双侧脊椎动脉起源于双侧尾动脉
Longjin Zi1, Bingqi Xu1, Junbiao Wang1
1Department of Anatomy, Tarim University School of Medicine, Alar, 843300, China.
Surgical and radiologic anatomy : SRA
|July 14, 2025
概括
本案例研究详细介绍了一种罕见的解剖变异,其中两个脊椎动脉 (VAs) 都源自尾动脉. 这一发现对神经血管外科手术和理解胚胎发育有重大影响.
科学领域:
- 人体解剖学 解剖学 解剖学
- 血管外科 血管外科
- 胚胎学 胚胎学
背景情况:
- 脊椎动脉 (VAs) 是大脑后部循环的关键组成部分.
- 在VA起源的解剖学变化可以影响外科手术方法和血液动力学形状.
- 了解胚胎发育是解释先天性血管异常的关键.
研究的目的:
- 报告第一个记录的双边脊椎动脉病例,该动脉起源于双侧尾动脉.
- 讨论这种罕见的解剖学变异对外科的影响.
- 为了探索这种异常的潜在胚胎学基础.
主要方法:
- 一个69岁的女性患者的病例报告显示,她出现了胸部不适和呼吸短促.
- 计算机断层扫描血管造影 (CTA) 用于可视化血管解剖.
- 脊椎动脉通路的详细分析,包括V1-V3段,以及相关的宫脊椎异常.
主要成果:
- 两个脊椎动脉 (VAs) 的V1和V2段缺失.
- 两侧V3段的VA起源于侧尾动脉.
- 与此相关的发现包括椎脊椎 (C1-C5) 的横向形形 (aplasia).
结论:
- 这一病例代表了首次报告的双边脊椎动脉来自腰动脉的双边脊椎动脉.
- 鉴定的异常需要在神经血管手术过程中仔细考虑.
- 这些发现有助于理解脊椎动脉发育及其变异.
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