By Henri M. Duvernoy
This publication presents an total view of the vascularization of the human mind stem. the 1st a part of the publication issues the superficial ramifications of the arteries and veins, their issues of penetration into the apprehensive tissue or emergence from it and their corresponding territories of distribution into the mind stem. a unique examine of the vascularization of the pineal gland sector is joined to this half. The sedond half describes the tremendous inner vascular community and its correlation with the mind stem anxious constitution. eventually, the vascular territories are in comparison with MRI perspectives of mind stem infarction. This publication should be of curiosity for all who paintings within the box of neuroscience yet relatively neurologists, neurosurgeons and neuroradiologists excited by the vascular ailments within the mind. The vascularization nerves are a 'map'to endoscopic neurosurgeons.
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Additional info for Human Brain Stem Vessels: Including the Pineal Gland and Information on Brain Stem Infarction
33 Middle Rami The middle rami, the most important of the four groups of rami, enter the lateral medullary fossa medial to the glossopharyngeal and vagus nerves. These rami consist of one to three arteries branching directly from the vertebral artery and, in some cases, from the posterior inferior cerebellar artery. So me branches of these rami reach the olive and some even extend beyond it to penetrate the nervous tissue in the anterolateral medullary sulcus, thus forming part of the anterolateral group of arteries.
The more laterally situated of the longer arte ries reach the spinal trigeminal nueleus and neighbouring regions; the more medially situated branches vascularize the lateral part of the inferior olivary nueleus, the dorsal accessory olivary nueleus and the reticular formation. Particular features in the internal distribution of the several groups of rami: in all cases, the branches of the inferior and middle groups ramify on the surface of the olive (Figs. 25 and 26, sections II and III). Just beyond their entry into the nervous tissue, their branches become sinuous and supply the superficial part of the inferior olivary nueleus.
21 and 46. The vessels of this group arise from the posterior inferior cerebellar arteries, and from the posterior spinal arte ries Arteries of the pons: anteromedial group of pontine arteries, branching from the basilar artery, enters in the basilar sulcus for the middle arteries (13), in the foramen caoecum (13') for the inferior arteries, and in the interpeduncular fossa (13") for the superior arteries (inferior pedicle of the arteries of the interpeduncular fossa) (see Fig. 28d to follow their deep path).