Anatomy of the craniocervical junction — A review

IF 1.5 4区 医学 Q4 CLINICAL NEUROLOGY Neurochirurgie Pub Date : 2024-01-29 DOI:10.1016/j.neuchi.2023.101511
Laurence Charbonneau , Kentaro Watanabe , Chiraz Chaalala , Michel W. Bojanowski , Philippe Lavigne , Moujahed Labidi
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Abstract

An in-depth understanding of the anatomy of the craniocervical junction (CCJ) is indispensable in skull base neurosurgery. In this paper, we discuss the osteology of the occipital bone, the atlas (C1) and axis (C2), the ligaments and the muscle anatomy of the CCJ region and their relationships with the vertebral artery. We will also discuss the trajectory of the vertebral artery and review the anatomy of the jugular foramen and lower cranial nerves (IX to XII). The most important surgical approaches to the CCJ, including the far lateral approach, the anterolateral approach of Bernard George and the endoscopic endonasal approach, will be discussed to review the surgical anatomy.

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颅颈交界处的解剖 - 综述。
深入了解颅颈交界处(CCJ)的解剖结构是颅底神经外科不可或缺的。在本文中,我们将讨论枕骨、寰椎(C1)和轴(C2)的骨学、CCJ 区域的韧带和肌肉解剖及其与椎动脉的关系。我们还将讨论椎动脉的轨迹,并回顾颈静脉孔和下颅神经(九至十二)的解剖。我们将讨论CCJ最重要的手术入路,包括远外侧入路、伯纳德-乔治的前外侧入路和内窥镜鼻内侧入路,以回顾手术解剖。
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来源期刊
Neurochirurgie
Neurochirurgie 医学-临床神经学
CiteScore
2.70
自引率
6.20%
发文量
100
审稿时长
29 days
期刊介绍: Neurochirurgie publishes articles on treatment, teaching and research, neurosurgery training and the professional aspects of our discipline, and also the history and progress of neurosurgery. It focuses on pathologies of the head, spine and central and peripheral nervous systems and their vascularization. All aspects of the specialty are dealt with: trauma, tumor, degenerative disease, infection, vascular pathology, and radiosurgery, and pediatrics. Transversal studies are also welcome: neuroanatomy, neurophysiology, neurology, neuropediatrics, psychiatry, neuropsychology, physical medicine and neurologic rehabilitation, neuro-anesthesia, neurologic intensive care, neuroradiology, functional exploration, neuropathology, neuro-ophthalmology, otoneurology, maxillofacial surgery, neuro-endocrinology and spine surgery. Technical and methodological aspects are also taken onboard: diagnostic and therapeutic techniques, methods for assessing results, epidemiology, surgical, interventional and radiological techniques, simulations and pathophysiological hypotheses, and educational tools. The editorial board may refuse submissions that fail to meet the journal''s aims and scope; such studies will not be peer-reviewed, and the editor in chief will promptly inform the corresponding author, so as not to delay submission to a more suitable journal. With a view to attracting an international audience of both readers and writers, Neurochirurgie especially welcomes articles in English, and gives priority to original studies. Other kinds of article - reviews, case reports, technical notes and meta-analyses - are equally published. Every year, a special edition is dedicated to the topic selected by the French Society of Neurosurgery for its annual report.
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