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 Ⅱ 静脈編

下錐体静脈洞およびanterior condylar confluenceとその周囲の静脈解剖

著者： 水谷克洋¹

所属機関： ¹慶應義塾大学医学部脳神経外科

ページ範囲：P.605 - P.616

Point
・Inferior petrosal sinus，anterior condylar confluenceを含む頭蓋頚椎移行部付近の静脈路は脳の主要な静脈還流路であり，非常に複雑な静脈ネットワークを形成している．
・この領域の静脈路は動静脈シャント疾患の病態に深く関わり，治療戦略を考える上でその解剖学的知識は欠かすことができない．
・本稿では各静脈路の基本解剖，および放射線画像所見を解説する．
・硬膜動静脈瘻をはじめとした関連する病変の治療戦略を立てる上で，必要な解剖を理解することを目的とする．

参考文献

1）Mizutani K, et al：Intraosseous venous structures adjacent to the jugular tubercle associated with an anterior condylar dural arteriovenous fistula. Neuroradiology 60：487-496, 2018

2）Kosugi K, et al：Posture-induced changes in the vessels of the head and neck：evaluation using conventional supine CT and upright CT. Sci Rep 10：16623, 2020　doi:10.1038/s41598-020-73658-0

3）Eckenhoff JE：The vertebral venous plexus. Can Anaesth Soc J 18：487-495, 1971

4）Epstein HM, et al：The vertebral venous plexus as a major cerebral venous outflow tract. Anesthesiology 32：332-337, 1970

5）Valdueza JM, et al：Postural dependency of the cerebral venous outflow. Lancet 355：200-201, 2000

6）San Millán Ruíz D, et al：The craniocervical venous system in relation to cerebral venous drainage. AJNR Am J Neuroradiol 23：1500-1508, 2002

7）Tobinick E, et al：The cerebrospinal venous system：anatomy, physiology, and clinical implications. MedGenMed 8：53, 2006

8）Caruso RD, et al：Craniocervical junction venous anatomy on enhanced MR images：the suboccipital cavernous sinus. AJNR Am J Neuroradiol 20：1127-1131, 1999

9）Trolard P：Recherches sur l'anatomie du système veineux de l'encéphale et du crâne. imp. A. Parent. 1868

10）Katsuta T, et al：The jugular foramen：microsurgical anatomy and operative approaches. Neurosurgery 41：149-202, 1997

11）Yamada H, et al：Extracranial prevertebral venous network of the craniocervical junction：CT-digital subtraction venography analysis. Neuroradiology 64：2227-2233, 2022

12）Mitsuhashi Y, et al：Morphologic evaluation of the caudal end of the inferior petrosal sinus using 3D rotational venography. AJNR Am J Neuroradiol 28：1179-1184, 2007

13）Tanoue S, et al：Venous structures at the craniocervical junction：anatomical variations evaluated by multidetector row CT. Br J Radiol 83：831-840, 2010

14）Mizutani K, et al：The analysis of the cerebral venous blood volume in cavernous sinus using 320 row multi-detector CT. Clin Neurol Neurosurg 167：11-16, 2018

15）Barnwell SL, et al：Dural arteriovenous fistulas involving the inferior petrosal sinus：angiographic findings in six patients. AJNR Am J Neuroradiol 11：511-516, 1990

16）Mittal SO, et al：Abducens nerve palsy due to inferior petrosal sinus thrombosis. J Clin Neurosci 40：69-71, 2017

17）Kiyosue H, et al：The anterior medullary-anterior pontomesencephalic venous system and its bridging veins communicating to the dural sinuses：normal anatomy and drainage routes from dural arteriovenous fistulas. Neuroradiology 50：1013-1023, 2008

18）Miyauchi T, et al：Bridging veins at the craniocervical junction：from anatomy to clinical significance in dural arteriovenous shunts. Neuroradiology 66：55-62, 2024

19）Tubbs RS, et al：Anatomy of the inferior petro-occipital vein and its relation to the base of the skull：application to surgical and endovascular procedures of the skull base. Clin Anat 27：698-701, 2014

20）Kurata A, et al：A new transvenous approach to the carotid-cavernous sinus via the inferior petrooccipital vein. J Neurosurg 116：581-587, 2012

21）Oishi Y, et al：An analysis of the anatomic route of the hypoglossal nerve within the hypoglossal canal using dynamic computed tomography angiography in patients with anterior condylar arteriovenous fistulas. Clin Neurol Neurosurg 174：207-213, 2018

22）Arnautović KI, et al：The suboccipital cavernous sinus. J Neurosurg 86：252-262, 1997

23）Mizutani K, et al：Analysis of the venous channel within the clivus using multidetector computed tomography digital subtraction venography. Neuroradiology 59：213-219, 2017

24）Hirata K, et al：Arteriovenous fistula of the clival diploic vein associated with arteriovenous fistula of the posterior condylar canal. Interv Neuroradiol 27：672-676, 2021

25）Iida Y, et al：Transvenous embolization for an intraosseous clival arteriovenous fistula via a proper access route guiding a three-dimensional fusion image：illustrative case. J Neurosurg Case Lessons 6：CASE23492, 2023　doi:10.3171/CASE23492

26）Mizutani K, et al：The anterior condylar arteriovenous fistula from the viewpoint of the osseous venous anatomy. J NET 13：97-104, 2019

27）Padget DH：The development of the cranial venous system in man：from the viewpoint of comparative anatomy. Contrib Embryol 247：81-138, 1957

28）Streeter GL：The development of the venous sinuses of the dura mater in the human embryo. Am J Anat 18：145-178, 1915

29）Kiyosue H, et al：Dural arteriovenous fistula involving the posterior condylar canal. AJNR Am J Neuroradiol 28：1599-1601, 2007

30）Mondel PK, et al：Acute subarachnoid hemorrhage in posterior condylar canal dural arteriovenous fistula：imaging features with endovascular management. BMJ Case Rep 2014：bcr2014011273, 2014　doi:10.1136/bcr-2014-011273

31）Maus V, et al：Endovascular treatment of posterior condylar canal dural arteriovenous fistula. BMJ Case Rep 2016：bcr2016012384, 2016　doi:10.1136/bcr-2016-012384