Piffer C R, Horn Y, Hureau J, Meininger V
Anat Anz. 1986;162(5):331-50.
The authors studied the structure and disposition of the tissue components of the tunicae of the superior cerebral veins at the levels of the subdural space and of the superior sagittal sinus. It was observed that, at the level of the transition vein-sinus, the tunica adventitia is formed by numerous and voluminous fascicles of collagenic fibers and thin elastic fibers, which describe system spirals more opened distant to the superior sagittal sinus. The tunica intima of these vascular segments exhibits an endothelium resting on a network of elastic fibers, which may play the role of an internal elastic lamina. From the lateral, superior and inferior walls of the sinus, there originates a connective system whose fascicles of collagenic and elastic fibers incorporated to the vascular walls after describing a stretch in spiral around the vascular lumen. The authors admit that this dispositive connective collagenic-elastic, more the presence of the septums fibrous of the venous walls, give to the superior cerebral veins one property of the lengthening and of the shortening of the walls, in order to regulate the blood debit to the sinus. Also, ist was noted that, at the level of the subdural space, vascular walls exhibits a fibrous structure similar to that of the sinus, and are fixed to the interne face of the cranial dura-mater, to the lateral wall of the sinus and to the falx cerebri. These adherences contribute to preserve the integrity of the walls and even of the resistance during the elevation of the venous pression, preventing to the collapsus of these veins.
作者研究了大脑上静脉在硬膜下间隙和上矢状窦水平的各层组织成分的结构和分布。观察到,在静脉 - 窦过渡水平,外膜由大量粗大的胶原纤维束和细弹性纤维组成,这些纤维束呈系统螺旋状,距上矢状窦越远螺旋越开放。这些血管段的内膜有一层内皮细胞,位于弹性纤维网络上,该弹性纤维网络可能起到内弹性膜的作用。从窦的外侧、上壁和下壁发出一个结缔组织系统,其胶原纤维束和弹性纤维束在围绕血管腔呈螺旋状伸展后并入血管壁。作者认为,这种结缔组织的胶原 - 弹性结构,更确切地说是静脉壁纤维隔的存在,赋予大脑上静脉壁伸长和缩短的特性,以调节进入窦的血流量。此外,还注意到,在硬膜下间隙水平,血管壁呈现出与窦相似的纤维结构,并固定于硬脑膜的内表面、窦的侧壁和大脑镰。这些附着有助于在静脉压升高时保持血管壁的完整性甚至阻力,防止这些静脉塌陷。