Szabo Bianca Aurora, Pascalau Raluca, Padurean Vlad Adrian
Iuliu Hatieganu University of Medicine and Pharmacy, Department of Anatomy and Embryology, Cluj-Napoca, Romania.
Turk Neurosurg. 2018;28(5):768-775. doi: 10.5137/1019-5149.JTN.20871-17.2.
To provide a concise description of the external configuration, its internal correspondence and the neurovascular relations of the brainstem with morphometric data that can be useful in surgical planning.
The study was conducted on formalin fixed brainstem specimens, which were harvested with respect to the topographic anatomy. Macroscopic measurements were performed with a Vernier caliper.
The anatomical structures on the ventral and dorsal aspects of the brainstem are described and illustrated schematically. Their dimensions are also graphically represented using the mean values. Serial axial sections through the brainstem demonstrate the internal correspondence of its external features. Then, the apparent origins and the proximal diameters of the cranial nerves and the arteries of the posterior circulation as well as their anatomical relations are presented.
The external morphometry of the brainstem correlated with the position of the internal structures provides landmarks with applicability in neurosurgery especially in the fields of intrinsic brainstem lesions, posterior fossa and fourth ventricle surgery.
利用可用于手术规划的形态学数据，对脑干的外部形态、内部对应关系以及神经血管关系进行简要描述。
本研究对经福尔马林固定的脑干标本进行，这些标本是根据局部解剖学采集的。使用游标卡尺进行宏观测量。
对脑干腹侧和背侧的解剖结构进行了描述并示意性地说明。其尺寸也用平均值以图形方式表示。通过脑干的连续轴向切片展示了其外部特征的内部对应关系。然后，介绍了后循环的颅神经和动脉的明显起源、近端直径及其解剖关系。
脑干的外部形态测量与内部结构位置相关，为神经外科手术，特别是在脑干固有病变、后颅窝和第四脑室手术领域提供了适用的标志。
