Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Morphological Characteristics of the Thalamoperforating Arteries

  • Park, Sukh-Que (Department of Neurosurgery, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Science) ;
  • Bae, Hack-Gun (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) ;
  • Yoon, Seok-Mann (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) ;
  • Shim, Jai-Joon (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) ;
  • Yun, Il-Gyu (Department of Neurosurgery, Soonchunhyang University Cheonan Hospital) ;
  • Choi, Soon-Kwan (Department of Neurosurgery, Soonchunhyang University Hospital)
  • Published : 2010.01.28
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Abstract

Objective: The aim of this study was to investigate the morphological characteristics of the thalamoperforating arteries that arise from the P1 segment of the posterior cerebral artery. Methods: Thalamoperforating arteries located in the interpeduncular fossa were dissected in 26 formalin-fixed human cadaver brains. We investigated the origin site of thalamoperforating arteries from the P1 segment, number and diameter. and variations in their origin. Results: Thalamoperforating arteries arose from the superior, posterior or posterosuperior surfaces of the P1 segment at the mean 1.93 mm (range, 0.41-4.71 mm) distance from the basilar apex and entered the brain through the posterior perforated substance. The average number was 3.6 (range 1-8) and mean diameter was 0.70 mm (range 0.24-1.18 mm). Thalamoperforating arteries could be classified into five different types according to their origin at the P1 segment: Type I (bilateral multiple), 38.5%; Type II (unilateral single, unilateral multiple), 26.9%; Type III (bilateral single), 19.2%; Type IV (unilateral single), 11.5%; Type V (unilateral multiple), 3.8%. In 15.4% of all specimens. thalamoperforating arteries arose from the only one side of P1 segment and were not noted in the other side. In such cases, the branches arising from the one side of P1 segment supplied the opposite side. Conclusion: Variations in the origin of the thalamoperforating arteries should be keep in mind to perform the surgical clipping, endovascular treatment or operation involving the interpeduncular fossa. In particular, unilateral single branch seems to be very risky and significant for surgical technique or endovascular treatment.

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References

  1. Duret M : Recherches anatomiques sur la circulation de l'encéphale. Arch Phys Norm Path 1 : 60-91, 1874 (Cited from George AE, Raybaud C, Salamon G, Kricheff II : Anatomy of the thalamoperforating arteries with special emphasis on arteriography of the third ventricles : Part I. Am J Roentgenology 124 : 220-230, 1975
  2. Duvernoy HM : Human brainstem vessels. Berlin, Heidelberg, New York : Springer-Verlag, 1978, pp16-23
  3. George AE, Raybaud C, Salamon G, Kricheff II : Anatomy of the thalamoperforating arteries with special emphasis on arteriography of the third ventricles : Part I. Am J Roentgenol Radium Ther Nucl Med 124 : 220-230, 1975 https://doi.org/10.2214/ajr.124.2.220
  4. Grand W, Hopkins LN : The microsurgical anatomy of the basilar artery bifurcation. Neurosurgery 1 : 128-131, 1977 https://doi.org/10.1227/00006123-197709000-00008
  5. Hara K, Fujino Y : The thalamoperforate artery. Acta Radiol Diagn 5 : 192-200, 1966
  6. Heubner : Zur topographie der Ernährungsgabiete der einzelnen hirnarterien. Zbl Med Wiss 52 : 817-821, 1872 (Cited from George AE, Raybaud C, Salamon G, Kricheff II : Anatomy of the thalamoperforating arteries with special emphasis on arteriography of the third ventricles : Part I. Am J Roentgenology 124 : 220-230, 1975)
  7. Kaplan HA, Ford DH : The brain vascular system. Amsterdam : Elsevier, 1966, pp 70-81
  8. Lang J, Brunner FX : Über die rami centrales der aa. Cerebri anterior and media. Gegenbaurs Morph Jb 124 : 364, 1978
  9. Marinkovic SV, Gibo H : The surgical anatomy of the perforating branches of the basilar artery. Neurosurgery 33 : 80-87, 1993 https://doi.org/10.1227/00006123-199307000-00012
  10. Marinkovic SV, Milisavljevic M : The surgical anatomy of relationships between the perforating and the leptomeningeal arteries. Neurosurgery 39 : 72-83, 1996 https://doi.org/10.1097/00006123-199607000-00016
  11. Marinkovic SV, Milisavljevic M, Kovacevic M : Interpeduncular perforating branches of the posterior cerebral artery : the microsurgical anatomy of their extracerebral and intracerebral segments. Surg neurol 26 : 349-359, 1986 https://doi.org/10.1016/0090-3019(86)90135-7
  12. Matheus MG, Castillo M : Imaging of acute bilateral paramedian thalamic and mesencephalic infarcts. Am J Neuroradiol 24 : 2005-2008, 2003
  13. Pedroza A, Dujovny M, Ausman JI, Diaz FG, Artero JC, Berman SK, et al. : Microvascular anatomy of the interpeduncular fossa. J Neurosurg 64 : 484-493, 1986 https://doi.org/10.3171/jns.1986.64.3.0484
  14. Percheron G : [Arteries of the human thalamus. I. Artery and polar thalamic territory of the posterior communicating artery.] Rev Neurol (Paris) 132 : 297-307, 1976
  15. Percheron G : [Arteries of the human thalamus. II. Artery and paramedian thalamic territory of the communicating basilar artery.] Rev Neurol (Paris) 132 : 309-324, 1976
  16. Percheron G : The anatomy of the arterial supply of the human thalamus and its use for the interpretation of the thalamic vascular pathology. Z Neurol 205 : 1-13, 1973 https://doi.org/10.1007/BF00315956
  17. Saeki N, Rhoton AL Jr : Microsurgical anatomy of the upper basilar artery and the posterior circle of Willis. J Neurosurg 46 : 563-578, 1977 https://doi.org/10.3171/jns.1977.46.5.0563
  18. Uz A : Variations in the origin of the thalamoperforating arteries. J Clin Neurosci 14 : 134-137, 2007 https://doi.org/10.1016/j.jocn.2006.01.047
  19. Westberg G : Arteries of the basal ganglia. Acta Radiol Diagn (Stockh) 5 : 581-596, 1996
  20. Zeal AA, Rhoton AL Jr : Microsurgical anatomy of the posterior cerebral artery. J Neurosurg 48 : 534-559, 1978 https://doi.org/10.3171/jns.1978.48.4.0534

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