Atallah Oday, Scalia Gianluca, Azab Mohammed A, Muthana Ahmed, Wawi Omar, Sanker Vivek, Etaiwi Almutasimbellah K, Hoz Samer S
Department of Neurosurgery, Hannover Medical School, Hannover, Germany.
Neurosurgery Unit, Department of Head and Neck Surgery, ARNAS Garibaldi, Catania, Italy.
Brain Spine. 2024 Jul 6;4:102861. doi: 10.1016/j.bas.2024.102861. eCollection 2024.
The Precentral Cerebellar Vein (PCV) plays a crucial role as an anatomical landmark in neurosurgery, and the possibility of its safe sacrifice is controversial. Understanding its anatomical nuances and clinical implications is fundamental in enhancing neurosurgical practice.
A systematic review following PRISMA guidelines was conducted to consolidate literature on the PCV. PubMed, Scopus, and Web of Science were systematically searched using predefined criteria. Studies providing complete research texts in English, focusing on the PCV's surgical anatomy and neurosurgical implications were included.
Fourteen articles met inclusion criteria, exploring the PCV's anatomical variations, trajectory, dimensions, and connections. The PCV's utility in localizing posterior fossa tumors was underscored, aiding in surgical precision. However, sacrifices of the PCV or minor veins for access to quadrigeminal areas posed postoperative risks, emphasizing the need for careful preoperative planning. Additionally, the PCV's diagnostic value in venous malformations and developmental anomalies was highlighted.
This comprehensive review accentuates the pivotal role of the PCV in neurosurgery. While serving as a vital guide in procedures, it poses potential risks when manipulated. Understanding its multifaceted significance, from anatomy to clinical implications, is paramount for informed decision-making and minimizing complications in neurosurgical interventions.
中央前小脑静脉（PCV）作为神经外科手术中的一个解剖标志起着关键作用，其安全牺牲的可能性存在争议。了解其解剖细节和临床意义是提高神经外科手术实践的基础。
按照PRISMA指南进行系统综述，以整合关于PCV的文献。使用预定义标准对PubMed、Scopus和科学网进行系统检索。纳入以英文提供完整研究文本、聚焦于PCV手术解剖和神经外科意义的研究。
14篇文章符合纳入标准，探讨了PCV的解剖变异、走行、尺寸和连接。强调了PCV在定位后颅窝肿瘤方面的作用，有助于提高手术精度。然而，为进入四叠体区域而牺牲PCV或小静脉会带来术后风险，强调术前需仔细规划。此外，还突出了PCV在静脉畸形和发育异常中的诊断价值。
这项全面综述强调了PCV在神经外科手术中的关键作用。虽然它在手术中是重要的引导，但操作时存在潜在风险。了解其从解剖到临床意义的多方面重要性，对于在神经外科干预中做出明智决策和将并发症降至最低至关重要。
