Liliequsit膜和环中脑膜的显微解剖研究和临床意义

宋海民; 张震宇; 蒋秋华; 樊俊; 漆松涛

中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (6) : 612-616.

应用解剖

Liliequsit膜和环中脑膜的显微解剖研究和临床意义

宋海民¹，　张震宇¹，　蒋秋华¹，　樊俊²，　漆松涛²

作者信息 +

Microsurgical anatomy and clinical significance of liliequist and premesencephalic membranes

SONG Hai-min¹, ZHANG Zheng-yu¹, JIANG Qiu-hua¹, FAN Jun², QI Song-tao²

Author information +

文章历史 +

摘要

目的　描述liliequist膜和环中脑膜的显微解剖特点及相互联系和临床意义。方法　在手术显微镜下对10例尸头的liliequist膜和环中脑膜的特点及相互联系进行观察。结果　Liliequist膜由中脑叶、间脑叶组成，中脑叶的前端附着存在2种形式；中脑叶的外侧边和环中脑膜前端相续。环中脑膜由枕叶底面、小脑上表面、颞叶底面蛛网膜在幕切迹处汇合环绕中脑而成，分为前、中以及后部。Liliequist膜中脑叶的外侧边和环中脑膜前部相连。结论　明确了liliequist膜组成，变异，外侧边和环中脑膜附着关系和临床意义。

Abstract

Objective　To describe microsurgical anatomy characteristics and clinical significance of liliequist membrane and premesencephalic membranes and their relationship.　Methods　10 formalin-fixed cadaveric head specimens were dissected to observe features of liliequist membrane and premesencephalic membranes, as well their anatomic relationship.　Results　The liliequist membrane was composed of diencephalic and mesencephlic membranes. Anterior attachment of mesencephlic membrane presented 2 styles. Lateral border of mesencephlic membrane attached to the anterior of premesencephalic membrane. The perimesencephalic membrane originated from the reflexion of the arachnoidal membrane covered the lower surface of the temporo-occipital lobe and the upper surface of the cerebellum, which could be divided into anterior, medial and posterior parts. Lateral border of mesencephlic part of liliequist membranes connected with the anterior of premesencephalic membrane.　Conclusions　The structure, variation, relationship and clinical significance of liliequist membranes and premesencephalic membranes are explored and analyzed in this study.

导出引用

宋海民, 张震宇, 蒋秋华, 樊俊, 漆松涛. Liliequsit膜和环中脑膜的显微解剖研究和临床意义[J]. 中国临床解剖学杂志. 2012, 30(6): 612-616

SONG Hai-Min, ZHANG Shen-Yu, JIANG Qiu-Hua, FAN Dun, QI Song-Chao. Microsurgical anatomy and clinical significance of liliequist and premesencephalic membranes[J]. Chinese Journal of Clinical Anatomy. 2012, 30(6): 612-616

中图分类号： R651.1 R323.1

参考文献

[1] Vinas FC, Dujovny M, Fandino R, et al. Microsurgical anatomy of the arachnoidal trabecular membranes and cisterns at the level of the tentorium
[J]. Neurol Res, 1996, 18(4): 305-312.

[2] Fushimi Y, Miki Y, Takahashi JA, et al. MR imaging of Liliequist's membrane.
[J]. Radiat Med, 2006, 24(2): 85-90.

[3] Karttunen AI, Jartti PH, Ukkola VA, et al. Value of the quantity and distribution of subarachnoid haemorrhage on CT in the localization of a ruptured cerebral aneurysm.
[J]. Acta Neurochir (Wien), 2003, 145(8): 655-661.

[4] Hirsch JF, Hirsch E, Sainte RC, et al. Stenosis of the aqueduct of sylvius. Etiology and treatment
[J]. J Neurosurg Sci, 1986, 30(1-2): 29-39.

[5] Buxton N, Vloeberghs M, Punt J. Liliequist's membrane in minimally invasive endoscopic neurosurgery
[J]. Clin Anat, 1998, 11(3): 187-190.

[6] Gabrovsky N. Microanatomical bases for intraoperative division of the posterior communicating artery
[J]. Acta Neurochir (Wien), 2002, 144(11): 1205-1211.

[7] Yasargil MG, Kasdaglis K, Jain KK, et al. Anatomical observations of the subarachnoid cisterns of the brain during surgery
[J]. J Neurosurg, 1976, 44(3): 298-302.

[8] Brasil AV, Schneider FL. Anatomy of Liliequist's membrane
[J]. Neurosurgery, 1993, 32(6): 956-960, 960-961.

[9] Zhang M, An PC. Liliequist's membrane is a fold of the arachnoid mater: study using sheet plastination and scanning electron microscopy
[J]. Neurosurgery, 2000, 47(4): 902-908, 908-909.

[10]Vinas FC, Panigrahi M. Microsurgical anatomy of the Liliequist's membrane and surrounding neurovascular territories
[J]. Minim Invasive Neurosurg, 2001, 44(2): 104-109.

[11]Lu J, Zhu XI. Microsurgical anatomy of Liliequist's membrane
[J]. Minim Invasive Neurosurg, 2003, 46(3): 149-154.

[12]Fushimi Y, Miki Y, Ueba T, et al. Liliequist membrane: three-dimensional constructive interference in steady state MR imaging
[J]. Radiology, 2003, 229(2): 360-365, 365.

[13] Froelich SC, Abdel AK, Cohen PD, et al. Microsurgical and endoscopic anatomy of Liliequist's membrane: a complex and variable structure of the basal cisterns
[J]. Neurosurgery, 2008, 63(1 Suppl 1): S1-S8, S8-S9.

[14]Inoue K, Seker A, Osawa S, et al. Microsurgical and endoscopic anatomy of the supratentorial arachnoidal membranes and cisterns
[J]. Neurosurgery, 2009, 65(4): 644-664, 665.

[15]Sufianov AA, Sufianova GZ, Iakimov IA. Microsurgical study of the interpeduncular cistern and its communication with adjoining cisterns
[J]. Childs Nerv Syst, 2009, 25(3): 301-308.