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大脑浅静脉的显微外科解剖学

Microsurgical anatomy of the superficial veins of the cerebrum.

作者信息

Oka K, Rhoton A L, Barry M, Rodriguez R

出版信息

Neurosurgery. 1985 Nov;17(5):711-48. doi: 10.1227/00006123-198511000-00003.

DOI:10.1227/00006123-198511000-00003
PMID:4069326
Abstract

The microsurgical anatomy of the superficial cortical veins was examined in 20 cerebral hemispheres. The superficial cortical veins are divided into three groups based on whether they drain the lateral, medial, or inferior surface of the hemisphere. The veins on the three surfaces are further subdivided on the basis of the lobe and cortical area that they drain. The superficial cerebral veins collect into four groups of bridging veins: a superior sagittal group, which drains into the superior sagittal sinus; a sphenoidal group, which drains into the sphenoparietal and cavernous sinuses on the inner surface of the sphenoid bone; a tentorial group, which converges on the sinuses in the tentorium; and a falcine group, which empties into the inferior sagittal or straight sinus or their tributaries. The superior sagittal group drains the superior part of the medial and lateral surfaces of the frontal, parietal, and occipital lobes and the anterior part of the basal surface of the frontal lobe. The sphenoidal group drains the parts of the frontal, temporal, and parietal lobes adjoining the sylvian fissure. The tentorial group drains the lateral surface of the temporal lobe and the basal surface of the temporal and occipital lobes. The falcine group drains an area that includes the cingulate and parahippocampal gyri and approximates the cortical parts of the limbic lobe of the brain. The relationship of these veins to the venous lacunae was also examined.

摘要

在20个大脑半球中对大脑皮质浅静脉的显微外科解剖结构进行了研究。大脑皮质浅静脉根据其引流半球的外侧、内侧还是下表面分为三组。三个表面的静脉根据其引流的脑叶和皮质区域进一步细分。大脑浅静脉汇聚成四组桥静脉:一组是上矢状窦组,引流至上矢状窦;一组是蝶骨组,引流至蝶骨内表面的蝶顶窦和海绵窦;一组是小脑幕组,汇聚于小脑幕内的静脉窦;还有一组是大脑镰组,注入下矢状窦或直窦或其属支。上矢状窦组引流额叶、顶叶和枕叶内侧面及外侧面的上部以及额叶底面的前部。蝶骨组引流额叶、颞叶和顶叶邻接外侧裂的部分。小脑幕组引流颞叶的外侧面以及颞叶和枕叶的底面。大脑镰组引流包括扣带回和海马旁回在内的区域,并大致相当于大脑边缘叶的皮质部分。还研究了这些静脉与静脉陷窝的关系。

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