Department of Neurosurgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
Semin Neurol. 2023 Jun;43(3):356-369. doi: 10.1055/s-0043-1771209. Epub 2023 Aug 3.
The history of vascular anatomy of the spinal cord and spine began in the late 19th century. With recent advances in endovascular and surgical treatment of vascular lesions of the spinal cord, understanding the vascular anatomy of the spinal cord has become more important than ever. Catheter angiography is the gold standard for diagnosing vascular lesions of the spinal cord, and the vascular architecture of the spinal cord itself is relatively simple, a repetition of basic longitudinal and axial structures. This review discusses the vascular anatomy of the spine and spinal cord from the embryological point of view, as well as an overview of typical spinal arteriovenous shunt diseases mainly depending on their locations: paraspinal, epidural, dural, perimedullary, intramedullary, filum terminale/cauda equina, craniocervical junction, and related diseases.
脊髓和脊柱的血管解剖学历史始于 19 世纪后期。随着脊髓血管病变的血管内和手术治疗的最新进展，对脊髓血管解剖学的理解变得比以往任何时候都更加重要。导管血管造影是诊断脊髓血管病变的金标准，而脊髓本身的血管结构相对简单，是基本的纵向和轴向结构的重复。本综述从胚胎学的角度讨论了脊柱和脊髓的血管解剖学，并概述了主要取决于其位置的典型脊髓动静脉分流疾病：脊柱旁、硬膜外、硬脊膜下、脊髓周围、脊髓内、终丝/马尾、颅颈交界区以及相关疾病。
