Observations on Carotid Bifurcation Atherosclerosis in Human Cadavers

  • M. Kashihara
  • K. Matsumoto
  • J. CervóS-Navarro


The atherosclerotic changes in the carotid bifurcation were examined in 70 Japanese and 73 German cadavers. Initially, a fatty streak or dot appeared in the carotid sinus and/or on the anterior side of the common carotid artery. Further progression occurred predominantly in the carotid sinus, resulting in a localized atheromatous plaque. Finally an atheromatous plaque was formed all around the bifurcation. The following speculation was made from observations of many carotid bifurcations; the accumulation of fatty streaks on the anterior surface of the common carotid artery results in an atheromatous plaque in the carotid sinus analogous to accumulation of sand on a sandbank in a river. This concept may be useful in understanding the progression of atheromatous plaques.


Carotid Artery Common Carotid Artery External Carotid Anterior Surface Carotid Bifurcation 
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  1. (1).
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Copyright information

© Springer-Verlag Tokyo 1988

Authors and Affiliations

  • M. Kashihara
    • 1
  • K. Matsumoto
    • 2
  • J. CervóS-Navarro
    • 3
  1. 1.Taoka HospitalTokushima, 770Japan
  2. 2.Department of Neurological SurgerySchool of Medicine, The University of TokushimaTokushima, 770Japan
  3. 3.Institut für Neuropathologie, Klinikum SteglitzFreie Universität BerlinBerlinFederal Republic of Germany

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