脑膜中动脉的多面:异常变异和血管内影响的综合回顾。

IF 0.8 Q4 NEUROIMAGING
Mohammed A Azab, Khalid Sarhan, Alan Hernández-Hernández, Oday Atallah, Helene Clervius
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引用次数: 0

摘要

背景:脑膜中动脉(MMA)栓塞术在各种血管和肿瘤疾病的治疗中越来越普遍。了解其解剖学上的细微差别和临床意义是提高术前栓塞安全性的基础。方法根据PRISMA指南对MMA异常变化的文献进行系统回顾。PubMed, Scopus和Web of Science使用我们预定义的标准进行系统搜索,直到2025年。纳入的研究侧重于MMA的异常解剖和血管内影响的临床观点。结果12篇文章符合纳入标准,探讨了MMA在不同临床情况下的解剖变异的临床意义。我们确定了11例病例报告,并报道了不同病例系列中确定的病例对治疗CSDH及其他相关病理的临床意义。MMA的异常变异涉及其起源,分支或连接在临床上约43例患者中被检测到。我们在9例病例报告中确定基底动脉为MMA的起源。约有12例患者报告了MMA的眼源性,而起源于眼动脉的副脑膜动脉仅报告了2例。结论正确识别MMA异常变异对各种硬脑膜病变血管内处理的术前规划和决策具有重要价值。为了选择合适的血管内介入工具和方法,了解MMA的解剖特征和变异性至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The many faces of middle meningeal artery: A comprehensive review of anomalous variations and endovascular implications.

BackgroundMiddle meningeal artery (MMA) embolization is an increasingly common procedure involved in the treatment of various vascular and neoplastic diseases. Understanding its anatomical nuances and clinical implications is fundamental in enhancing the safety of preoperative embolization.MethodsA systematic review following PRISMA guidelines was conducted to consolidate literature on the MMA anomalous variations. PubMed, Scopus, and Web of Science were systematically searched using our predefined criteria until 2025. Inclusion encompassed studies focusing on the clinical perspectives of MMA's anomalous anatomy and endovascular implications.ResultsTwelve articles met inclusion criteria, exploring the clinical significance of the MMA's anatomical variations in various clinical situations. We identified 11 case reports, and we also reported the clinical significance of the cases identified among different case series for the treatment of CSDH and other involved pathologies. Anomalous variations of the MMA involving either its origin, branching or connections were detected clinically in about 43 patients in the literature. We identified the basilar artery as an origin of the MMA in 9 case reports. The ophthalmic origin of the MMA was reported in about 12 patients, while an accessory meningeal artery arising from an ophthalmic artery was only reported in two cases.ConclusionProperly identifying the anomalous variants of the MMA is considerably valuable in preoperative planning and decision-making for the endovascular management of various pathologies involving the dura. To choose an appropriate tool and method of endovascular intervention, understanding the anatomical features and variability of the MMA is crucial.

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来源期刊
Neuroradiology Journal
Neuroradiology Journal NEUROIMAGING-
CiteScore
2.50
自引率
0.00%
发文量
101
期刊介绍: NRJ - The Neuroradiology Journal (formerly Rivista di Neuroradiologia) is the official journal of the Italian Association of Neuroradiology and of the several Scientific Societies from all over the world. Founded in 1988 as Rivista di Neuroradiologia, of June 2006 evolved in NRJ - The Neuroradiology Journal. It is published bimonthly.
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