Neuroanatomy of cranial dural vessels: implications for subdural hematoma embolization.
J Neurointerv Surg
; 13(5): 471-477, 2021 May.
Article
in En
| MEDLINE
| ID: mdl-33632880
ABSTRACT
Adoption of middle meningeal artery embolization in the management of chronic subdural hematomas has led to a renewed interest in dural vascular anatomy. The readily identifiable major dural arteries and potential hazards associated with their embolization are well described. Less emphasized are several levels of intrinsic dural angioarchitecture, despite their more direct relationship to dural based diseases, such as subdural hematoma and dural fistula. Fortunately, microvascular aspects of dural anatomy, previously limited to ex vivo investigations, are becoming increasingly accessible to in vivo visualization, setting the stage for synthesis of the old and the new, and providing a rationale for the endovascular approach to subdural collections in particular. In contrast with traditional anatomical didactics, where descriptions advance from larger trunks to smaller pedicles, we present a strategic approach that proceeds from a fundamental understanding of the dural microvasculature and its relationship to larger vessels.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Hematoma, Subdural, Chronic
/
Embolization, Therapeutic
/
Meningeal Arteries
Limits:
Humans
Language:
En
Journal:
J Neurointerv Surg
Year:
2021
Document type:
Article
Affiliation country:
United States