Evidence map›Paper›PMID 30820640›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2019

Vertebral artery segment at the suboccipital dural penetration site: an anatomical study using magnetic resonance imaging.

Satoshi Tsutsumi, Hideo Ono, Hisato Ishii, Yukimasa Yasumoto

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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4 authors.

Satoshi TsutsumiDepartment of Neurological Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, Japan. shotaro@juntendo-urayasu.jp.
Hideo OnoDivision of Radiological Technology, Medical Satellite Yaesu Clinic, Tokyo, Japan.
Hisato IshiiDepartment of Neurological Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, Japan.
Yukimasa YasumotoDepartment of Neurological Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe morphology of the vertebral artery (VA) segment at the suboccipital dural penetration site has little been explored with magnetic resonance imaging (MRI). Therefore, the aim of this study was to examine the structure using MRI.

methodsIn total, 94 patients underwent thin-sliced, contrast MRI in the axial, coronal, and sagittal planes involving the atlas, axis, occipital bone, and V3 and V4 segments of the VA.

resultsThe VA segment at the suboccipital dural penetration site was well-delineated in 93% on the axial images and in 95% on the coronal images. The axial images showed that 82% of the VA penetration sites were located in the middle third of the dural sac. Meanwhile, the coronal images revealed that the heights of both VA penetration sites were located at the same level in 87%. The axial VA penetration angle, which is formed by the VA and tangential line of the dural sac, was 66 ± 11.9° on the right side and 61 ± 14.1° on the left side. The coronal VA penetration angle, which is formed by the tangential line of the VA and dural sac, was 111 ± 24.6° on the right side and 112 ± 19.9° on the left side.

conclusionsThe morphology of the VA segment is considerably variable at the suboccipital dural penetration site, while most penetration sites are located in the middle third of the dural sac on axial MRI. These should be assumed during surgeries around the suboccipital VA penetration site.

Indexed as

AdultBrain StemDura MaterFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedOccipital BoneVertebral ArteryDural penetrationMRISuboccipitalVertebral artery

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.