Susceptibility weighted imaging of superficial cerebellar veins

YAO Xiao-Xiao; LIU Xiao-Li; LI Ru-Hua; LI Chang-Sheng; REN Chuan-Gen; CHEN Cheng-Chun

doi:10.16098/j.issn.0529-1356.2023.04.013

PDF(11908 KB)

Acta Anatomica Sinica ›› 2023, Vol. 54 ›› Issue (4) : 465-472. DOI: 10.16098/j.issn.0529-1356.2023.04.013

Anatomy

Susceptibility weighted imaging of superficial cerebellar veins

YAO Xiao-xiao^{1,2, 3} LIU Xiao-li² LI Ru-hua² LI Chang-sheng² REN Chuan-gen⁴ CHEN Cheng-chun^2*

Author information +

History +

Abstract

Object Visualizing the superficial cerebellar vein and its tributaries on suscepxibility weighted imaging(SWI), and to construct superficial cerebellar vein network. Methods According to the inclusion criteria, 80 healthy volunteers (40 males and 40 females) were selected for 3.0T MRI scans to obtain conventional sequence cross-section, sagittal tomographic images, and SWI image data. Post-processing was performed on the Extended MR workspace 2.6.3.4 image workstation to reconstruct minimum intensity projection(mIP) images. SPSS 21.0 statistical software was used to analyze and process each data, and the diameter measurement result were expressed as mean ± standard deviation. Results Both SWI and mIP could image the structures of the cerebellum and its veins. The cerebellar veins were divided into deep and superficial parts. The superficial cerebellar veins were divided into two groups: the vermis and the cerebellar hemispheres. The superficial vein of the cerebellar vermis consisted of superior vermis vein［diameter: (1.21±0.24)mm, occurrence rate: 92.16%］, summit vein［diameter:(0.66±0.05)mm, occurrence rate: 95%］, mountain vein［diameter: (0.76±0.03)mm, occurrence rate: 100%］, inferior vermis vein［diameter: (1.40±0.27)mm, occurrence rate: 99.02%］. The superficial cerebellar hemisphere vein consists of anterior superior cerebellar vein ［diameter: (1.09±0.12)mm, occurrence rate: 100%］, posterior superior cerebellar vein ［diameter: (0.88±0.13)mm, occurrence rate: 70%］, anterior inferior cerebellar vein［diameter: (1.34±0.15)mm, occurrence rate: 100%］, posterior inferior cerebellar vein［diameter: (1.11±0.09)mm, occurrence rate: 92.5%］. The deep veins were divided into cerebellomesencephalic fissure group, cerebellopontine fissure group, and cerebellomedullary fissure group. Conclusion SWI can display the microstructure and venules of the cerebellum, and can construct a network of superficial cerebellar veins.

Key words

Cerebellar vein / Cerebellar fissure / Cerebellum / Susceptibility weighted imaging / Human

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

YAO Xiao-xiao LIU Xiao-li LI Ru-hua LI Chang-sheng REN Chuan-gen CHEN Cheng-chun. Susceptibility weighted imaging of superficial cerebellar veins[J]. Acta Anatomica Sinica. 2023, 54(4): 465-472 https://doi.org/10.16098/j.issn.0529-1356.2023.04.013

References

［1］Zhu ChG. Neuroanatomy［M］. Beijing: People’s Medical Publishing House, 2009：805-806.（in Chinese）

朱长庚. 神经解剖学［M］. 北京：人民卫生出版社，2009：805-806.

［2］Preziosa P, Rocca MA, Mesaros S, et al. Relationship between damage to the cerebellar peduncles and clinical disability in multiple sclerosis.［J］. Radiology, 2014, 271(3):822-830.

［3］Wang J, Wu QY, Du CP, et al. Spontaneous cerebellar hemorrhage with severe brainstem dysfunction through minimally invasive puncture treatment by locating the simple bedside［J］. Medicine (Baltimore), 2019, 98(38):e17211.

［4］Zhao HY, Qin ShY. Efficacy of microsurgery in the treatment of brain stem and peribrain stem tumors ［J］. Capital Food and Medicine, 2019(2):2.（in Chinese）

赵海洋, 秦书彦. 显微手术治疗脑干及围脑干肿瘤的疗效研究［J］. 首都食品与医药, 2019(2):2.

［5］Champagne PO, Cayouette F, Lortie A, et al. Intracranial hypertension following sacrifice of occipital and marginal sinuses during posterior fossa decompression for Chiari I malformation: case report［J］. J Neurosurg Pediatr, 2018, 22(6):659-662.

［6］Driver ID, Stobbe RW, Wise RG, et al. Venous contribution to sodium MRI in the human brain［J］. Magn Reson Med, 2020, 83(4):1331-1338.

［7］Preziosa P, Rocca MA, Mesaros S, et al. Relationship between damage to the cerebellar peduncles and clinical disability in multiple sclerosis［J］. Radiology, 2014, 271(3):822-830.

［8］Zeng M, Feng L, Li ML, et al. Clinical characteristics of multiple sclerosis and observation on influencing factors of self-care ability ［J］. PLA Journal of Medicine, 2019, 31(8):75-78.（in Chinese）

曾敏, 冯灵, 李梦岚, 等. 多发性硬化的临床特征及生活自理能力的影响因素观察［J］. 解放军医药杂志, 2019, 31(8):75-78.

