Anatomical observation on vertebral artery-dura mater arterial ductal ligament and its clinical significance

KONG Xiang-yu, DU Xin-ru, LIU Hong-wei , WANG Jia-jia

Chinese Journal of Clinical Anatomy ›› 2020, Vol. 38 ›› Issue (6) : 635-638.

Chinese Journal of Clinical Anatomy ›› 2020, Vol. 38 ›› Issue (6) : 635-638. DOI: 10.13418/j.issn.1001-165x.2020.06.003

Anatomical observation on vertebral artery-dura mater arterial ductal ligament and its clinical significance

  • KONG Xiang-yu1, DU Xin-ru2, LIU Hong-wei3 , WANG Jia-jia4
Author information +
History +

Abstract

Objective  To explore the fibrous connection structures between third section (V3 segment) of vertebral artery and dura mater sac as well as the surrounding bony structures of the occipital bone and also to explore the functional significance and discuss the clinical significance in hemorrhage caused by the vertebral artery rupture in operation. Methods Sixteen head linking neck specimens (32 sides) were selected for this investigation. The soft tissues surrounding the V3 segment of vertebral artery and the correlative connecting structure were separated. The vertebral artery-dura mater arterial ductal ligament were found and identified, their morphology and anatomical characteristics were observed. Choosing the typical vertebral artery-dura mater arterial ductal ligament to be cut into slices and stained by HE, and observed and photographed microscopically. Results Eleven (accounting for 43.7%) pieces of vertebral artery-dura mater arterial ductal ligament were founded among 32 sides of 16 head linking neck specimens. The longest length was 9.25 mm,the shortest was only 4.76mm. The average caliber and length were (1.16±0.15) mm and (7.39±1.33) mm respectively. The vertebral artery-dura mater arterial ductal ligament located deep to the dura meter, originated from the V3v sections and inserted either into the dura mater or into the bony structure by bifurcated several branches. The observation under light microscope showed that the histological characteristics were centrally hollow or tubular figuration, their lumen was connected with vertebral artery. Conclusions Vertebral artery-dura mater arterial ductal ligament is an arterial ligament connected between the V3 segment of vertebral artery and dura mater or basal part of the occipital bone. It is presented as a round tubular ligamental structure formed by occluded arterial branch arising from V3 segment of vertebral artery, it may have stationary function for V3v sections and have close relations with negative pressure formation in the cranial cavity.

Key words

Vertebral artery /  Vertebral artery -dura mater arterial ductal ligament /  Dura mater / Hemorrhage

Cite this article

Download Citations
KONG Xiang-yu, DU Xin-ru, LIU Hong-wei , WANG Jia-jia. Anatomical observation on vertebral artery-dura mater arterial ductal ligament and its clinical significance[J]. Chinese Journal of Clinical Anatomy. 2020, 38(6): 635-638 https://doi.org/10.13418/j.issn.1001-165x.2020.06.003

References

[1]  Caplan LR, 王晶, 刘丽萍, 等. 椎动脉颅内段: 一个被忽视的区域[J]. 中国卒中杂志, 2013, 8(4): 301-311.
[2]  付万新, 康春华, 彭志强, 等. 远外侧人路手术中椎动脉颅内段的显微解剖应用研究[J]. 中华神经医学杂志, 2010, 8(8): 794-798.
[3]  李小海, 李晓兰. 影像学在椎动脉V3段相关解剖及寰枢椎手术中的应用[J]. 现代医药卫生, 2015, 31(19): 2927-2930.
[4]  程昊, 余资江, 贾宝山, 等. 枕下三角和椎动脉第三段的应用解剖学研究[J]. 医学信息2011, 24(3): 887-888.
[5]  刘树伟, 丁自海, 主译. 脑膜中动脉[M]//格氏解剖学. 41版. 济南:山东科技出版社, 2017: 548-549. 
[6]  Wen HT, Rhoton AL Jr, Katsuta T, et al. Microsurgical anatomy of the transcondylar supracondylar, and paracondytar extensions of the farlateral approach[J]. J Neurosurg, 1997, 87(4): 555-585.
[7]  白敏, 赵立冬, 郭茜. 颈动脉和椎-基底动脉间吻合血管变异的MR诊断[J]. 中华放射学杂志, 2018, 52(70): 502-506.
[8]  孙国生, 于胜波, 姜文斌, 等. 人枕下区肌硬膜桥及其连接形式的扫面电镜观察[J]. 解剖学杂志, 2018, 41(4): 422-425.
[9]  Xu Q, Liu C, Yuan XY, et al. Anatomical parameters of the rectus capitis posterior minor muscle based on a new magnetic resonance scan method[J]. Int J Morphol, 2017, 35(3): 1010-1015.
[10]蒋飚, 何伟良, 许晓英, 等. 有孔型椎基底动脉的MRI血管成像诊断[J]. 中华放射学杂志, 2004, 38(5): 522-528.

Accesses

Citation

Detail

Sections
Recommended

/