背景:Liliequist膜(LM)代表了神经解剖学中至关重要但具有挑战性的解剖结构。首先在1875年观察到,后来在1956年由BengtLiliequist阐明,LM的精确解剖描述和边界仍然很复杂。它的意义延伸到神经外科,影响各种手术,如内窥镜第三脑室囊管造口术,动脉瘤和肿瘤手术,鞍上蛛网膜囊肿的治疗,管理中脑周围出血。然而,对LM的全面理解受到现有文献中不一致的解剖学描述和限制的阻碍,有必要进行系统的审查。
方法:通过搜索PubMed,科学直接,和谷歌学者提供与利利奎斯特膜有关的文章。搜索采用网格术语,如\“Liliequist膜,\"\"Liliequist\"的隔膜,“和相关的变化。纳入标准包括探索历史演变的研究,解剖结构,放射学特征,以及LM在神经外科中的临床意义。
结果:搜索产生了358篇文章,根据相关性筛选了276篇独特的文章。经过细致的筛选,72篇文章进行了全文评估,结果纳入了符合资格标准的5篇文章。选定的研究方法各不相同,包括解剖,放射学评估,以及在神经外科手术中的临床意义。对LM的解剖学变异的见解,放射学可视化,及其在指导神经外科干预方面的关键作用。
结论:尽管在理解其临床意义和放射学可视化方面取得了进展,在精确划定其边界方面仍然存在挑战。进一步研究,特别是胚胎学发育和组织学特征,是必不可少的。增强对LM相关病理的理解对于神经外科手术中准确的术前计划和优化患者预后至关重要。
The Liliequist membrane (LM) represents a crucial yet challenging anatomical structure in
neuroanatomy. First observed in 1875 and later elucidated by Bengt Liliequist in 1956, the LM\'s precise anatomical description and boundaries remain complex. Its significance extends to neurosurgery, impacting various procedures like endoscopic third ventriculocisternostomies, aneurysm and tumor surgeries, treatment of suprasellar arachnoid cysts, and managing perimesencephalic hemorrhages. However, a comprehensive understanding of the LM is hindered by inconsistent anatomical descriptions and limitations in available literature, warranting a systematic
review.
A systematic
review was conducted by searching PubMed, Science Direct, and Google Scholar for articles pertaining to Liliequist\'s membrane. The search employed Mesh terms like \"Liliequist membrane,\" \"Liliequist\'s diaphragm,\" and related variations. Inclusion criteria encompassed studies exploring the historical evolution, anatomical structure, radiological characteristics, and clinical implications of the LM in neurosurgery.
The search yielded 358 articles, with 276 unique articles screened based on relevance. Following a meticulous screening process, 72 articles underwent full-text assessment, resulting in the inclusion of 5 articles meeting the eligibility criteria. The selected studies varied in methodology, including anatomical dissections, radiological evaluations, and clinical significance in neurosurgical procedures. Insights were derived on LM\'s anatomical variations, radiological visualization, and its critical role in guiding neurosurgical interventions.
Despite advancements in understanding its clinical significance and radiological visualization, challenges persist in precisely delineating its boundaries. Further research, especially on embryological development and histological characterization, is essential. Enhancing comprehension of LM-related pathologies is crucial for accurate preoperative planning and optimizing patient outcomes in neurosurgery.