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Blood supply of acoustic neurinomas

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Summary

The arterial blood supply of acoustic neurinomas is reviewed on the basis of normal and pathological anatomical findings as well as neuroradiological and intra-operative observations. Available data suggest that, as a rule, the tumour primarily receives blood from the external carotid by way of dural vessels, with the occipital artery playing a prominent role. The cerebellar vessels, including the anterior inferior cerebellar artery, are apparently no more than secondary contributors. In the light of these observations, selective external carotid angiography on the diseased side is recommended in acoustic neurinomas. In hypervascularized neurinomas preoperative embolization of afferent external carotid branches is discussed as a potential supplementary procedure.

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References

  1. Anson, B. J., Winch, T. R., Warpeha, R. L., Blood supply of the otic capsule of the human ear. Ann. Otol.75 (1966), 921–945.

    Google Scholar 

  2. Bebin, J., The cerebellopontine angle, the blood supply of the brain stem and the reticular formation, Part I. Henry Ford Hosp. Med. Journal16 (1968), 61–86.

    Google Scholar 

  3. Bebin, J., The cerebellopontine angle, the blood supply of the brain stem and the reticular formation, Part II. Henry Ford Hosp. Med. Journal16 (1968), 163–183.

    Google Scholar 

  4. Castellano, F., Ruggiero, G., Meningioma of the posterior fossa. Acta Radiol. (Stockholm), Suppl.104 (1953).

  5. Crosby, E. C., Humphrey, T., Lauer, E. W., Correlative Anatomy of the Nervous System. New York: Macmillan. 1962.

    Google Scholar 

  6. Crowe, S. J., Hardy, M., Early asymptomatic acoustic tumor. Arch. Surg.32 (1936), 292–301.

    Google Scholar 

  7. Dechaume, J. P., Bocho, M., Michel, D., Joyeux, O., Bret, Ph., Barbeau, O., Pathological tumour circulation—A study of 50 cases by retrograde brachial vertebral angiography. Neuroradiology1 (1970), 151–154.

    Google Scholar 

  8. Gisel, A., über die Emissaria parietalia et mastoidea des menschlichen Schädels. „Hyrtl Almanach“ in der Reihe „Forschung und Forscher der Tiroler ärzteschule“, Bd. IV, pp. 73–122, 1958.

    Google Scholar 

  9. Gisel, A., Zur systematischen und topographischen Anatomie des Emissarium mastoideum. Verhandlungen der Anatomischen Gesellschaft auf der 56. Versammlung in Zürich vom 8. bis 12. April 1959, pp. 338–344. Jena: VEB G. Fischer.

    Google Scholar 

  10. Gisel, A., über die Blutströmung im Emissarium parietale des Neugeborenen. Anat. Anz.114 (1964), 371–373.

    PubMed  Google Scholar 

  11. Gisel, A., Morphologisch-funktionelle Vorbemerkungen. In: Pädiatrische Neurochirurgie, pp. 1–58. Stuttgart: G. Thieme. 1967.

    Google Scholar 

  12. Graf, C. J., Menezes, A. H., Arteriovenous malformation in the posterior fossa supplied by the external carotid circulation. J. Neurosurg.41 (1974), 502–507.

    Google Scholar 

  13. Gray, H., Anatomy of the Human Body. 29th ed. Philadelphia: Lea & Febinger. 1973.

    Google Scholar 

  14. House, W. F., Acoustic neuroma (monograph). Arch. Otolaryng.88 (1968), 576–715.

    Google Scholar 

  15. Hyrtl, J., Vergleichende anatomische Untersuchungen über das innere Gehörorgan des Menschen und der Säugetiere. Prag: 1845.

  16. Kempe, L. G., Operative Neurosurgery, Vol. 2. Berlin-Heidelberg-New York: Springer. 1970.

    Google Scholar 

  17. Kendall, B., Symon, L., Investigation of patients presenting with cerebellopontine angle syndromes. Neuroradiology13 (1977), 65–84.

    PubMed  Google Scholar 

  18. Kiss, F., Rendszeres Bonctan, pp. 370. Budapest: Medicina. 1963.

    Google Scholar 

  19. Lang, J., Zur Vascularisation der Dura mater cerebri. I. Z. Anat. Entwickl. Gesch.135 (1971), 20–34.

    Google Scholar 

  20. Lang, J., Gehirn- und Augenschädel. In: Praktische Anatomie, Bd. 1/1 B (Lang, J., Wachsmuth, W., eds.). Berlin-Heidelberg-New York: Springer. 1979.

