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颈内动脉-三叉神经界面的解剖学研究:三叉血管系统中的缺失环节?

Anatomical study of the carotid-trigeminal interface: The missing link in the trigeminovascular system?

机构信息

Department of Neurosurgery, Clairval Private Hospital, Ramsay Generale de Santé, Marseille, France.

UMR 1253, iBrain, Université de Tours, Inserm, Tours, France.

出版信息

J Anat. 2022 Dec;241(6):1303-1309. doi: 10.1111/joa.13765. Epub 2022 Sep 26.

Abstract

The trigeminal system is considered a prominent actor in brain nociceptive innervation. The trigeminovascular system is mainly composed of pseudounipolar neurons located within the trigeminal ganglion, whose dendrites originate in cerebral blood vessels. Anatomical studies demonstrating anatomical continuity between perivascular fibers and the trigeminal system are lacking. This issue is addressed in this study. Eleven cadaveric heads obtained from a body donation program were fixed in formalin. We performed a microanatomical study of the cavernous carotid-trigeminal interface and a histological examination of the tissue bridges crossing the virtual space between the medial aspect of the trigeminal ganglion and ophthalmic nerve and the lateral aspect of the cavernous segment of the internal carotid artery. Very strong adhesion was observed between the horizontal segment of the artery and the ophthalmic nerve in all specimens. The virtual space in this interface was crossed by a web of delicate filaments. Histological examination demonstrated the presence of nerve fibers in all samples. In this study, the carotid-trigeminal interface has been described in greater detail than ever before and could provide insight into disorders related to the trigeminovascular system. As the present results do not allow the exact nature of the axons to be affirmed, further investigation is necessary.

摘要

三叉神经系统被认为是大脑伤害性传入神经的主要组成部分。三叉血管系统主要由位于三叉神经节内的假单极神经元组成,其树突起源于脑血管。缺乏关于血管周围纤维与三叉系统之间解剖连续性的解剖学研究。本研究旨在解决这一问题。从尸体捐赠计划中获得的 11 个头颅在福尔马林溶液中固定。我们对海绵窦颈动脉-三叉神经界面进行了显微解剖研究,并对穿过三叉神经节和眼神经内侧与颈内动脉海绵窦段外侧之间虚拟空间的组织桥的组织进行了组织学检查。在所有标本中,均观察到动脉的水平段与视神经之间存在很强的粘连。虚拟空间被细微的纤维网穿过。组织学检查显示所有样本中均存在神经纤维。在这项研究中,颈动脉-三叉神经界面的描述比以往任何时候都更加详细,并为与三叉血管系统相关的疾病提供了深入了解。由于目前的结果不能确定轴突的确切性质,因此需要进一步的研究。

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