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枕动脉:解剖变异与神经外科应用

Occipital artery: Anatomical variations and neurosurgical applications.

作者信息

Muthana Ahmed, Al-Gertani Mustafa R, Ahmed Fatimah Oday, Etaiwi Almutasimbellah K, Al-Badri Sajjad G, Atallah Oday, Algabri Mostafa H, Ismail Mustafa, Hoz Samer S

机构信息

Department of Neurosurgery, University of Baghdad, College of Medicine, Baghdad, Iraq.

Department of Neurosurgery, University of Mustansiriyah, College of Medicine, Baghdad, Iraq.

出版信息

Surg Neurol Int. 2023 Sep 1;14:313. doi: 10.25259/SNI_598_2023. eCollection 2023.

DOI:10.25259/SNI_598_2023
PMID:37810316
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10559367/
Abstract

BACKGROUND

The occipital artery (OA) is a branch of the external carotid artery. It gives rise to several cutaneous, muscular, and meningeal branches to supply different anatomical areas. The implication of OA in the neurosurgical field is well-established in the literature. Our aim in this study is to draw a complete picture of the anatomical variations and neurosurgical applications of the OA.

METHODS

A literature review was conducted in Google Scholar and PubMed to review the studies discussing OA, its anatomical variation, and neurosurgical applications.

RESULTS

We identified 29 articles that discuss the anatomical variations and neurosurgical applications of the OA. Certain variables are used to describe the surgical anatomy of OA. We also discussed certain applications of OA and its importance in neurosurgical bypass, embolization, and aneurysms.

CONCLUSION

Comprehending the anatomy of the OA is crucial for neurosurgeons to safely and effectively perform procedures such as bypass and embolization. In addition, knowledge of the anatomical variations of the OA can help surgeons anticipate potential challenges and tailor their approach accordingly.

摘要

背景

枕动脉(OA)是颈外动脉的一个分支。它发出数支皮支、肌支和脑膜支,以供应不同的解剖区域。枕动脉在神经外科领域的意义在文献中已有充分记载。本研究的目的是全面了解枕动脉的解剖变异及其神经外科应用。

方法

在谷歌学术和PubMed上进行文献综述,以回顾讨论枕动脉、其解剖变异及神经外科应用的研究。

结果

我们识别出29篇讨论枕动脉解剖变异及神经外科应用的文章。某些变量用于描述枕动脉的手术解剖结构。我们还讨论了枕动脉的某些应用及其在神经外科搭桥、栓塞和动脉瘤治疗中的重要性。

结论

对于神经外科医生而言,了解枕动脉的解剖结构对于安全有效地实施搭桥和栓塞等手术至关重要。此外,了解枕动脉的解剖变异有助于外科医生预见潜在挑战并相应调整手术方法。

相似文献

1
Occipital artery: Anatomical variations and neurosurgical applications.枕动脉:解剖变异与神经外科应用
Surg Neurol Int. 2023 Sep 1;14:313. doi: 10.25259/SNI_598_2023. eCollection 2023.
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The role of alternative anastomosis sites in occipital artery-posterior inferior cerebellar artery bypass in the absence of the caudal loop using the far-lateral approach.在远外侧入路中,在没有小脑后下动脉尾袢的情况下,替代吻合部位在后循环颅外段-小脑后下动脉搭桥术中的作用。
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本文引用的文献

1
The occipital artery: a meta-analysis of its anatomy with clinical correlations.枕动脉:对其解剖结构与临床相关性的荟萃分析。
Anat Sci Int. 2023 Jan;98(1):12-21. doi: 10.1007/s12565-022-00693-4. Epub 2022 Nov 9.
2
Bilateral Occipital Arteries of Internal Carotid Origin: Report of a Case and Review of the Literature.双侧源于颈内动脉的枕动脉:一例报告及文献复习
J Belg Soc Radiol. 2015 Sep 15;99(1):69-71. doi: 10.5334/jbr-btr.828.
3
Direct Anastomosis Using Occipital Artery for Additional Revascularization in Moyamoya Disease After Combined Superficial Temporal Artery-Middle Cerebral Artery and Indirect Bypass.
联合颞浅动脉-大脑中动脉吻合术及间接旁路手术后,通过枕动脉直接吻合术增加烟雾病的血运重建
Oper Neurosurg (Hagerstown). 2017 Apr 1;13(2):213-223. doi: 10.1227/NEU.0000000000001346.
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A safe and effective technique for harvesting the occipital artery for posterior fossa bypass surgery: a cadaveric study.一种用于后颅窝搭桥手术的安全有效的枕动脉采集技术:一项尸体研究。
World Neurosurg. 2014 Sep-Oct;82(3-4):e459-65. doi: 10.1016/j.wneu.2013.09.015. Epub 2013 Sep 18.
5
Occipital artery-anterior inferior cerebellar artery bypass with microsurgical trapping for exclusively intra-meatal anterior inferior cerebellar artery aneurysm manifesting as subarachnoid hemorrhage. Case report.枕动脉-小脑前下动脉搭桥术联合显微手术夹闭治疗仅表现为蛛网膜下腔出血的内听道内小脑前下动脉动脉瘤。病例报告。
Neurol Med Chir (Tokyo). 2012;52(6):435-8. doi: 10.2176/nmc.52.435.
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Incidence of the occipital artery arising from the internal carotid artery identified by three-dimensional computed tomographic angiography.通过三维计算机断层血管造影术确定的枕动脉发自颈内动脉的发生率。
Br J Oral Maxillofac Surg. 2012 Jun;50(4):373-5. doi: 10.1016/j.bjoms.2011.05.014. Epub 2011 Jun 17.
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Operative nuances of an occipital artery to posterior inferior cerebellar artery bypass.枕动脉至小脑后下动脉搭桥手术的操作细节
Neurosurg Focus. 2009 May;26(5):E19. doi: 10.3171/2009.2.FOCUS0911.
8
Traumatic pseudoaneurysm of the occipital artery: case report and review of the literature.枕动脉创伤性假性动脉瘤:病例报告及文献复习
Ear Nose Throat J. 2008 Nov;87(11):E7-12.
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Traumatic aneurysm of the occipital artery secondary to paintball injury.
Clin Neurol Neurosurg. 2009 Jan;111(1):105-8. doi: 10.1016/j.clineuro.2008.08.006. Epub 2008 Oct 14.
10
The occipital artery for posterior circulation bypass: microsurgical anatomy.用于后循环搭桥的枕动脉:显微外科解剖学
Neurosurg Focus. 2008;24(2):E9. doi: 10.3171/FOC/2008/24/2/E9.