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小脑幕三联征伴后颅窝底部两个异常静脉窦。

Triple falx cerebelli associated with two aberrant venous sinuses in the floor of posterior cranial fossa.

作者信息

Satheesha Nayak B, Srinivasa Rao Sirasanagandla, Deepthinath R, Kumar Naveen

机构信息

Melaka Manipal Medical College (Manipal Campus), Manipal University, Karnataka State, India.

出版信息

Australas Med J. 2013 Aug 31;6(8):397-400. doi: 10.4066/AMJ.2013.1740. eCollection 2013.

DOI:10.4066/AMJ.2013.1740
PMID:24039632
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3767026/
Abstract

During regular dissection classes, we came across tripled falx cerebelli in a male cadaver. The main (middle) falx cerebelli was large and was attached to the internal occipital crest. It contained the occipital sinus. There were two smaller folds (right and left), one on either side of the falx cerebelli. There were two aberrant venous sinuses; each one connecting the ipsilateral sigmoid and transverse sinuses with each other. The complex dural-venous variation reported here is seldom reported in the literature. Knowledge of such variation is important for neurosurgeons and neuroradiologists as these aberrant folds could cause haemorrhage during suboccipital approaches or may lead to erroneous interpretation during imaging of the posterior cranial fossa.

摘要

在常规解剖课上,我们在一具男性尸体中发现了小脑镰三联征。主要(中间)小脑镰较大,附着于枕内嵴,内含枕窦。在小脑镰两侧各有一个较小的皱襞(右侧和左侧)。存在两条异常静脉窦,每条都将同侧乙状窦和横窦相互连接。本文报道的这种复杂硬脑膜 - 静脉变异在文献中很少见。了解这种变异对于神经外科医生和神经放射科医生很重要,因为这些异常皱襞可能在枕下手术入路时导致出血,或者在颅后窝成像时导致错误解读。

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本文引用的文献

1
Duplication of falx cerebelli, occipital sinus, and internal occipital crest.小脑镰、枕窦和枕内嵴重复。
Rom J Morphol Embryol. 2009;50(1):107-10.
2
A complex dural-venous variation in the posterior cranial fossa: a triplicate falx cerebelli and an aberrant venous sinus.颅后窝复杂的硬脑膜-静脉变异:小脑镰重复及异常静脉窦。
Folia Morphol (Warsz). 2007 May;66(2):148-51.
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On the Cerebral Sinuses and their Variations.论脑窦及其变异
J Anat Physiol. 1881 Oct;16(Pt 1):27-42.
4
A rare variation of the posterior cranial fossa: duplicated falx cerebelli, occipital venous sinus, and internal occipital crest.一种罕见的后颅窝变异:小脑镰重复、枕静脉窦和枕内嵴。
Folia Morphol (Warsz). 2006 May;65(2):171-3.
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AJNR Am J Neuroradiol. 2005 Jan;26(1):50-5.
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Absence of the falx cerebelli in a Chiari II malformation.Chiari II型畸形中缺乏小脑镰。
Clin Anat. 2002 May;15(3):193-5. doi: 10.1002/ca.10013.
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AJNR Am J Neuroradiol. 1994 Nov;15(10):1871-83.
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Computed tomographic signs of the Chiari II malformation. Part I: Skull and dural partitions.Chiari II 畸形的计算机断层扫描征象。第一部分:颅骨和硬脑膜分隔。
Radiology. 1980 Jan;134(1):65-71. doi: 10.1148/radiology.134.1.7350637.
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Double falx cerebelli. Case report.
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