Kaar G F, Fraher J P
Department of Anatomy, University College, Cork, Ireland.
J Anat. 1986 Oct;148:137-46.
The fifth lumbar ventral spinal nerve rootlets join to form a number of aggregated rootlet bundles. These in turn fuse to form the ventral root. Each rootlet is surrounded by a sheath which consists of a single fenestrated layer of cells and their attenuated cytoplasmic processes and which is open ended proximally. Immediately superficial to the spinal cord surface, rootlets are separated from one another by a labyrinth of inter-radicular spaces containing small blood vessels. Between adjacent rootlets the inter-radicular space tapers distally to an apex. The endoneurial space of the rootlet communicates with the subpial and inter-radicular spaces. Each aggregated rootlet bundle is surrounded by a multilayered sheath. Proximally, the outer layers of this sheath are continuous with the superficial layers of the pia mater. Both of these, as well as the root sheath with which the rootlet bundle sheaths are continuous distally, are complete and lack fenestrations. Accordingly, the endoneurial space, though continuous with the inter-radicular and subpial spaces, is isolated from the subarachnoid space.
第五腰神经腹侧神经根丝会合形成许多聚集的根丝束。这些根丝束进而融合形成腹侧神经根。每根神经根丝被一层鞘所包裹,该鞘由单层有窗孔的细胞及其变细的细胞质突起组成,且在近端为开口状。在脊髓表面的紧邻处,神经根丝被含有小血管的复杂根间间隙彼此分隔开。相邻神经根丝之间的根间间隙向远端逐渐变细至一个顶点。神经根丝的神经内膜间隙与软膜下间隙和根间间隙相通。每个聚集的根丝束被一层多层鞘所包裹。在近端,该鞘的外层与软脑膜的表层相连续。这两者以及神经根丝束鞘在远端与之连续的根鞘都是完整的且没有窗孔。因此,神经内膜间隙虽然与根间间隙和软膜下间隙相通,但与蛛网膜下腔相隔离。