目的:关于大孔(FM)周围延髓桥静脉(BVs)的文献有限。本研究旨在使用三维(3D)血管造影的平板MIP图像分析FM周围BV的正常血管结构。
方法:我们收集了后窝静脉的3D血管造影数据,并使用平板MIP图像分析了FM周围的BV。我们分析了课程,出口,以及FM周围的BV数量。我们还检查了每个BV的检出率和平均直径。
结果:57例患者中,55例患者(96%)有任何BV。BV的中位数为2(范围:0-5)。BV起源于髓周静脉,并向前延伸以连接前髁静脉(ACV),岩下窦,乙状窦,或者颈静脉球,下侧连接枕下海绵窦(SCS),横向或后侧连接边缘窦(MS),并向后连接MS或枕窦。我们根据排水位置将BV分为五个亚型:ACV,颈静脉孔(JF),MS,SCS,和小脑延髓池(CMC)。ACV,JF,MS,SCS,在11例(19%)中检测到CMCBVs,18(32%),32(56%),20(35%),16名(28%)患者,分别。除CMC外的BV的平均直径为0.6mm,CMC的BV为0.8mm。
结论:使用来自3D血管造影的静脉数据,我们在大多数情况下检测到FMBV,BV在各个方向连接。
OBJECTIVE: There has been limited literature regarding the bridging veins (BVs) of the medulla oblongata around the foramen magnum (FM). The present
study aims to analyze the normal angioarchitecture of the BVs around the FM using slab MIP images of three-dimensional (3D) angiography.
METHODS: We collected 3D angiography data of posterior fossa veins and analyzed the BVs around the FM using slab MIP images. We analyzed the course, outlet, and number of BVs around the FM. We also examined the detection rate and mean diameter of each BV.
RESULTS: Of 57 patients, 55 patients (96%) had any BV. The median number of BVs was two (range: 0-5). The BVs originate from the perimedullary veins and run anterolaterally to join the anterior condylar vein (ACV), inferior petrosal sinus, sigmoid sinus, or jugular bulb, inferolaterally to join the suboccipital cavernous sinus (SCS), laterally or posterolaterally to join the marginal sinus (MS), and posteriorly to join the MS or occipital sinus. We classified BVs into five subtypes according to the draining location: ACV, jugular foramen (JF), MS, SCS, and cerebellomedullary cistern (CMC). ACV, JF, MS, SCS, and CMC BVs were detected in 11 (19%), 18 (32%), 32 (56%), 20 (35%), and 16 (28%) patients, respectively. The mean diameter of the BVs other than CMC was 0.6 mm, and that of CMC BV was 0.8 mm.
CONCLUSIONS: Using venous data from 3D angiography, we detected FM BVs in most cases, and the BVs were connected in various directions.