• Ilhan Yilmaz, Metehan Eseoglu, Mehmet Resid Onen, Osman Tanrıverdi, Mustafa Kilic, Adem Yilmaz, Ahmet Murat Musluman, Mehmet Dumlu Aydin, and Cemal Gündogdu.
• Department of Neurosurgery, Sisli Etfal Education and Research Hospital, Istanbul, Turkey.
• World Neurosurg. 2017 Apr 1; 100: 138-143.

ObjectiveThis study examined the relationship between neuron density in the stellate ganglion and the severity of basilar artery (BA) enlargement after bilateral common carotid artery ligation.MethodsRabbits (n = 24) were randomly divided into 3 groups: unoperated control group (n = 4), experimental group subjected to bilateral common carotid artery ligation (n = 15), and sham-operated control group (n = 5). Histologic examination of the BAs and stellate ganglia was performed 2 months later. Permanent bilateral common carotid artery ligation was induced by ligation of common carotid arteries at prebifurcation levels as a model for steno-occlusive carotid artery disease.ResultsMean BA volume and neuron density in stellate ganglia for all animals were 4200 μm3 ± 240 and 8325 μm3 ± 210. In sham-operated animals, the mean values were 4360 μm3 ± 340 and 8250 mm3 ± 250. For the experimental group, mean volume and density in animals with slight dilatation of the BA (n = 6) were 4948 μm3 ± 680 and 10,321 mm3 ± 120, whereas in animals with severe dilatation (n = 9), the values were 6728 μm3 ± 440 and 6300 mm3 ± 730. An inverse association was observed between degree of BA enlargement and stellate ganglia neuronal density.ConclusionsHigh neuron density in stellate ganglia may protect against steno-occlusive carotid artery disease by preventing BA dilatation and aneurysm formation in the posterior circulatory arteries.Copyright © 2016 Elsevier Inc. All rights reserved.

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