Spontaneous thrombosis of an unruptured anterior communicating artery aneurysm. An unusual cause of ischemic stroke.

BACKGROUND: Stroke caused by spontaneous thrombosis of an unruptured intracranial aneurysm is a rare event. CASE DESCRIPTION: A 66-year-old woman experienced a transient ischemic attack and cerebral infarctions due to spontaneous thrombosis of an unruptured anterior communicating artery aneurysm. Extension of thrombus into both anterior cerebral arteries and the left middle cerebral artery, resulting in ischemic infarction in all three vascular territories, was diagnosed by CT scanning, MRI, and cerebral angiography and confirmed at autopsy. CONCLUSIONS: This case illustrates a rare complication of an unruptured saccular aneurysm with neuroimaging and pathological correlation. Morphological and hemodynamic factors that may have precipitated aneurysm thrombosis are discussed with reference to experimental models.

Cytochemical relationships and central terminations of a unique population of primary afferent neurons in rat.

Light and electron microscopic immunohistochemical techniques were used to investigate the central projections and colocalization relationships of a subpopulation of primary afferent neurons that were immunolabelled with an antibody (AB893) against rat liver gap junctions. In lumbar dorsal root ganglia AB893-immunoreactivity was seen in 14.5% of all cells and in both small and large size neurons. Colocalization analysis showed that 78% of all AB893-immunoreactive (AB893-IR) neurons contained calcitonin gene-related peptide, while only 7 to 10% contained the calcium binding proteins parvalbumin or calbindin D28k. Among small type B AB893-IR ganglion cells, it was calculated that over 90% contained fluoride-resistant acid phosphatase, while only 1 to 2% contained substance P or somatostatin. Cytochrome oxidase histochemistry revealed light staining in the vast majority of AB893-IR cells. In the dorsal horn of the spinal cord the antibody labelled fibers in the dorsal root, Lissauer's tract, lamina I and lamina II. Isolated immunoreactive fiber bundles were arranged in sheets spanning most of lamina II. Immunoreactive fibers were depleted from the dorsal horn after dorsal rhizotomy or neonatal capsaicin treatment. Ultrastructural examination showed that AB893-IR fibers were composed of closely associated clusters of 2 to 5 unmyelinated fibers each ranging from 0.1-0.4 microns in diameter. Immunoreactivity was distributed intermittently along the cytoplasmic membrane of axons and en passant sinusoid terminals located centrally within the fiber clusters, as well as along axonal membranes adjacent to the central axon or terminal. The results suggest that the immunoreactive fibers in lamina II of the dorsal horn originate from a subpopulation of AB893-IR neurons that contain FRAP and give rise to unmyelinated axons.

Cytochrome oxidase immunohistochemistry in rat brain and dorsal root ganglia: visualization of enzyme in neuronal perikarya and in parvalbumin-positive neurons.

Histochemical detection of cytochrome oxidase activity has been widely used to deduce patterns of neuronal electrical activity in the CNS. Here we investigated the utility of cytochrome oxidase localization by immunohistochemistry and compared immunostaining with histochemical staining patterns in dorsal root ganglia of the rat. In addition, a limited survey of cytochrome oxidase immunostaining density within what are thought to be highly active parvalbumin-immunoreactive neurons was conducted. The immunohistochemical approach produced granular cytoplasmic immunolabelling in neuronal cell bodies and allowed identification of individual labelled cells in all brain regions including those within dense immunoreactive networks of neuropil. Neuronal somata exhibited a wide range of staining densities which were particularly evident in the hippocampus and dorsal root ganglia. The distribution of neurons intensely immunoreactive for cytochrome oxidase within various structures was consistent with previous histochemical descriptions of enzyme activity. Densitometric measurements of immunohistochemical reaction product in individual neurons of hippocampus, substantia nigra, cerebellum and dorsal root ganglia showed that the rate of product deposition was linear with time under conditions chosen for comparisons of staining density. Quantitative analysis of cytochrome oxidase immunohistochemical and histochemical staining densities within the same cells in adjacent sections of dorsal root ganglion gave a correlation coefficient of r = 0.75 (P less than 0.001). In sections processed immunohistochemically for both cytochrome oxidase and parvalbumin, most but not all parvalbumin-containing cells displayed dense cytochrome oxidase immunolabelling. Conversely, many examples were found of neurons that were densely stained for cytochrome oxidase, but lacked parvalbumin. Immunohistochemistry for cytochrome oxidase reveals the enzyme in neuronal cell bodies with a clarity not usually seen with the histochemical method. Combination of this immunohistochemical approach with simultaneous immunolabelling of other neuronal markers, as shown here in the case of parvalbumin, is expected to assist the elucidation of patterns of activity in neurochemically identified cell types and anatomically defined neural systems.

Parvalbumin is highly colocalized with calbindin D28k and rarely with calcitonin gene-related peptide in dorsal root ganglia neurons of rat.

Sections of lumbar dorsal root ganglia from rat were analyzed by immunohistochemical techniques to determine the size distribution and numbers of cells containing parvalbumin and calbindin D28k and to establish their coexistence relationships with each other and with cells containing calcitonin gene-related peptide (CGRP). The proportion of ganglia cells containing parvalbumin and calbindin D28k was 14% and 22%, respectively. The majority of cells immunoreactive for these proteins were of the large A type. Parvalbumin was colocalized almost completely (greater than 99%) with with calbindin D28k and minimally (less than 1%) with CGRP. Only 9% of the calbindin D28k-positive cells were immunoreactive for CGRP.

Analysis of parvalbumin and calbindin D28k-immunoreactive neurons in dorsal root ganglia of rat in relation to their cytochrome oxidase and carbonic anhydrase content.

Histochemical and immunohistochemical techniques were used to determine relationships between the parvalbumin or calbindin D28k content and the cytochrome oxidase or carbonic anhydrase activity of neurons in lumbar dorsal root ganglia in rat. Subpopulations of dorsal root ganglion neurons that displayed parvalbumin- or calbindin D28k-immunoreactivity were classified as containing either light, moderate or dense histochemical reaction product for cytochrome oxidase and either a positive or negative reaction for carbonic anhydrase. It was found that approximately 90% of all parvalbumin and calbindin D28k-immunoreactive cells exhibited dense staining for cytochrome oxidase and that 87% of parvalbumin- and 76% of calbindin D28k-immunoreactive cells were positive for carbonic anhydrase. Conversely, 85% of all cells with a dense cytochrome oxidase reaction contained parvalbumin and calbindin D28k. Although not quantified, it appeared that many, but not all, carbonic anhydrase-positive cells contained parvalbumin or calbindin D28k. These results indicate the existence of a subpopulation of primary sensory neurons that contains parvalbumin and calbindin D28k and that expresses high levels of cytochrome oxidase and carbonic anhydrase activity. It is suggested that primary afferent neurons with this cytochemical profile transmit a sensory modality that requires them to discharge rapidly and/or frequently. The existence of a subpopulation of carbonic anhydrase-positive cells that lack immunoreactivity for parvalbumin or calbindin D28k suggests that the role of carbonic anhydrase in some sensory neurons is unrelated to functions requiring these calcium binding proteins.