In previous experiments on dogs (Symon, 1960), it was shown that, within a few minutes of occlusion of a major cerebral vessel, free flow of blood occurred within the area of supply of the occluded vessel, borne via leptomeningeal anastomoses from the vascular fields of adjacent vessels. Since it has been established anatomically (Vander Eecken, 1959) that the number and size of collateral vessels within the pial circulation decreases with increasing convolution of the cortex in higher animals, it became of interest to find out whether such prompt collateral flow could be demonstrated in these animals as well. Similar experiments were therefore carried out in the primate Macacus rhesus.
METHODSEighteen macaque monkeys weighing between 3 and 5 kg were used. They were anaesthetized with intravenous thiopentone sodium in an initial dose of 25 mg/kg, supplemented at intervals by intravenous doses of 25 mg as required. An endotracheal tube was passed to facilitate maintenance of a clear airway throughout. The blood pressure was continuously recorded from the cannulated femoral artery.Dissection of the carotid sinus. The area of the right carotid sinus was exposed, and the carotid-sinus nerve divided. No ligations of vessels were necessary, since in the macaque, unlike the dog, the main route for blood from the area of the carotid sinus to the cerebral cortex is via the internal carotid artery, and anastomoses between intra-and extra-cranial vessels are small and functionally unimportant.A polythene cannula with dead space 0 1 ml. was introduced into the lingual artery and threaded for a few millimetres down the external carotid artery, so that its tip lay in the carotid sinus, care being taken not to occlude the origin of the internal carotid artery. Injections of 0-5 ml. of labelled erythrocyte suspension were made through this cannula from a tuberculin syringe. These injections were made as rapidly as possible. After each injection the cannula was flushed out and filled with a solution of heparin (500 u./ml.). In some experiments this dissection was performed on both sides.Exposure and occlusion of the vertebral arteries in the neck. A curved transverse incision was made half an inch (12 mm) above the sternoclavicular joints, extending for 2-5 cm on either side of the mid line. Both sternomastoid muscles were divided and the carotid sheaths gently retracted medially. The origin of scalenus anterior was defined, behind the carotid sheath, arising from the transverse processes of the cervical vertebrae. The vertebral artery was found in the interval between the longus cervicis muscle on the vertebral bodies and