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胼周动脉:解剖特征、临床意义、神经外科考量及手术应用的深入探讨

Callosomarginal artery: an in-depth of anatomical characteristics, clinical significance, neurosurgical considerations, and surgical applications.

作者信息

Shafeea Murtaja Satea, Al-Aish Sandra Thair, Saydo Biam, Abdul Hussein Abbas F, Aldalati Abdullah, Natheer Zahraa, Pastrana-Brandes Santiago

机构信息

Department of Neurosurgery, College of Medicine, University of Warith Al-Anbiyaa, Karbala, Iraq.

College of Medicine, Baghdad University, Baghdad, Iraq.

出版信息

Langenbecks Arch Surg. 2025 Sep 13;410(1):271. doi: 10.1007/s00423-025-03847-w.

Abstract

INTRODUCTION

The Callosomarginal artery (CMA) is a terminal branch of the anterior cerebral artery (ACA). It is the main branch and the largest artery branching off from the pericallosal artery and coursing in parallel to it. Its course is posterior to or within the cingulate sulcus of the brain. The Callosomarginal artery (CMA) has several anatomical variations and established neurosurgical applications. The Callosomarginal artery (CMA) is poorly described in the standard anatomical textbooks. Therefore, we conducted this study as an overview to illustrate a complete picture of the anatomical variations and their implications in the neurosurgical field.

METHOD

We conducted a literature review in Google Scholar and PubMed medical databases to review the literature discussing the CMA, its anatomical variations, and neurosurgical applications.

RESULTS

We identified 40 articles that discuss the CMA's anatomical variations and neurosurgical applications. We noticed the CMA's anatomical variations in origin, course, diameter, branches, depth, and distance from the associated structures. While reviewing the available articles and original works regarding CMA, we also discussed certain applications of CMA and its importance in neurosurgical bypass, embolization, and aneurysms.

CONCLUSION

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

摘要

引言

胼周动脉(CMA)是大脑前动脉(ACA)的终末分支。它是从胼周动脉分出并与其平行走行的主要分支且是最大的动脉。其走行于大脑扣带沟后方或在扣带沟内。胼周动脉(CMA)存在多种解剖变异并有既定的神经外科应用。在标准解剖学教科书中对胼周动脉(CMA)的描述较少。因此,我们开展本研究以进行概述,呈现其解剖变异及其在神经外科领域的意义全貌。

方法

我们在谷歌学术和PubMed医学数据库中进行文献综述,以回顾讨论胼周动脉(CMA)、其解剖变异及神经外科应用的文献。

结果

我们识别出40篇讨论胼周动脉(CMA)解剖变异及神经外科应用的文章。我们注意到胼周动脉(CMA)在起源、走行、直径、分支、深度以及与相关结构的距离等方面存在解剖变异。在回顾有关胼周动脉(CMA)的现有文章和原著时,我们还讨论了胼周动脉(CMA)的某些应用及其在神经外科搭桥、栓塞和动脉瘤方面的重要性。

结论

理解胼周动脉(CMA)的解剖结构对于神经外科医生安全有效地进行搭桥和栓塞等手术至关重要。此外,了解胼周动脉(CMA)的解剖变异及其临床意义有助于外科医生预见潜在挑战并相应调整手术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5869/12431920/38702ef4821f/423_2025_3847_Fig1_HTML.jpg

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