Department of Radiology, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA.
Neuroscience Institute, Division of Neurointerventional Surgery, Queen's Medical Center, Honolulu, Hawaii, USA.
J Neuroradiol. 2023 Nov;50(6):581-592. doi: 10.1016/j.neurad.2023.06.002. Epub 2023 Jun 16.
The role of the venous circulation in neurological diseases has been underestimated. In this review, we present an overview of the intracranial venous anatomy, venous disorders of the central nervous system, and options for endovascular management. We discuss the role the venous circulation plays in various neurological diseases including cerebrospinal fluid (CSF) disorders (intracranial hypertension and intracranial hypotension), arteriovenous diseases, and pulsatile tinnitus. We also shed light on emergent cerebral venous interventions including transvenous brain-computer interface implantation, transvenous treatment of communicating hydrocephalus, and the endovascular treatment of CSF-venous disorders.
静脉循环在神经系统疾病中的作用一直被低估。在这篇综述中,我们介绍了颅内静脉解剖、中枢神经系统静脉疾病以及血管内治疗的选择。我们讨论了静脉循环在各种神经系统疾病中的作用,包括脑脊液(CSF)疾病(颅内高压和颅内低血压)、动静脉疾病和搏动性耳鸣。我们还介绍了紧急的脑静脉介入治疗,包括经静脉脑机接口植入术、经静脉治疗交通性脑积水以及 CSF-静脉疾病的血管内治疗。