Blood-brain barrier ultrastructural alterations in human congenital hydrocephalus and Arnold-Chiari malformation.

Abstract:

:Cortical biopsies of 13 patients with clinical diagnosis of congenital hydrocephalus, Arnold-Chiari malformation and hydrocephalus, and postmeningitis hydrocephalus were examined by transmission electron microscopy to study the damage of endothelial cells, basement membrane, astrocytic end-feet layer, and perivascular space. Capillaries from the parietal and frontal cortex showed increased vesicular and vacuolar transport, intact endothelial junctions, thin and immature basement membrane, swollen perivascular astrocytic end-feet layer, and enlarged perivascular space. In areas of severe oedema, open endothelial junctions, swollen basement membrane, absent perivascular astrocytic end-feet layer, enlarged perivascular space, and disrupted perivascular neuropil were observed. The electron microscopic findings demonstrated breakdown of the blood-brain barrier in all cases examined.

journal_name

Folia Neuropathol

journal_title

Folia neuropathologica

authors

Castejón OJ

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

11-9

issue

1

eissn

1641-4640

issn

1509-572X

pii

12091

journal_volume

47

pub_type

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