Velut S
Service de Neurochirurgie, Hôpital Bretonneau, Tours.
Neurochirurgie. 1987;33(4):258-63.
Formation of cerebral veins can be retraced through eight embryologic stages: before the 4 mm stage, neither arteries nor veins can be distinguished within the primitive network of the head; the 5 mm stage, when three dural plexuses can be identified; the 6 to 12 mm stage, marked by development of anterior dural plexus and lateralization of veins in relation to future cranial pairs; the 12 to 16 mm stage, with development of the anastomosis between anterior and middle dural plexus, and of the pial veins; the 16 to 21 mm stage, marked by regression of primitive sinus of the head and appearance of the anlage of straight sinus and of transverse and sigmoid sinuses; the 21 to 29 mm stage, with appearance of a temporary prosencephalic median vein, possibly implicated in the etiopathogenicity of so-called aneurysms of Galen's ampulla; the 40 mm stage with elaboration of the deep cerebral venous networks; the 60 to 80 mm stage during which the basal veins and Galen's ampulla are formed. After 3 months, the fetal encephalic venous system has attained its adult appearance.
在4毫米阶段之前,在头部的原始网络中无法区分动脉和静脉;5毫米阶段,可识别出三个硬脑膜丛;6至12毫米阶段,其特征为前硬脑膜丛的发育以及静脉相对于未来颅神经对的侧向化;12至16毫米阶段,前硬脑膜丛与中硬脑膜丛之间以及软脑膜静脉之间形成吻合;16至21毫米阶段,其特征为头部原始窦的退化以及直窦、横窦和乙状窦原基的出现;21至29毫米阶段,出现一条临时的前脑正中静脉,可能与所谓的大脑大静脉瘤的发病机制有关;40毫米阶段,深部脑静脉网络得到完善;60至80毫米阶段,在此期间形成基底静脉和大脑大静脉。三个月后,胎儿脑静脉系统已呈现出成人的外观。