Neurological Surgery 脳神経外科52巻3号

2024年05月発行

特集 脳血管内治療に必要な血管解剖学 Ⅰ 動脈編

中大脳動脈の血管解剖と脳主幹動脈閉塞症

著者： 竹内昌孝¹ 傳和眞²

所属機関： ¹西湘病院脳神経外科 ²西湘病院脳神経内科

ページ範囲：P.488 - P.495

Point
・中大脳動脈は広範な脳の領域を灌流し，その障害は機能および生命予後に直結する．
・中大脳動脈は，脳主幹動脈閉塞症の最も好発部位である．
・血管解剖を理解することが手技の前提である．

参考文献

1）Komiyama M, et al：An additional variant of the persistent primitive trigeminal artery：accessory meningeal artery--antero-superior cerebellar artery anastomosis associated with moyamoya disease. Acta Neurochir（Wien）140：1037-1042, 1998

2）Gibo H, et al：Microsurgical anatomy of the middle cerebral artery. J Neurosurg 54：151-169, 1981

3）Komiyama M, et al：Middle cerebral artery variations：duplicated and accessory arteries. AJNR Am J Neuroradio 119：45-49, 1998

4）Teal JS, et al：Anomalies of the middle cerebral artery：accessory artery, duplication, and early bifurcation. Am J Roentgenol Radium Ther Nucl Med 118：567-575, 1973

5）Umansky F, et al：Anomalies and variations of the middle cerebral artery：a microanatomical study. Neurosurgery 22：1023-1027, 1988

6）Watanabe T, et al：Accessory middle cerebral artery. Report of four cases. J Neurosurg 41：248-251, 1974

7）Bayrak AH, et al：The frequency of intracranial arterial fenestrations：a study with 64-detector CT-angiography. Eur J Radiol 77：392-396, 2011

8）Bharatha A, et al：Intracranial arterial fenestrations：frequency on CT angiography and association with other vascular lesions. Surg Radiol Anat 30：397-401, 2008

9）Lasjaunias PL：Segmental identity and vulnerability in cerebral arteries. Interv Neuroradiol 6：113-124, 2000

10）Uchino A, et al：Association of cerebral arteriovenous malformation with cerebral arterial fenestration. Eur Radiol 11：493-496, 2001

11）Akkan K, et al：Unfused or twig-like middle cerebral artery. Eur J Radiol 84：2013-2018, 2015

12）Amagasaki K, et al：Middle cerebral artery aplasia associated with an aneurysm of the proximal anterior cerebral artery. Acta Neurochir（Wien）140：1313-1314, 1998

13）Brinjikji W, et al：Letter to the Editor. Rete middle cerebral artery anomalies. J Neurosurg 131：653-654, 2019

14）Cho KC, et al：Rete middle cerebral artery anomalies：a unifying name, case series, and literature review. J Neurosurg 131：453-461, 2018

15）小宮山雅樹：詳細版 脳脊髄血管の機能解剖．メディカ出版，大阪，2011

16）Tamura A, et al：The relationship between neurological worsening and lesion patterns in patients with acute middle cerebral artery stenosis. Cerebrovasc Dis 35：268-275, 2013

17）Türe U, et al：Arteries of the insula. J Neurosurg 92：676-687, 2000

18）Türe U, et al：Topographic anatomy of the insular region. J Neurosurg 90：720-733, 1999