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展神经的神经血管关系及血供:其脑池段的手术解剖学

The neurovascular relationships and the blood supply of the abducent nerve: surgical anatomy of its cisternal segment.

作者信息

Marinković S V, Gibo H, Stimec B

机构信息

Institute of Anatomy, School of Medicine, University of Belgrade, Yugoslavia.

出版信息

Neurosurgery. 1994 Jun;34(6):1017-26; discussion 1026.

PMID:8084386
Abstract

Twenty-eight abducent nerves were examined after injecting india ink and gelatin into the vertebrobasilar arterial system. All the abducent nerves were found to be crossed and/or penetrated by the surrounding vessels. The ventral surface of the nerves was crossed by the anterior inferior cerebellar artery (AICA) (75.0%), the posterior inferior cerebellar artery (17.85%), the common trunk of the AICA and posterior inferior cerebellar artery (7.14%), the internal auditory artery (14.28%), the anterolateral artery (46.43%), the pontomedullary artery (92.86%), and the corresponding veins (46.43%). The dorsal surface of the cisternal segment was crossed by the AICA (35.71%), the inferolateral pontine artery (10.71%), the anterolateral artery (82.14%), and the certain veins (46.43%). Sixty-four percent of the cisternal segments were penetrated by one or more of the following vessels: the AICA (25.0%), the anterolateral artery (17.86%), the pontomedullary artery (3.57%), and/or by the corresponding veins (42.86%). The majority of the cisternal segments of the abducent nerves were supplied by the anterolateral arteries (85.71%), and only some of them by the AICA (14.29%) or the pontomedullary artery (7.14%). The authors discuss the possible clinical significance of the anatomical data.

摘要

将印度墨水和明胶注入椎基底动脉系统后,对28条展神经进行了检查。发现所有展神经均被周围血管交叉和/或穿透。神经腹侧面被小脑下前动脉(AICA)(75.0%)、小脑下后动脉(17.85%)、AICA和小脑下后动脉的共同干(7.14%)、内听动脉(14.28%)、前外侧动脉(46.43%)、脑桥延髓动脉(92.86%)以及相应静脉(46.43%)交叉。脑池段背侧面被AICA(35.71%)、脑桥外侧下动脉(10.71%)、前外侧动脉(82.14%)以及某些静脉(46.43%)交叉。64%的脑池段被以下一种或多种血管穿透:AICA(25.0%)、前外侧动脉(17.86%)、脑桥延髓动脉(

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