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蛛网膜:重新回到放射学意识中。

Arachnoid Membranes: Crawling Back into Radiologic Consciousness.

机构信息

From the Department of Radiology (S.L., A.B., F.G.), Royal Melbourne Hospital, Parkville, Victoria, Australia

From the Department of Radiology (S.L., A.B., F.G.), Royal Melbourne Hospital, Parkville, Victoria, Australia.

出版信息

AJNR Am J Neuroradiol. 2022 Feb;43(2):167-175. doi: 10.3174/ajnr.A7309. Epub 2021 Oct 28.

DOI:10.3174/ajnr.A7309
PMID:34711549
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8985673/
Abstract

The arachnoid membranes are projections of connective tissue in the subarachnoid space that connect the arachnoid mater to the pia mater. These are underappreciated and largely unrecognized by most neuroradiologists despite being found to be increasingly important in the pathogenesis, imaging, and treatment of communicating hydrocephalus. This review aims to provide neuroradiologists with an overview of the history, embryology, histology, anatomy, and normal imaging appearance of these membranes, as well as some examples of their clinical importance.

摘要

蛛网膜是蛛网膜下腔中的结缔组织突起,将蛛网膜与软膜相连。尽管在交通性脑积水的发病机制、影像学和治疗中越来越重要,但这些膜被大多数神经放射科医生低估和广泛忽视。本综述旨在为神经放射科医生提供这些膜的历史、胚胎学、组织学、解剖学和正常影像学表现的概述,以及它们在临床上的重要性的一些例子。

相似文献

1
Arachnoid Membranes: Crawling Back into Radiologic Consciousness.蛛网膜:重新回到放射学意识中。
AJNR Am J Neuroradiol. 2022 Feb;43(2):167-175. doi: 10.3174/ajnr.A7309. Epub 2021 Oct 28.
2
The intracranial arachnoid mater : a comprehensive review of its history, anatomy, imaging, and pathology.颅内蛛网膜:对其历史、解剖学、影像学及病理学的全面综述
Childs Nerv Syst. 2013 Jan;29(1):17-33. doi: 10.1007/s00381-012-1910-x. Epub 2012 Sep 8.
3
The cranial arachnoid and pia mater in man: anatomical and ultrastructural observations.人类颅蛛网膜和软脑膜:解剖学与超微结构观察
Neuropathol Appl Neurobiol. 1988 Jan-Feb;14(1):1-17. doi: 10.1111/j.1365-2990.1988.tb00862.x.
4
[A cytophysiological study of the arachnoid endothelium of the pia mater in connection with the protective function of the areolar system].[关于蛛网膜下隙系统保护功能的软脑膜蛛网膜内皮细胞生理研究]
Vopr Neirokhir. 1961 Nov-Dec;25:8-14.
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[Connective tissue structures of the leptomeninx of the brain in man, their relations to the blood vessels and cerebral nerves].[人类大脑软脑膜的结缔组织结构,它们与血管和脑神经的关系]
Anat Anz. 1962 Jan 31;110:336-47.
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[On the nerve and connective tissue structure of the leptomeninx of man with special consideration of recent specifications].[关于人类软脑膜的神经和结缔组织结构,特别考虑近期的分类]
Acta Anat (Basel). 1961;46:30-46.
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The relationship of epidural anesthesia to neural membranes and arachnoid villi.硬膜外麻醉与神经膜及蛛网膜绒毛的关系。
Anesthesiology. 1972 Nov;37(5):543-57. doi: 10.1097/00000542-197211000-00017.
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Leukodiapedesis and leukocyte migration in the leptomeninges and in the subarachnoid space.白细胞渗出以及软脑膜和蛛网膜下腔内的白细胞迁移。
J Neurol. 1981;226(1):43-52. doi: 10.1007/BF00313317.
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Scanning electron microscopy of the subarachnoid space in the dog. I. Spinal cord levels.犬蛛网膜下腔的扫描电子显微镜检查。I. 脊髓节段
J Comp Neurol. 1974 Feb 15;153(4):325-68. doi: 10.1002/cne.901530402.
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Subarachnoid Trabeculae: A Comprehensive Review of Their Embryology, Histology, Morphology, and Surgical Significance.蛛网膜小梁:关于其胚胎学、组织学、形态学及手术意义的全面综述
World Neurosurg. 2018 Mar;111:279-290. doi: 10.1016/j.wneu.2017.12.041. Epub 2017 Dec 18.

