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Vascularization of the uncus - Anatomical study and clinical implications.
Isolan, Gustavo Rassier; Marrone, Antônio Carlos Huf; Marrone, Luiz Carlos Porcellos; Stefani, Marco Antonio; da Costa, Jaderson Costa; Telles, Joao Paulo Mota; Choi, Gil Goulart; da Silva, Saul Almeida; Rabelo, Nícollas Nunes; Figueiredo, Eberval Gadelha.
Afiliação
  • Isolan GR; Department of Neurosurgery, Center for Advanced Neurology and Neurosurgery, Porto Alegre, Rio Grande do Sul, Brazil.
  • Marrone ACH; Department of Anatomy, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
  • Marrone LCP; Department of Anatomy, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
  • Stefani MA; Department of Anatomy, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
  • da Costa JC; Department of Neurology, Instituto do Cérebro (INCER), Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
  • Telles JPM; Department of Neurosurgery, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
  • Choi GG; Department of Neurosurgery, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
  • da Silva SA; Department of Neurosurgery, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
  • Rabelo NN; Department of Neurosurgery, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
  • Figueiredo EG; Department of Neurosurgery, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Surg Neurol Int ; 12: 393, 2021.
Article em En | MEDLINE | ID: mdl-34513159
BACKGROUND: The objective of this paper was to describe the arterial supply of the uncus and quantify the branches directed to the anteromedial aspect of the human temporal cortex. METHODS: We studied 150 human cerebral hemispheres identifying main afferent arteries supplying the anteromedial temporal cortex with particular attention to the uncus, determining the territory supplied by each artery through either cortical or perforating branches. RESULTS: The uncus was supplied by 419 branches of the anterior choroidal artery (AChA), 210 branches of the internal carotid artery (ICA), 353 branches of the middle cerebral artery (MCA), and 122 branches of the posterior cerebral artery (PCA). The total of supplying vessels was 1104 among the 150 hemispheres studied, which corresponds to 7.36 arteries per uncus. The average of branches per hemisphere was as follows: 2.79 from AChA, 1.40 from ICA, 2.35 from MCA, and 0.81 from PCA. The relative contribution of each artery for the total of specimens studied was as follows: 38% from AChA, 19% from ICA, 32% from the MCA, and 11% from the PCA. We identified cortical anastomoses mostly between the MCA and PCA (27 cases). CONCLUSION: We described and quantified the uncus' vascularization, including anatomical variations. This updated, detailed description of the mesial temporal vascularization is paramount to improve the treatment of neurosurgical conditions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Surg Neurol Int Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Surg Neurol Int Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos