Book contents
- Stories of Stroke
- Stories of Stroke
- Copyright page
- Contents
- Contributors
- Why This Book Needed to Be Written
- Preface
- Part I Early Recognition
- Part II Basic Knowledge, Sixteenth to Early Twentieth Centuries
- Part III Modern Era, Mid-Twentieth Century to the Present
- Types of Stroke
- Chapter Fifteen Carotid Artery Disease
- Chapter Sixteen Lacunes
- Chapter Seventeen Vertebrobasilar Disease
- Chapter Eighteen Aneurysms and Subarachnoid Hemorrhage
- Chapter Nineteen Intracerebral Hemorrhage
- Chapter Twenty Vascular Malformations
- Chapter Twenty One Cerebral Venous Thrombosis
- Chapter Twenty Two Arterial Dissections, Fibromuscular Dysplasia, Moyamoya Disease, and Reversible Cerebral Vasoconstriction Syndrome
- Chapter Twenty Three Blood Disorders
- Chapter Twenty Four Stroke Genetics
- Chapter Twenty Five Eye Vascular Disease
- Chapter Twenty Six Spinal Cord Vascular Disease
- Some Key Physicians
- Imaging
- Care
- Treatment
- Part IV Stroke Literature, Organizations, and Patients
- Index
- References
Chapter Seventeen - Vertebrobasilar Disease
from Types of Stroke
Published online by Cambridge University Press: 13 December 2022
- Stories of Stroke
- Stories of Stroke
- Copyright page
- Contents
- Contributors
- Why This Book Needed to Be Written
- Preface
- Part I Early Recognition
- Part II Basic Knowledge, Sixteenth to Early Twentieth Centuries
- Part III Modern Era, Mid-Twentieth Century to the Present
- Types of Stroke
- Chapter Fifteen Carotid Artery Disease
- Chapter Sixteen Lacunes
- Chapter Seventeen Vertebrobasilar Disease
- Chapter Eighteen Aneurysms and Subarachnoid Hemorrhage
- Chapter Nineteen Intracerebral Hemorrhage
- Chapter Twenty Vascular Malformations
- Chapter Twenty One Cerebral Venous Thrombosis
- Chapter Twenty Two Arterial Dissections, Fibromuscular Dysplasia, Moyamoya Disease, and Reversible Cerebral Vasoconstriction Syndrome
- Chapter Twenty Three Blood Disorders
- Chapter Twenty Four Stroke Genetics
- Chapter Twenty Five Eye Vascular Disease
- Chapter Twenty Six Spinal Cord Vascular Disease
- Some Key Physicians
- Imaging
- Care
- Treatment
- Part IV Stroke Literature, Organizations, and Patients
- Index
- References
Summary
The first important attention given to disease of the posterior circulation was likely by a Swiss pathologist and physician Johan Jacob Wepfer [1]. He followed the example of Vesalius and performed meticulous necropsy examinations. He described the results of his dissections in his magnum opus on apoplexy, published in 1658 [2]. He described the appearance and the course of the intracranial arteries and recognized blockage of the carotid and vertebral arteries caused by disease of the arterial walls as a cause of apoplexy, the obstruction preventing entry of sufficient blood into a portion of the brain. He described the anatomy of the intracranial vertebral arteries as follows:
As regards the vertebral arteries, they emerge from the nearest foramen, that great orifice through which the spinal marrow descends. They advance to the sides of the medulla oblongata.… When they reach that place where the sixth pair of nerves (IX, X, XI, XII) arises, the right and left branches are joined and form a single channel (basilar artery) and remain united along the whole marrow tract.
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- Stories of StrokeKey Individuals and the Evolution of Ideas, pp. 127 - 137Publisher: Cambridge University PressPrint publication year: 2022