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Assessing the subarachnoid space anatomy on clinical imaging: utilizing normal and pathology to understand compartmentalization of the subarachnoid space.在临床影像上评估蛛网膜下腔解剖结构:利用正常情况和病理情况来理解蛛网膜下腔的分区。
Acta Neurochir (Wien). 2025 Jan 17;167(1):20. doi: 10.1007/s00701-025-06428-4.
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Functional analysis of the human perivascular subarachnoid space.人类蛛网膜下腔周围血管周围腔的功能分析。
Nat Commun. 2024 Mar 5;15(1):2001. doi: 10.1038/s41467-024-46329-1.

本文引用的文献

1
Subarachnoid space trabeculae architecture.蛛网膜下腔小梁结构。
Clin Anat. 2021 Jan;34(1):40-50. doi: 10.1002/ca.23635. Epub 2020 Jul 8.
2
The membrane of Liliequist-a safe haven in the middle of the brain. A narrative review.脑内中间膜:利利奎斯特膜——安全的港湾。一篇叙述性综述。
Acta Neurochir (Wien). 2020 Sep;162(9):2235-2244. doi: 10.1007/s00701-020-04290-0. Epub 2020 Mar 19.
3
Cerebrospinal fluid dynamics and intracranial pressure elevation in neurological diseases.神经疾病中的脑脊液动力学和颅内压升高。
Fluids Barriers CNS. 2019 Apr 10;16(1):9. doi: 10.1186/s12987-019-0129-6.
4
Analysis of convective and diffusive transport in the brain interstitium.脑间质内的对流和扩散传输分析。
Fluids Barriers CNS. 2019 Mar 6;16(1):6. doi: 10.1186/s12987-019-0126-9.
5
Respiration and the watershed of spinal CSF flow in humans.人体呼吸与脊髓脑脊液流动的分水岭。
Sci Rep. 2018 Apr 4;8(1):5594. doi: 10.1038/s41598-018-23908-z.
6
Subarachnoid Trabeculae: A Comprehensive Review of Their Embryology, Histology, Morphology, and Surgical Significance.蛛网膜小梁:关于其胚胎学、组织学、形态学及手术意义的全面综述
World Neurosurg. 2018 Mar;111:279-290. doi: 10.1016/j.wneu.2017.12.041. Epub 2017 Dec 18.
7
Bengt Liliequist: life and accomplishments of a true renaissance man.本特·利利奎斯特:真正文艺复兴人的生平与成就。
J Neurosurg. 2017 Feb;126(2):645-649. doi: 10.3171/2015.12.JNS131770. Epub 2016 May 13.
8
CSF Flow in the Brain in the Context of Normal Pressure Hydrocephalus.正常压力脑积水背景下的脑脊液在脑内的流动
AJNR Am J Neuroradiol. 2015 May;36(5):831-8. doi: 10.3174/ajnr.A4124. Epub 2014 Oct 29.
9
Arachnoid membrane: the first and probably the last piece of the roadmap.蛛网膜:路线图的第一部分,也可能是最后一部分。
Surg Radiol Anat. 2015 Mar;37(2):127-38. doi: 10.1007/s00276-014-1361-z. Epub 2014 Aug 19.
10
A new look at cerebrospinal fluid circulation.脑脊液循环的新视角。
Fluids Barriers CNS. 2014 May 1;11:10. doi: 10.1186/2045-8118-11-10. eCollection 2014.