arterien-Stenose während der frühen embryonalen Entwicklungszeit entsteht. Dabei tritt ein arterielles kapilläres Netzwerk an der Schädelbasis auf, das für den Kollateral-Kreislauf der cerebralen Blutversorgung von Bedeutung ist. Bei der anderen Gruppe sind die angiographischen Zeichen ähnlich, jedoch nur einseitig in ihrer Ausdehnung. Es handelt sich dabei um erworbene Stenosen der Hauptarterienstämme. Nur die erste Gruppe sollte Nishimoto Erkrankung genannt werden.

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  1. Department of Neurosurgery, University of Rennes, Rennes, France

    J. Pecker, J. Simon, G. Guy & J. F. Herry

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Pecker, J., Simon, J., Guy, G. et al. Nishimoto's disease: Significance of its angiographic appearances. Neuroradiology 5, 223–230 (1973). https://doi.org/10.1007/BF00394740

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