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弓状孔与巴雷-利厄综合征。其外科治疗。

Foramen arcuale and syndrome of Barre-Lieou. Its surgical treatment.

作者信息

Limousin C A

出版信息

Int Orthop. 1980;4(1):19-23. doi: 10.1007/BF00266599.

DOI:10.1007/BF00266599
PMID:7399776
Abstract

At the point where the vertebral artery crosses the posterior arch of the atlas it may sometimes be enclosed by a bridge of bone, the so-called foramen arcuale. The foramen limits the normal mobility of the vessel during flexion and extension of the neck and may cause disturbances of arterial flow and of the peri-arterial sympathetic plexus giving rise to symptoms similar to those found in the Barre-Lieou syndrome. The authors describes the angiographic findings in such patients and a technique for the surgical excision of the foramen. The results of the operation in two groups of patients, with and without associated spondylosis of the lower cervical spine, are presented.

摘要

在椎动脉穿过寰椎后弓处,有时可能被一骨桥包绕,即所谓的弓状孔。该孔在颈部屈伸时限制了血管的正常活动度,可能导致动脉血流及动脉周围交感神经丛紊乱,引发与巴雷 - 利厄综合征相似的症状。作者描述了此类患者的血管造影表现以及一种手术切除该孔的技术。文中呈现了两组患者(伴有和不伴有下颈椎骨质增生)的手术结果。

相似文献

1
Foramen arcuale and syndrome of Barre-Lieou. Its surgical treatment.弓状孔与巴雷-利厄综合征。其外科治疗。
Int Orthop. 1980;4(1):19-23. doi: 10.1007/BF00266599.
2
[Foramen arcuale and vertigo].
Zhonghua Wai Ke Za Zhi. 1990 Oct;28(10):592-4, 636-7.
3
[Operative treatment for cervical vertigo caused by foramen arcuale].
Zhonghua Wai Ke Za Zhi. 1995 Mar;33(3):137-9.
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Foramen arcuale: a rare morphological variation located in atlas vertebrae.弓状孔:一种位于寰椎的罕见形态变异。
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Foramen arcuale: anatomical study and review of the literature.
J Neurosurg Spine. 2007 Jan;6(1):31-4. doi: 10.3171/spi.2007.6.1.6.
6
[Does the posterior cervical sympathetic syndrome, so-called "Barre-Lieou syndrome", exist?].
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Prevalence of foramen arcuale and its clinical significance: a meta-analysis of 55,985 subjects.弓状孔的患病率及其临床意义:对55985名受试者的荟萃分析
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[Contributions to the knowledge of the clinical manifestations of vertebro-basilar insufficiency caused by cervical arthrosis (so-called Barré-Liéou syndrome)].[对颈椎关节病所致椎基底动脉供血不足(所谓的巴雷 - 利厄综合征)临床表现的认识贡献]
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[THE POSTERIOR CERVICAL SYMPATHETIC SYNDROME (CLINICO-ELECTROENCEPHALOGRAPHIC CONTRIBUTION)].[颈后交感神经综合征(临床脑电图学贡献)]
Rass Studi Psichiatr. 1964;53:447-55.

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本文引用的文献

1
[CERVICOCEPHALALGIAS; SYMPATHETICALGIA AND 135 MALFORMATIONS OF THE ATLAS AND AXIS].[颈头痛;交感神经痛以及第1颈椎和第2颈椎的135种畸形]
Rev Clin Esp. 1964 Aug 15;94:177-91.
2
[Resection of the unco-vertebral articulation and opening of the intervertebral foramen by an anterior approach in the treatment of cervico-brachial neuralgia. Operative technic].[经前路切除钩椎关节并打开椎间孔治疗颈臂神经痛。手术技术]
Mem Acad Chir (Paris). 1963;89:361-8.
3
[Surgical treatment of the sympathetic cervical posterior syndrome and the vertebrobasilar syndrome in cervical arthrosis according to 70 operated cases. Analysis of the results after 6 months to 6 years].
弓状孔:“解剖变异、形态还是适应性遗留?”
Surg Radiol Anat. 2019 May;41(5):583-588. doi: 10.1007/s00276-019-02186-y. Epub 2019 Jan 17.
4
Minimally invasive surgical treatment for Kimmerle anomaly.金默尔氏异常的微创外科治疗。
J Craniovertebr Junction Spine. 2017 Oct-Dec;8(4):359-363. doi: 10.4103/jcvjs.JCVJS_73_17.
5
Acute headache attributed to whiplash in arcuate foramen and non-arcuate foramen subjects.弓状孔和非弓状孔受试者中归因于挥鞭伤的急性头痛。
Eur Spine J. 2017 Apr;26(4):1262-1265. doi: 10.1007/s00586-016-4856-y. Epub 2016 Nov 7.
6
Anatomical Variant of Atlas : Arcuate Foramen, Occpitalization of Atlas, and Defect of Posterior Arch of Atlas.寰椎的解剖变异:弓状孔、寰椎枕化及寰椎后弓缺损。
J Korean Neurosurg Soc. 2015 Dec;58(6):528-33. doi: 10.3340/jkns.2015.58.6.528. Epub 2015 Dec 31.
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Chronic neck pain: making the connection between capsular ligament laxity and cervical instability.慢性颈部疼痛:探寻关节囊韧带松弛与颈椎不稳定之间的联系。
Open Orthop J. 2014 Oct 1;8:326-45. doi: 10.2174/1874325001408010326. eCollection 2014.
8
A cone beam CT investigation of ponticulus posticus and lateralis in children and adolescents.儿童和青少年后小枕及外侧小枕的锥形束CT研究。
Dentomaxillofac Radiol. 2014;43(5):20130451. doi: 10.1259/dmfr.20130451. Epub 2014 Apr 30.
[根据70例手术病例探讨颈椎病交感神经型后综合征及椎基底动脉综合征的外科治疗。6个月至6年的结果分析]
Ann Chir. 1969 Nov;23(23):1227-36.