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寰椎前节段间动脉:正常及病理特征综述

Proatlantal intersegmental artery: a review of normal and pathological features.

作者信息

Vasović Ljiljana, Mojsilović Marijola, Andelković Zlatibor, Jovanović Ivan, Arsić Stojanka, Vlajković Slobodan, Milenković Zoran

机构信息

Department of Anatomy, Faculty of Medicine, University of Nis, Blvd. Dr Zoran Dindić 81, 18000, Nis, Serbia.

出版信息

Childs Nerv Syst. 2009 Apr;25(4):411-21. doi: 10.1007/s00381-008-0765-7. Epub 2009 Feb 11.

DOI:10.1007/s00381-008-0765-7
PMID:19212779
Abstract

OBJECTS

Primitive carotid-vertebral and carotid-basilar anastomoses are formed early during human embryogenesis at approximately 24 days. From cephalic to caudal direction, these anastomoses are cranial extensions of the primitive internal carotid, trigeminal, otic, hypoglossal and proatlantal intersegmental arteries.

MATERIALS AND METHODS

Normal and/or abnormal morphofunctional aspects of prenatal and postnatal forms of the proatlantal intersegmental artery, from the 24th day of gestation to postnatal eight decades, are described according to personal and literature data. Many (ab) normal carotid-vertebral anastomoses are also marked in differential diagnosis of the proatlantal intersegmental artery.

CONCLUSIONS

The proatlantal intersegmental artery maintains the posterior circulation until the vertebral arteries are fully developed between the seventh and eighth gestational weeks. When this artery fails to obliterate, it becomes persistent one. The proatlantal intersegmental artery, most commonly, is an incidental finding or it may be of clinical significance in some patients.

摘要

目的

原始颈-椎和颈-基底吻合在人类胚胎发育早期约24天时形成。从头部向尾部方向,这些吻合是原始颈内动脉、三叉神经、耳、舌下和前寰椎节段间动脉的颅部延伸。

材料与方法

根据个人及文献资料,描述了从妊娠第24天到出生后八十岁期间前寰椎节段间动脉产前和产后形式的正常和/或异常形态功能方面。在鉴别诊断前寰椎节段间动脉时,还标记了许多(异常)正常的颈-椎吻合。

结论

前寰椎节段间动脉维持后循环,直至椎动脉在妊娠第7至8周完全发育。当该动脉未能闭塞时,它会持续存在。前寰椎节段间动脉最常见的是偶然发现,或者在某些患者中可能具有临床意义。

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Hypoglossal artery: a review of normal and pathological features.舌下动脉:正常与病理特征综述
Neurosurg Rev. 2008 Oct;31(4):385-95; discussion 395-6. doi: 10.1007/s10143-008-0145-5. Epub 2008 Jun 12.
2
Cutaneous hemangioma associated with persistence of the trigeminal and both proatlantal arteries.与三叉神经和双侧寰椎前动脉持续存在相关的皮肤血管瘤。
J Child Neurol. 2007 Mar;22(3):337-40. doi: 10.1177/0883073807300527.
3
Carotid endarterectomy in a patient with persistent proatlantal artery.一名患有永存寰椎前动脉患者的颈动脉内膜切除术。
管道栓塞装置辅助血管成形术治疗导致栓子脱落的II型寰椎前节段间动脉夹层
Front Neurol. 2025 Feb 4;16:1490799. doi: 10.3389/fneur.2025.1490799. eCollection 2025.
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Coexistence of a right vertebral artery originating from the right common carotid artery, an aberrant right subclavian artery and a left primitive proatlantal intersegmental artery: First case report.右侧椎动脉起源于右颈总动脉、迷走右锁骨下动脉和左侧原始前寰椎间节段动脉并存:首例报告。
Radiol Case Rep. 2025 Jan 30;20(4):2129-2134. doi: 10.1016/j.radcr.2025.01.047. eCollection 2025 Apr.
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Persistent proatlantal intersegmental artery: a consideration based on multi-slice spiral computed tomography angiography.持续存在的寰椎前节间动脉:基于多层螺旋计算机断层血管造影的考量
Surg Radiol Anat. 2024 Dec 2;47(1):15. doi: 10.1007/s00276-024-03524-5.
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Primitive proatlantal intersegmental artery associated with moyamoya disease: A case report.与烟雾病相关的原始前寰椎节段间动脉:一例报告。
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Bilateral concurrent type I and type II persistent proatlantal arteries: A case report.双侧同时存在的 I 型和 II 型永存原始寰椎动脉:一例报告。
Radiol Case Rep. 2024 Aug 13;19(11):4832-4835. doi: 10.1016/j.radcr.2024.07.082. eCollection 2024 Nov.
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