Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492012000200008
Jornal Vascular Brasileiro
Artigo Original

Anatomia microcirúrgica das artérias infratentoriais: um estudo estereoscópico

Microsurgical anatomy of the infratentorial arteries: stereoscopic printing study

Gustavo Rassier Isolan; Adamastor Humberto Pereira; Paulo Henrique Pires de Aguiar; Ápio Cláudio Martins Antunes; João Pedro Mousquer; Marcel Rozin Pierobon

http://dx.doi.org/10.1590/S1677-54492012000200008 J Vasc Bras, vol.11, n2, p.114-122, 2012
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Resumo

CONTEXTO: O espaço infratentorial do crânio é uma região que possui complexa rede de artérias que vascularizam o tecido cerebelar e o tronco encefálico. Sua complexa anatomia tridimensional deve ser profundamente entendida pelo neurocirurgião vascular e pelo radiologista intervencionista. OBJETIVO: Descrever as principais artérias do espaço infratentorial e seu trajeto, bem como sua relação com a topografia das estruturas neurais. MÉTODOS: Foram estudados 30 cérebros humanos, fixados em formalina e 6 cabeças de cadáveres dissecadas, utilizando-se microscópico cirúrgico com 3X a 40X de aumento. Os cérebros e todas as cabeças foram injetados com siloxanos polimerizados ou polisiloxanos (silicone) colorido. As dissecções anatômicas foram documentadas utilizando-se técnica para obtenção de imagens tridimensionais (3D), objetivando a produção de impressões estereoscópicas. RESULTADOS: São descritos o trajeto, segmentos e ramos das artérias basilar, cerebelar superior, cerebelar anteroinferior, cerebelar posteroinferior e vertebral. CONCLUSÃO: A anatomia das artérias infratentoriais é complexa e as imagens estereoscópicas apresentadas são um importante instrumento de documentação, pois permitem uma noção de profundidade da anatomia estudada.

Palavras-chave

artérias cerebrais, microcirurgia, visão estereoscópica

Abstract

BACKGROUND: The infratentorial space is a region with a complex network of arteries supplying the cerebellum and brainstem. Its complex three-dimensional anatomy must be thoroughly understood by the vascular neurosurgeon and the interventional radiologist. OBJECTIVE: To describe the main arteries of the infratentorial space and its trajectory and its relationship to the topography of the neural structures. METHODS: We studied 30 formalin-fixed human brains and we also dissected 6 cadaver heads, using a surgical microscope with 3X to 40X magnification. The brains and all heads were injected with colored silicone. The anatomical dissections were documented with a three-dimensional method, aiming to produce stereoscopic prints. RESULTS: The neurovascular relationships, segments and branches of the basilar artery, superior cerebellar, anteroinferior cerebellar, cerebellar and posteroinferior vertebral are described. CONCLUSION: The microsurgical anatomy of the infratentorial arteries is complex and the stereoscopic images presented are an important tool for documentation.

Keywords

cerebral arteries, microsurgery, stereoscopic vision

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