Djukić-Macut, Nataša

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Medullary branches of the vertebral artery: microsurgical anatomy and clinical significance

Djukić, Bojana; Djukić-Macut, Nataša; Djulejić, Vuk; Boljanović, Jelena; Milić, Ivan; Marinković, Slobodan; Blagojević, Miloš

(Springer, 2023)

TY  - JOUR
AU  - Djukić, Bojana
AU  - Djukić-Macut, Nataša
AU  - Djulejić, Vuk
AU  - Boljanović, Jelena
AU  - Milić, Ivan
AU  - Marinković, Slobodan
AU  - Blagojević, Miloš
PY  - 2023
UR  - https://vet-erinar.vet.bg.ac.rs/handle/123456789/3137
AB  - Abstract
Background Since the medullary arteries are of a great neurologic and neurosurgical signifcance, the aim was to perform
a detailed microanatomic study of these vessels, as well as of the medullary infarctions in a group of patients.
Methods The arteries of 26 halves of the brain stem were injected with India ink and gelatin, microdissected and measured
with an ocular micrometer. Neurologic and magnetic resonance imaging (MRI) examinations were performed in 11 patients.
Results The perforating medullary arteries, averaging 6.7 in number and 0.26 mm in diameter, most often originated from
the anterior spinal artery (ASA), and rarely from the vertebral (VA) (38.5%) and the basilar artery (BA) (11.6%). They sup‑
plied the medial medullary region. The anterolateral arteries, 4.8 in number and 0.2 mm in size, most often arose from the
ASA and PerfAs, and nourished the anterolateral region. The lateral arteries, 2.2 in number and 0.31 mm in diameter, usu‑
ally originated from the VA and the posterior inferior cerebellar artery (PICA). They supplied the lateral medullary region.
The dorsal arteries, which mainly arose from the PICA and the posterior spinal artery (PSA), nourished the dorsal region,
including the roof of the 4th ventricle. The anastomotic channels, averaging 0.3 mm in size, were noted in 42.3%. Among
the medullary infarctions, the lateral ones were most frequently present (72.8%).
Conclusion The obtained anatomic data, which can explain the medullary infarctions symptomatology, are also important
in order to avoid damage to the medullary arteries during neurosurgical and neuroradiologic interventions.
PB  - Springer
T2  - Acta Neurochirurgica
T1  - Medullary branches of the vertebral artery: microsurgical anatomy and clinical significance
VL  - 165
IS  - 7
SP  - 1807
EP  - 1819
DO  - 10.1007/s00701-023-05613-7
ER  - 
@article{
author = "Djukić, Bojana and Djukić-Macut, Nataša and Djulejić, Vuk and Boljanović, Jelena and Milić, Ivan and Marinković, Slobodan and Blagojević, Miloš",
year = "2023",
abstract = "Abstract
Background Since the medullary arteries are of a great neurologic and neurosurgical signifcance, the aim was to perform
a detailed microanatomic study of these vessels, as well as of the medullary infarctions in a group of patients.
Methods The arteries of 26 halves of the brain stem were injected with India ink and gelatin, microdissected and measured
with an ocular micrometer. Neurologic and magnetic resonance imaging (MRI) examinations were performed in 11 patients.
Results The perforating medullary arteries, averaging 6.7 in number and 0.26 mm in diameter, most often originated from
the anterior spinal artery (ASA), and rarely from the vertebral (VA) (38.5%) and the basilar artery (BA) (11.6%). They sup‑
plied the medial medullary region. The anterolateral arteries, 4.8 in number and 0.2 mm in size, most often arose from the
ASA and PerfAs, and nourished the anterolateral region. The lateral arteries, 2.2 in number and 0.31 mm in diameter, usu‑
ally originated from the VA and the posterior inferior cerebellar artery (PICA). They supplied the lateral medullary region.
The dorsal arteries, which mainly arose from the PICA and the posterior spinal artery (PSA), nourished the dorsal region,
including the roof of the 4th ventricle. The anastomotic channels, averaging 0.3 mm in size, were noted in 42.3%. Among
the medullary infarctions, the lateral ones were most frequently present (72.8%).
Conclusion The obtained anatomic data, which can explain the medullary infarctions symptomatology, are also important
in order to avoid damage to the medullary arteries during neurosurgical and neuroradiologic interventions.",
publisher = "Springer",
journal = "Acta Neurochirurgica",
title = "Medullary branches of the vertebral artery: microsurgical anatomy and clinical significance",
volume = "165",
number = "7",
pages = "1807-1819",
doi = "10.1007/s00701-023-05613-7"
}
Djukić, B., Djukić-Macut, N., Djulejić, V., Boljanović, J., Milić, I., Marinković, S.,& Blagojević, M.. (2023). Medullary branches of the vertebral artery: microsurgical anatomy and clinical significance. in Acta Neurochirurgica
Springer., 165(7), 1807-1819.
https://doi.org/10.1007/s00701-023-05613-7
Djukić B, Djukić-Macut N, Djulejić V, Boljanović J, Milić I, Marinković S, Blagojević M. Medullary branches of the vertebral artery: microsurgical anatomy and clinical significance. in Acta Neurochirurgica. 2023;165(7):1807-1819.
doi:10.1007/s00701-023-05613-7 .
Djukić, Bojana, Djukić-Macut, Nataša, Djulejić, Vuk, Boljanović, Jelena, Milić, Ivan, Marinković, Slobodan, Blagojević, Miloš, "Medullary branches of the vertebral artery: microsurgical anatomy and clinical significance" in Acta Neurochirurgica, 165, no. 7 (2023):1807-1819,
https://doi.org/10.1007/s00701-023-05613-7 . .