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Microangiography and Vascular Permeability of the Subependymal Matrix in the Premature Infant

Published online by Cambridge University Press:  18 September 2015

Sachio Takashima*
Affiliation:
Departments of Pediatrics and Pathology, Kyushu University, Japan, 3-1-1 Maedashi, Fukuoka, Japan
Kenzo Tanaka
Affiliation:
Departments of Pediatrics and Pathology, Kyushu University, Japan, 3-1-1 Maedashi, Fukuoka, Japan
*
Department of Pediatrics, Kyushu University, 3-1-1 Maedashi, Fukuoka 812, Japan
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Summary:

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The microvascular architecture of the subependymal matrix in premature infants was studied with microangiography and benzidine stains. This revealed that the subependymal matrix is the end zone or the border zone between cerebral arteries and the collection zone of the deep cerebral veins. Focal hypoxic changes of this subependymal matrix may occur in hypoxemia and ischemia because of the characteristic architecture.

The vascular permeability of these vessels was studied in rabbits using three different molecular weights of FITC-dextran. Vascular permeability was increased in the subependymal matrix by hypoxia and especially by hypoxia associated with an increased venous pressure. These findings may be related to the pathogenesis of subependymal hemorrhage in prematurity.

Type
Research Article
Copyright
Copyright © Canadian Neurological Sciences Federation 1978

References

Applayard, W.J. and Cotton, D.G. (1970). Effect of asphyxia on thrombotest values in low birthweight infants. Arch. Dis. Child. 45: 705707.CrossRefGoogle Scholar
Cole, V.A., Durbin, G.M., Olaff-Son, A., Reynolds, E.O.R., Rivers, R.P.A. and Smith, J.F. (1974). Pathogenesis of intraventricular haemorrhage in newborn infants. Arch. Dis. Child. 49: 722728.Google Scholar
Gilles, F.H., Price, R.A., Kevy, S.V. and Berenberg, W. (1971). Fibrinolytic activity in the ganglionic eminence of the premature human brain. Biol. Neonat. 18: 426432.CrossRefGoogle ScholarPubMed
Gray, C.P., Ackerman, A. and Fraser, A.J. (1968). Intracranial haemorrhage and clotting defects in low birth weight infants. Lancet, 1: 545548.Google Scholar
Gröntoft, O. (1958). Intracerebral and meningeal hemorrhages in perinatally de-creased infants; intracerebral hemorrhages; pathologic-anatomical and obstetrical study. Acta Obstet. Gynec. Scand., 3: 308334.Google Scholar
Gruenwald, P. (1951). Subependymal cerebral hemorrhage in premature infants, and its relation to various injuries influences at birth. Amer. J. Obstet. Gnec. 61: 12851292.CrossRefGoogle ScholarPubMed
Grunnet, M.L. (1977). Germinal plate hemorrhage in the premature infant. The 53rd Annual Meeting of American Association of Neuropathologists, Chicago.Google Scholar
Hambleton, G. and Wigglesworth, J.S. (1976). Origin of intraventricular haemorrhage in the preterm infant. Arch. Dis. Child. 51: 651659.Google Scholar
Hemsath, F.A. (1934). Ventricular cerebral hemorrhage in the newborn infants; pathological and etiological study of 20 cases. Amer. J. Obstet. Gnec. 28: 343354.CrossRefGoogle Scholar
Larroche, J.C. (1964). Hemorrhagies cerebrales intraventriculaires chez le prematuré. I Anatomie et pathophysiologie. Biol. Neonat. 7: 2656.CrossRefGoogle Scholar
Leech, R.W. and Kohnen, P. (1974). Subependymal and intraventricular hemor-rhages in the newborn. Amer. J. Path. 77: 465475.Google Scholar
Lindenberg, R. (1959). The pathology of the arterial borderzones of the brain. J. Neuropath. Exper. Neurol. 18: 348349.Google Scholar
Olsson, Y., Svensjö, E., Arfors, K.E. and Hultström, D. (1975). Fluorescein labelled dextrans as tracers for vascular permeability studies in the nervous system. Acta Neuropath. 33: 4550.Google Scholar
Roberton, N.R.C. and Howat, P. (1975). Hypernatraemia as a cause of intracranial haemorrhage. Arch. Dis. Child. 50: 938942.CrossRefGoogle ScholarPubMed
Roberton, N.R.C. and Howat, P. (1977). Intraventricular hemorrhage and alkali therapy (correspondence). Arch. Dis. Childh. 52: 248249.Google Scholar
Ross, J.J. and Dimmette, R.M. (1965). Subependymal cerebral hemorrhage in in-fancy. Am. J. Dis. Child. 110: 531542.Google Scholar
Rückensteiner, E. and Zöllner, F. (1929). über die Blutungen im Gebiete der Vena Terminalis bei Neugeborenen. Frankfurt, z. Path. 37: 568578.Google Scholar
Saito, O. and Murata, B. (1970). Neonatal intracranial hemorrhage; in-traventricular hemorrhage. Pediatrics (Japanese) 11: 734.Google Scholar
Schroder, U., Arfors, A.E. and Tangen, O. (1976). Stability of fluorescein labelled dextrans in vivo and in vitro. Microvascular Research, II: 3339.CrossRefGoogle Scholar
Schwartz, P. (1961). Birth injuries of the newborn: morphology, pathogenesis, clinical pathology and prevention. Hafner, New York.Google Scholar
Simmons, M.A., Adcock, E.W., Bard, H. and Battaglia, F.C. (1974). Hypernatremia and intracranial hemorrhage in neonates. New Engl. J. Med. 291: 610.Google Scholar
Takashima, S. and Tanaka, K. (1971). Postmortem angiography of the neonatal cerebral vascular system. 2. Vascular architecture of cerebral cortex and white mat-ter in the neonates. Acta Neonat. Japonica 7: 222228 (Japanese).Google Scholar
Takashima, S. and Tanaka, K. (1972). Microangiography and fibrinolytic activity in subependymal matrix of the premature brain. Brain and Development 4: 222227 (Japanese).Google Scholar
Takashima, S. and Tanaka, K. (1975). Development of ventriculofugal arteries and periventricular leukomalacia in the deep white matter. Acta Neonat. Jap. 11: 392394 (Japanese).Google Scholar
Tanaka, K., Takashima, S. and Sueishi, K. (1977). Pathology of neonatal cerebral circulatory disturbances. Pediatric clinics, 30: 715724 (Japanese).Google Scholar
Towbin, A. (1968). Cerebral intraventricular hemorrhage and subependymal matrix infarction in the fetus and premature newborn. Amer. J. Pathol. 52: 121139.Google Scholar