Kahilogullari Gokmen, Ugur Hasan Caglar, Comert Ayhan, Brohi Recep Ali, Ozgural Onur, Ozdemir Mevci, Karahan Suleyman Tuna
Ibni Sina Hospital Department of Neurosurgery, Ankara University, Sihhiye, 06100, Ankara, Turkey,
Childs Nerv Syst. 2013 Oct;29(10):1835-41. doi: 10.1007/s00381-012-2018-z. Epub 2013 Jan 20.
The arterial vascularization of the pineal gland (PG) remains a debatable subject. This study aims to provide detailed information about the arterial vascularization of the PG.
Thirty adult human brains were obtained from routine autopsies. Cerebral arteries were separately cannulated and injected with colored latex. The dissections were carried out using a surgical microscope. The diameters of the branches supplying the PG at their origin and vascularization areas of the branches of the arteries were investigated.
The main artery of the PG was the lateral pineal artery, and it originated from the posterior circulation. The other arteries included the medial pineal artery from the posterior circulation and the rostral pineal artery mainly from the anterior circulation. Posteromedial choroidal artery was an important artery that branched to the PG. The arterial supply to the PG was studied comprehensively considering the debate and inadequacy of previously published studies on this issue available in the literature.
This anatomical knowledge may be helpful for surgical treatment of pathologies of the PG, especially in children who develop more pathology in this region than adults.
松果体(PG)的动脉血管化仍是一个有争议的话题。本研究旨在提供有关PG动脉血管化的详细信息。
从常规尸检中获取30个成人大脑。分别对脑动脉进行插管并注入彩色乳胶。使用手术显微镜进行解剖。研究了供应PG的分支在其起源处的直径以及动脉分支的血管化区域。
PG的主要动脉是松果体外侧动脉,它起源于后循环。其他动脉包括来自后循环的松果体内侧动脉和主要来自前循环的松果体嘴侧动脉。脉络膜后内侧动脉是分支至PG的重要动脉。考虑到文献中先前发表的关于该问题的研究存在的争议和不足,对PG的动脉供应进行了全面研究。
这一解剖学知识可能有助于PG病变的手术治疗,尤其是在该区域比成人发生更多病变的儿童中。