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[从解剖学角度看脑膜]

[The meninges, an anatomical point of view].

作者信息

Sakka L, Chazal J

机构信息

Laboratoire d'Anatomie et Organogenèse, Faculté de Médecine, 28 Place Henri Dunant, BP 38, 63001 Clermont-Ferrand.

出版信息

Morphologie. 2005 Mar;89(284):35-42. doi: 10.1016/s1286-0115(05)83236-9.

Abstract

The meninges correspond to an anatomical concept. For the morphologist, the microscopic organization, the hypothetical presence of a subdural space, the nature of the interface between the deep meningeal layer and the nervous parenchyma in the perivascular spaces are the central issues. For the clinician, dynamic aspects of cerebrospinal fluid flow, secretion, and resorption are essential factors with practical consequences in terms of disease and patient management. Comparative anatomy, embryology, and organogenesis provide an interesting perspective for the descriptive and functional anatomy of the meninges. Usually considered as protective membranes, the meninges play a prominent role in the development and maintenance of the central nervous system. The meninges are in constant evolution, from their formation to senescence. The meninges present three layers in children and adults: the dura mater, the arachnoid and the pia mater. The cerebrospinal fluid is secreted by the choroid plexuses, flows through the ventricles and the subarachnoid space, and is absorbed by arachnoid granulations. Other sites of secretion and resorption are suggested by comparative anatomy and human embryology and organogenesis.

摘要

脑膜对应于一个解剖学概念。对于形态学家来说,微观组织、硬膜下腔的假设存在、脑膜深层与血管周围间隙中神经实质之间界面的性质是核心问题。对于临床医生来说,脑脊液流动、分泌和吸收的动态方面是在疾病和患者管理方面具有实际影响的重要因素。比较解剖学、胚胎学和器官发生学为脑膜的描述性和功能性解剖学提供了有趣的视角。脑膜通常被视为保护膜,在中枢神经系统的发育和维持中起着重要作用。脑膜从形成到衰老都在不断演变。儿童和成人的脑膜有三层:硬脑膜、蛛网膜和软脑膜。脑脊液由脉络丛分泌,流经脑室和蛛网膜下腔,并被蛛网膜颗粒吸收。比较解剖学、人类胚胎学和器官发生学提示了其他分泌和吸收部位。

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