Arcuate Foramen: Anatomy, Embryology, Nomenclature, Pathology, and Surgical Considerations

被引：15

作者：

Ahn, Jay ^{[1
]}

Duran, Melissa ^{[1
]}

Syldort, Samantha ^{[1
]}

Rizvi, Asad ^{[2
]}

D'Antoni, Anthony, V ^{[3
]}

Johal, Jaspreet ^{[4
]}

Iwanaga, Joe ^{[2
]}

Oskouian, Rod J. ^{[2
]}

Tubbs, R. Shane ^{[2
,4
]}

机构：

[1] CUNY, Sophie Davis Sch Biomed Educ, City Coll New York, New York, NY 10021 USA

[2] Seattle Sci Fdn, Seattle, WA 98122 USA

[3] Weill Cornell Med Coll, Div Anat, Dept Radiol, New York, NY USA

[4] St Georges Univ, Dept Anat Sci, St Georges, Grenada

来源：

WORLD NEUROSURGERY | 2018年 / 118卷

关键词：

Arcuate foramen; Atlas; Complications; Surgery; Vertebral artery; VERTEBRAL ARTERY; PONTICULUS POSTICUS; SUBOCCIPITAL ARTERY; SCREW INSERTION; SURFACE ANATOMY; POSTERIOR ARCH; ATLAS; C1; PREVALENCE; FIXATION;

D O I：

10.1016/j.wneu.2018.07.038

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND: The arcuate foramen is an anatomic variant that is thought to arise from ossification of the posterior atlanto-occipital membrane. Owing to potential entrapment of the vertebral artery segment that traverses the foramen, vertebrobasilar ischemia may occur, and the person may experience vertigo, headache, or neck pain. METHODS: We reviewed the literature regarding anatomy (both human and comparative), embryology, nomenclature, pathology, and surgery of the arcuate foramen. RESULTS: Surgically, the presence of an arcuate foramen is important when placing screws into lateral masses of the atlas. In these cases, the screws can damage the V3 segment of the vertebral artery and/or the suboccipital nerve. CONCLUSIONS: It is important to review the current literature on the arcuate foramen to further understand its morphology and clinical relevance.

引用

页码：197 / 202

页数：6

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