［9］Qu T, Zhou J. A case report of lentiform nucleus and cerebellar dentate nucleus damage caused by soybean root poisoning ［J］. Stroke and Neurological Diseases, 2017, 24(5):468-469.（in Chinese）

屈涛, 周军. 山豆根中毒致豆状核、小脑齿状核损害1例报道［J］. 卒中与神经疾病, 2017, 24(5):468-469.

［10］Chiba K, Aihara Y, Eguchi S, et al. Rosette-forming glioneuronal tumor of the fourth ventricle with neurocytoma component［J］. Childs Nerv Syst, 2014, 30(2):351-356.

［11］Butti N, Corti C, Finisguerra A, et al. Cerebellar damage affects contextual priors for action prediction in patients with childhood brain tumor ［J］. Cerebellum (London, England), 2020, 19(6):799-811.

［12］Shkarubo AN, Koval KV, Chernov IV, et al. Endoscopic endonasal transclival approach to tumors of the clivus and anterior region of the posterior cranial fossa (results of surgical treatment of 136 patients)［J］. World Neurosurg, 2019, 121:e246-e261.

［13］Wang XD. Endoscopic anatomical study of the lateral ventricle Triangulum exposed by the superior cerebellar transector-lateral accessory groove keyhole approach［D］. Soochow: Soochow University,2017.（in Chinese）

王晓东. 小脑上经天幕-侧副沟锁孔入路显露侧脑室三角区的内镜解剖学研究［D］.苏州：苏州大学,2017.

［14］Liang RJ, Feng YG, Tang WZh, et al. Microanatomy of veins associated with median occipital approach and its clinical significance ［J］. Chinese Journal of Neurosurgery Disease Research, 2012, 11(5):432-435.（in Chinese）

梁瑞嘉, 丰育功, 唐万忠, 等. 枕正中入路相关静脉的显微解剖及其临床意义［J］. 中华神经外科疾病研究杂志, 2012,11(5):432-435.

［15］Chen LH, Xu RX, Wei Q, et al. Clinical application of cerebellomedullary fissure approach in fourth ventricle and dorsal brainstem tumor surgery ［J］. Journal of Clinical Neurosurgery, 2017, 14(5):360-365.（in Chinese）

陈立华, 徐如祥, 魏群, 等. 小脑延髓裂入路在第四脑室和脑干背侧肿瘤手术中的临床应用［J］. 临床神经外科杂志, 2017,14(5):360-365.

［16］Liu R, Kasper EM. Bilateral telovelar approach: a safe route revisited for resections of various large fourth ventricle tumors［J］. Surg Neurol Int, 2014, 5:16.

［17］Champagne PO, Cayouette F, Lortie A, et al. Intracranial hypertension following sacrifice of occipital and marginal sinuses during posterior fossa decompression for Chiari I malformation: case report［J］. J Neurosurg Pediatr,2018,22(6):659-662.

［18］He RCh, Zhong ShZh. Microsurgical anatomy of the deep vein between the cerebellum and the brain stem［J］. Journal of Clinical Applied Anatomy, 1984(4):226-229.（in Chinese）

何润昌,钟世镇. 小脑与脑干之间深静脉的显微外科解剖［J］. 临床应用解剖学杂志, 1984(4):226-229.

［19］Shi XF. Microanatomy of cerebellomesencephalic fissure and related clinical approaches［D］. Lanzhou:Lanzhou University, 2012.（in Chinese）

史雪峰. 小脑中脑裂显微解剖及相关临床入路研究［D］. 兰州:兰州大学, 2012.

［20］Chang ShF, Yang B, Zheng L, et al. Microanatomy of the retrosigmoid suboccipital sigmoid via the petrostomy-pontine fissure approach ［J］. Acta Anatomica Sinica, 2018, 49(5):646-650.（in Chinese）

常书锋, 杨波, 郑鲁, 等. 枕下乙状窦后锁孔经岩裂-桥脑裂入路的显微解剖学［J］. 解剖学报, 2018,49(5):646-650.

［21］Krukov AI, Stulin ID, Tardov MV, et al. Combined prosopalgia with acute onset［J］. Zh Nevrol Psikhiatr Im S S Korsakova, 2015, 115(10):99-101.

［22］Lee S, Joo KM, Park K. Challenging microvascular decompression surgery for hemifacial spasm［J］. World Neurosurg, 2021, 151:e94-e99.

［23］Guo QB, Xie ML, Yang YL, et al. Observation on the curative effect of microsurgery through the cerebellobulbar approach in the treatment of cerebellar hemorrhage into the ventricle［J］. China Frontiers in Medicine (Electronic Edition), 2017, 9(12):130-133.（in Chinese）

郭清保, 谢曼丽, 杨彦龙, 等. 经小脑延髓裂入路显微手术治疗小脑出血破入脑室的疗效观察［J］. 中国医学前沿杂志(电子版), 2017, 9(12):130-133.

［24］Li XT, Yuan JL, Fan HM, et al. Clinical application of susceptibility-weighted imaging in the diagnosis of central nervous system diseases［J］. Chinese Journal of Practical Internal Medicine, 2017, 37(11):972-976.（in Chinese）

李譞婷, 袁俊亮, 范慧敏, 等. 磁敏感加权成像诊断中枢神经系统疾病临床应用［J］. 中国实用内科杂志, 2017,37(11):972-976.