洞穴鼻的静脉排水模式:一个回顾性血管学分析
Abhijith V Matur1, Mark D Johnson1, Paolo Palmisciano1
1From the Department of Neurosurgery (A.V.M., M.D.J, J.N. S.S.H., J.T.K., J.A.F, N.A., M.Z., C.J.P.) and Department of Neurology & Rehabilitation Medicine (M.S.S., P.S., A.W.G.), University of Cincinnati College of Medicine, Cincinnati, OH, USA; Department of Neurological surgery (P.P.), University of California -Davis, Sacramento, California, USA.
AJNR. American journal of neuroradiology
|December 30, 2025
概括
这项研究揭示了常见的洞穴性鼻 (CS) 静脉排水模式,确定下层状鼻 (IPS) 排水最频繁,其次是状 (PP) 排水. 这些发现有助于理解CS解剖学,并提高采样准确性.
科学领域:
- 神经成像和干预性神经辐射学
- 血管解剖学 血管解剖学
- 大脑静脉排水
背景情况:
- 洞穴鼻 (CS) 静脉排水模式对于较低的石鼻采样准确性至关重要.
- 没有很好地描述了CS的正常静脉外流模式.
- 了解这些模式对于临床程序至关重要.
研究的目的:
- 调查和划定洞穴鼻腔 (CS) 的正常静脉排水模式.
- 为了利用脑血管图的静脉阶段进行解剖描述.
- 为 CS 静脉排水模式建立一个分类系统.
主要方法:
- 对61个选择性脑血管图的回顾性审查.
- 纳入标准:没有影响静脉流动的脑血管异常.
- 排除标准:之前的内手术,动脉瘤,AVM,血栓切除术,IIH,CCFs.
- 在横向视图中进行的静脉鼻测量.
主要成果:
- 鉴定了三个主要的CS静脉排水模式:到下层石头鼻 (IPS),状 (PP) 和上层石头鼻 (SPS).
- 最常见的是IPS排水 (50.8%右,47.5%左),其次是PP排水 (34.4%右,42.6%左).
- 在3.3%的病例中发生了右脑脊髓可视化失败;侧鼻主要是右侧主导 (57.4%).
结论:
- 这项研究提供了首次详细地界定了CS静脉排水模式.
- 最常见的模式是下垂体鼻 (IPS) 排水,其次是状 (PP) 排水.
- 一个拟议的分类系统旨在标准化这些解剖变异的描述.
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