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Czasopismo

2011 | 70 | 4 |

Tytuł artykułu

Possible compression of the atlantal segment of the vertebral artery in occipitalisation

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The current study evaluates the passage of the atlantal segment of the vertebral artery through the atlas to the cranial cavity in the case of occipitalisation, and searches for potential bony obstacles that constrict the lumen of the vertebral artery. Morphometric analysis was performed of the ossified atlanto-occipital articulation of the dry adult male skull, particularly in the region of the posterior arch of the atlas. The distance between the floor of the right groove for the vertebral artery and the occipital bone was measured using a digital sliding caliper. On the left side, measurements of the diameters of the inlet and outlet of the canal for the vertebral artery were performed using the same technique. Fusion of the left portion of the posterior arch of the atlas with the occipital bone caused significant narrowing of the space around the normally existing groove for the vertebral artery, and converted it into the canal. The size of the intracranial opening of the canal for the vertebral artery was measured as 3.8 mm x 4.7 mm, whereas the inlet to the canal was 5.4 mm x 7.0 mm. The diameter of the canal decreases, particularly at the entrance into the cranial cavity; therefore, compression of the vertebral artery within the canal seems to be possible. (Folia Morphol 2011; 70, 4: 287–290)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

70

Numer

4

Opis fizyczny

p.287-290,fig.,ref.

Twórcy

autor
  • Department of Anatomy, Collegium Medicum, Jagiellonian University, Kopernika 12, 31-034 Krakow, Poland
autor
  • Department of Anatomy, Collegium Medicum, Jagiellonian University, Krakow, Poland
autor
  • Department of Anatomy, Collegium Medicum, Jagiellonian University, Krakow, Poland

Bibliografia

  • 1. Al-Motabagani MA, Surendra M (2006) Total occipitalization of the atlas. Anat Sci Int, 81: 173–180.
  • 2. Bernini FP, Elefante R, Smaltino F, Tedeschi G (1969) Angiographic study on the vertebral in cases of deformities of the occipitocervical joint. Am J Roentgenol, 107: 526–529.
  • 3. Cacciola F, Phalke U, Goel A (2004) Vertebral artery in relationship to C1-C2 vertebrae: an anatomical study. Neurol India, 52: 178–184.
  • 4. Carney AL (1981) Vertebral artery surgery: historical development, basic concepts of brain hemodynamics, and clinical experience of 102 cases. Adv Neurol, 30: 249–282.
  • 5. Duan S, He H, Lv S, Chen L (2010) Three-dimensional CT study on the anatomy of vertebral artery at atlantoaxial and intracranial segment. Surg Radiol Anat, 32: 39–44.
  • 6. George B, Carpentier A (2001) Compression of and by the vertebral artery. Operat Tech Neurosurg, 4: 202–218.
  • 7. Mitchell JA (2003) Changes in vertebral artery blood flow following normal rotation of the cervical spine. J Manipulative Physiol Ther, 26: 347–351.
  • 8. Pamphlett R, Raisanen J, Kum-Jew S (1999) Vertebral artery compression resulting from head movement: A possible cause of the sudden infant death syndrome. Pediatrics, 103: 460–468.
  • 9. Paraskevas G, Papaziogas B, Tsonidis C, Kapetanos G (2005) Gross morphology of the bridges over the vertebral artery groove on the atlas. Surg Radiol Anat, 27: 129–136.
  • 10. Shapiro R, Robinson F (1976) Anomalies of the craniovertebral border. Am J Roentgenol 127: 281–287.
  • 11. Tubbs RS, Salter EG, Oakes WJ (2006) The intracranial entrance of the atlantal segment of the vertebral artery in crania with occipitalization of the atlas. J Neurosurg Spine, 4: 319–322.
  • 12. Wang S, Wang C, Liu Y, Yan M, Zhou H (2009) Anomalous vertebral artery in craniovertebral junction with occipitalization of the atlas. Spine (Phila Pa 1976), 34: 2838–2842.

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Bibliografia

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