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

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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   

  1. 1. Department of Human Anatomy, Sanquan College of Xinxiang Medical College, Xinxiang 453000, China; 2. Beijing Chao-yang Hospital, Capital Medical University, Beijing 100020, China; 3. Department of Human Anatomy, Chengde Nursing Vocational College, Chengde 067000, China; 4. Department of Ultrasound Imaging, People's Hospital of Dachang Hui Autonomous County, Dachang 065300, Hebei Province, China
  • Received:2019-12-03 Online:2020-11-25 Published:2020-12-08

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

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