后颅窝静脉、脊髓血管.pptVIP

VENOUS DRAINAGE OF THE POSTERIOR FOSSA 长沙泰和医院神经外科 何承彪 VENOUS DRAINAGE OF THE POSTERIOR FOSSA The venous drainage of the posterior fossa can be divided into 3 groups according to the location and direction of drainage: 1.superior group (Galen’s vein group) 2.anterior group (petrosal group) 3.posterior goup (tentorial group) 1.SUPERIOR GROUP It consists of veins that drain to the vein of Galen, including: 1.The precentral cerebellar vein 2.The superior vermian vein 3.The anterior pontomesencephalic vein 4.The lateral and posterior mesencephalic veins. 1.1 Precentral cerebellar vein It is one of the most important landmark in the posterior fossa, which divides the superior part of the posterior fossa into the anterior and posterior half. The precentral cerebellar vein lies in the fissure between the lingula and central lobe of the cerebellar vermis. It is formed by the convergence of the brachial veins. 1.2 Superior vermian vein It outlines the superior part of the vermis in lateral projection. It is formed by the convergence of the veins draining the culmen of the vermis. It goes superiorly from the culmen of the vermis and ends in the Galen’s vein or directly drains into the precentral cerebellar vein. Above the vermis is the triangle formed by the Galen’s vein, superior vermian vein and the straight sinus, where locates the supracerebellar cistern. 1.3 Poste