Monday, 17 October 2016

#153 The Dangers of Incomplete Network of Arteries in the Brain (English)

The Dangers of Incomplete Network of Arteries in the Brain

[ScienceDaily: Migraines associated with variations in structure of brain arteries]

Complete Circle of Willis
Migraine is a primary headache disorder that mainly affects one of half of the head. There is no definite theory to fully explain the exact causes of migraine but known several symptoms: frequent changes in mood or sensation, visual or auditory disturbances, and headaches. University of Pennsylvania School of Medicine claims that the variations in arterial anatomy lead to asymmetry of the cerebral blood flow that triggers migraines. The ideal cerebral blood flow would be the complete circle of Willis, which portrays a definite symmetry. In the incomplete circle of Willis, there is an absence of anterior communicating artery and posterior communicating arteries. As the migraine patients were likely to have incomplete circle of Willis, according to the magnetic resonance angiography, the scientists induced that the fundamental cause of migraine may be associated to the incompleteness of the circle of Willis.

B: Complete Circle of Willis
C: Incomplete Circle of Willis
© University of Pennsylvania School of Medicine
Circle of Willis is the arterial anastomosis at the base of the brain, which covers over 80% of the cerebrum, supplying blood to the brain. The incomplete circle of Willis can lead to abnormal neuronal signals owing to the structural alterations of the blood supply. In fact, there is a study illustrating the relationship between measurements of blood oxygenation and neuronal activity. In other words, in the change of the brain vessel structure, the blood flow will also change, and hence the oxygen saturation in asymmetrical circle of Willis will lead to changes in the neuronal activity. Also, migraine suffering patients showed absence of anterior communicating artery and posterior communicating arteries.

Anterior communicating artery is especially closely located to the optic nerve. The absence of such artery could cause degradation of neural optic signals, which explains the visual disturbance – main migraine symptoms. Posterior communicating arteries are the lower half of the circle of Willis. This joins the basilar artery, which divides into two vertebral arteries. The absence of these arteries will fail to supply oxygenated blood into the occipital lobe, which is the visual processing center.

KSJ