A Transcervical Transclival Approach to the Ventral Surface of the Brain Stem for Removal of a Clivus Chordoma

Stevenson, George C.; Stoney, Ronald J.; Perkins, Roland K.; Adams, John E.

doi:10.3171/jns.1966.24.2.0544

Cited by 195 publications

(46 citation statements)

References 35 publications

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“…Scheibert in 1959, 84 Driesen in 1962, 27 and Chou in 1963 13 ) and chordoma (Stevenson and colleagues 97,98 ); in a few cases, aneurysms had been clipped (Adams and Witt, 3 Pool 77 and Colton, 78 and Rand and Jannetta…”

Section: 44mentioning

confidence: 99%

Editorial

Mg¹

2010

JNS

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Section: 44mentioning

confidence: 99%

Editorial

Mg¹

2010

JNS

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“…The neurosurgical literature in the report of Stevenson et al (1966) and the approach of MacNab (1967) did indicate the feasibility of dissection of the pharyngeal mucosa as far rostrally as the clivus and thevomer. We felt that the intrapharyngeal approach, because of a high infection rate reported (Fang 1962).…”

Section: Discussionmentioning

confidence: 99%

An Anterior, Extrapharyngeal, Suprahyoid Approach to the First, Second and Third Cervical Vertebrae

Murray¹,

Seymour²

1974

Acta Orthopaedica Scandinavica

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“…This anastomosis and the anastomosis between the AMA and distal VA (V3) shown first in this study, should be recalled as dangerous anastomoses, as well as anastomoses between the other arteries supplying the dura mater around the foramen magnum; the dorsal meningeal branch of meningohypophyseal trunk arising from the intracavernous segment of the internal carotid artery, the branches of the middle meningeal artery, the posterior meningeal artery arising from the distal VA (V3), and the meningeal branches of the occipital artery 15,16 . The artery may be exposed in the transoraltranspharyngeal approach 17,18 , transcervical approach 19 , transcondylar approach 20 , extremelateral approach 21 , and extreme lateral-transatlas approach 22 to the craniovertebral junction.…”

Section: Discussionmentioning

confidence: 99%

The So-Called Anterior Meningeal Artery: An Anatomic Study for Treatment Modalities

Shimizu

Garcia²,

Tanrıöver³

et al. 2004

Interv Neuroradiol

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The so called anterior meningeal artery (AMA) is a branch of the vertebral artery (VA), which had been interpreted as a supplying vessel of the dura in the foramen magnum and upper cervical level. In this study, we examined the anatomy of this artery and relationships to its surrounding structures for treatment modalities. With the aid of magnification, five adult cadaveric head and neck complex and five cervical spines were examined after perfusion of the vessels with colored silicone. The AMA arose from the VA between the C2 and C3 level, and passed medially through the intrervertebral foramen anterior to the dural sheath of the third cervical nerve root. It ran upwards dorsal to the deep layer of the posterior longitudinal ligament (PLL) with anterior internal vertebral venous plexus. Rostrally, it formed an arcade above the apex of the odontoid process with its contralateral mate. The AMA gave off several tiny branches to the deep layer of the PLL, ligaments and soft tissues above the apex of the odontoid process, and vertebral bodies of the axis. At the level of the foramen magnum, it ended in several small twigs to the dura. Anastomoses between the AMA system and adjacent vessels were observed. One was directed through the hypoglossal canal to the ascending pharyngeal artery and the other was with the V3 segment of the VA. The origin and course of the two AMA, and anastomoses were symmetric. Although the AMA feeds the ventral dura of the foramen magnum, the perfusion area is larger than its name suggests, including the bony and ligamentous structures in the craniovertebral junction. Anatomical knowledge of the AMA, including its anastomoses and layer relationships to the surrounding structures, may help to perform treatment modalities in this region rationally.

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A Transcervical Transclival Approach to the Ventral Surface of the Brain Stem for Removal of a Clivus Chordoma

Cited by 195 publications

References 35 publications

Editorial

Editorial

An Anterior, Extrapharyngeal, Suprahyoid Approach to the First, Second and Third Cervical Vertebrae

The So-Called Anterior Meningeal Artery: An Anatomic Study for Treatment Modalities

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