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颅内动眼神经神经外血液供应的解剖学研究

Anatomy of the extraneural blood supply to the intracranial oculomotor nerve.

作者信息

Cahill M, Bannigan J, Eustace P

机构信息

Institute of Ophthalmology, University College Dublin, Ireland.

出版信息

Br J Ophthalmol. 1996 Feb;80(2):177-81. doi: 10.1136/bjo.80.2.177.

DOI:10.1136/bjo.80.2.177
PMID:8814752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC505413/
Abstract

AIMS

An anatomical study was undertaken to determine the extraneural blood supply to the intracranial oculomotor nerve.

METHODS

Human tissue blocks containing brainstem, cranial nerves II-VI, body of sphenoid, and associated cavernous sinuses were obtained, injected with contrast material, and dissected using a stereoscopic microscope.

RESULTS

Eleven oculomotor nerves were dissected, the intracranial part being divided into proximal, middle, and distal (intracavernous) parts. The proximal part of the intracranial oculomotor nerve received extraneural nutrient arterioles from thalamoperforating arteries in all specimens and in six nerves this blood supply was supplemented by branches from other brainstem vessels. Four nerves were seen to be penetrated by branches of brainstem vessels and these penetrating arteries also supplied nutrient arterioles. The middle part of the intracranial oculomotor nerve did not receive nutrient arterioles from adjacent arteries. The distal part of the intracranial oculomotor nerve received nutrient arterioles from the inferior cavernous sinus artery in all 11 nerves and in seven nerves this was supplemented by a tentorial artery arising from the meningohypophyseal trunk. The inferior hypophyseal artery arose from the meningohypophyseal trunk in all 11 cavernous sinuses dissected.

CONCLUSION

This study shows a constant pattern to the blood supply of the intracranial oculomotor nerve. It also highlights the close relation between the blood supplies to the intracavernous oculomotor nerve and the pituitary gland.

摘要

目的

进行一项解剖学研究，以确定颅内动眼神经的神经外血液供应。

方法

获取包含脑干、Ⅱ - Ⅵ脑神经、蝶骨体及相关海绵窦的人体组织块，注入造影剂，并使用体视显微镜进行解剖。

结果

解剖了11条动眼神经，颅内部分分为近端、中间和远端（海绵窦内）部分。所有标本中，颅内动眼神经近端均接受来自丘脑穿通动脉的神经外营养小动脉，6条神经的该血液供应还得到其他脑干血管分支的补充。观察到4条神经有脑干血管分支穿入，这些穿通动脉也供应营养小动脉。颅内动眼神经中间部分未接受来自相邻动脉的营养小动脉。颅内动眼神经远端在所有11条神经中均接受来自海绵窦下动脉的营养小动脉，7条神经中还有来自脑膜垂体干的天幕动脉进行补充。在所有11个解剖的海绵窦中，垂体下动脉均发自脑膜垂体干。

结论

本研究显示了颅内动眼神经血液供应的恒定模式。它还突出了海绵窦内动眼神经血液供应与垂体之间的密切关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/8088c7cbc385/brjopthal00002-0087-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/c2113878dc95/brjopthal00002-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/568e48168aee/brjopthal00002-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/d6036e2dda5d/brjopthal00002-0085-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/90ca48dbc7ba/brjopthal00002-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/f28737959d48/brjopthal00002-0086-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/712d9cc6da5f/brjopthal00002-0087-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/8088c7cbc385/brjopthal00002-0087-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/c2113878dc95/brjopthal00002-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/568e48168aee/brjopthal00002-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/d6036e2dda5d/brjopthal00002-0085-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/90ca48dbc7ba/brjopthal00002-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/f28737959d48/brjopthal00002-0086-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/712d9cc6da5f/brjopthal00002-0087-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/505413/8088c7cbc385/brjopthal00002-0087-b.jpg

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