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面神经与舌咽神经之间的迷走交通支,从胚胎学角度探讨其出现情况。

Vagal communicating branches between the facial and glossopharyngeal nerves, with references to their occurrence from the embryological point of view.

作者信息

Tanaka S, Mizukami S

机构信息

Department of Anatomy, School of Medicine, Kanazawa University, Japan.

出版信息

Acta Anat (Basel). 1991;142(1):25-32. doi: 10.1159/000147156.

Abstract

A rare and hitherto not reported case in which a branch of the vagal nerve communicated simultaneously with the facial and the glossopharyngeal nerves was encountered in the body of a Japanese male cadaver in an anatomy class. This vagofacial-vagoglossopharyngeal (X.VII-X.IX) communicating branch was found to issue from the vagal nerve truck in close association with the pharyngeal branches (rami pharyngei nervi vagi), bifurcating soon into a vagofacial (X.VII) and a vagoglossopharyngeal division (X.IX). The X.VII division coursed forward and reached the posterior belly of the digastric muscle; after entering this muscle, this division broke up into filaments to communicate with the ramus digastricus of the facial nerve which was found to play an equivalent role in making the vagofacial ansa. The X.IX division, in contrast, took its course medially to reach the stylopharyngeal muscle. After entering this muscle, the X.IX division communicated with the stylopharyngeal branch of the glossopharyngeal nerve, which was found to be the equivalent to the X.IX division; these two form together the vagoglossopharyngeal ansa. Therefore, it could be concluded that the X.VII-X.IX communicating branch constitutes the vagal moieties of the vagofacial as well as the vagoglossopharyngeal ansae. The background of the appearance of the communicating branches observed in this report is discussed in the text from the developmental viewpoint on the basis of the findings obtained in chick embryos stained in whole mounts with anti-neurofilament protein antibody.

摘要

在解剖学课上,在一具日本男性尸体的体内发现了一个罕见的、迄今为止尚未报道的病例,即迷走神经的一个分支同时与面神经和舌咽神经相连。发现这个迷走 - 面神经 - 迷走 - 舌咽神经(X.VII - X.IX)交通支从迷走神经干发出,与咽支(迷走神经咽支)紧密相连,很快分成迷走 - 面神经(X.VII)和迷走 - 舌咽神经分支(X.IX)。X.VII分支向前走行,到达二腹肌后腹;进入该肌肉后,该分支分成细丝与面神经的二腹肌支相连,发现其在形成迷走 - 面神经袢中起同等作用。相比之下,X.IX分支向内侧走行,到达茎突咽肌。进入该肌肉后,X.IX分支与舌咽神经的茎突咽支相连,发现其与X.IX分支相当;这两者共同形成迷走 - 舌咽神经袢。因此,可以得出结论,X.VII - X.IX交通支构成了迷走 - 面神经袢以及迷走 - 舌咽神经袢的迷走部分。本文基于用抗神经丝蛋白抗体进行整体染色的鸡胚研究结果,从发育角度讨论了本报告中观察到的交通支出现的背景。

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