    Google Scholar 

  21. Langer, K., über die Blutgefä\e der Knochen des Schädeldaches und der harten Hirnhaut. Denkschr. Akad. Wiss. Wien, math.-naturw. Kl.37 (1877), 217–241.

    Google Scholar 

  22. Lanz, T. von, Wachsmuth, W., Praktische Anatomie, Bd. I/2, p. 24. Berlin-Göttingen-Heidelberg: Springer. 1955.

    Google Scholar 

  23. Lasjaunias, P., Moret, J., The ascending pharyngeal artery: Normal and pathological radioanatomy. Neuroradiology11 (1976), 77–82.

    PubMed  Google Scholar 

  24. Leman, P., Cohadon, F., Leifer, C., L'artériographie vertébrale dans les neurinomes du nerf auditif. Neurochirurgia13 (1967), 752–761.

    Google Scholar 

  25. Levine, H. L., Ferris, E. J., Spatz, E. L., External carotid blood supply to acoustic neurinomas. J. Neurosurgery38 (1973) 516–520.

    Google Scholar 

  26. Mazzoni, A., Internal auditory artery supply to the petrous bone. Ann. Otol. (St. Louis)81 (1972), 1–9.

    Google Scholar 

  27. Moscow, N., Newton, T., Hypervascular Neurinomas. Presented at the Eleventh Annual Meeting of the American Society of Neuroradiology, Boston, 1973.

  28. Naidich, Th. P., Kricheff, I. I., George, A. E., Lin, J. P., The anterior inferior cerebellar artery in mass lesions. Radiology119 (1976), 375–383.

    PubMed  Google Scholar 

  29. Olsson, O., Vertebral angiography in the diagnosis of acoustic nerve tumors. Acta Radiol.39 (1953), 265–272.

    PubMed  Google Scholar 

  30. Perneczky, A., Salah, S., Tschabitscher, M., The Meningeal Branch of the Occipital Artery (Advances in Neurosurgery, Vol. 3), pp. 386–389. Berlin-Heidelberg-New York: Springer. 1975.

    Google Scholar 

  31. Perneczky, A., Die chirurgische Anatomie des Kleinhirnbrückenwinkels. Tagung der Deutschen Arbeitsgemeinschaft für Mikroneurochirurgie, Wien, Dezember 1975.

  32. Perneczky, A., Die Arteria cerebelli inferior anterior (Anatomie — Klinik — Mikroneurochirurgie). Acta Chirurgica Austriaca, Suppl.29 (1979).

  33. Pernkopf, E., Topographische Anatomie des Menschen, Bd. IV/1, pp. 322. München-Berlin-Wien: Urban & Schwarzenberg. 1957.

    Google Scholar 

  34. Platzer, W., Das Arterien- und Venensystem. In: Primatologia, Bd. III, Teil 2, pp. 273–387 (Hofer, H., Schultz, A. H., Stanek, D., eds.). Basel-New York: S. Karger. 1960.

    Google Scholar 

  35. Platzer, W., Morphologie der Kreislauforgane. In: Handbuch der Zoologie. 8. Bd., 50. Lieferung, Teil 5, Beitrag 4, pp. 1–106. Berlin-New York: W. de Gruyter. 1974.

    Google Scholar 

  36. Reuter, S., Newton, T., Greitz, T., Arteriovenous malformations of the posterior fossa. Radiology87 (1966), 1080–1088.

    PubMed  Google Scholar 

  37. Salamon, G., Artères fixes du système vertébro-basilaire. Ann. Radiol.10, (1967), 765–780.

    PubMed  Google Scholar 

  38. Schechter, M. M., Zingesser, L. H., Rosenbaum, A., Tentorial meningiomas. Amer. J. Roentgenol.104 (1968), 123–131.

    PubMed  Google Scholar 

  39. Schnürer, L.-B., Stattin, S., Vascular supply of intracranial dura from internal carotid artery with special reference to its angiographic significance. Acta Radiol. (Diagnosis)1 (1963), 441–450.

    Google Scholar 

  40. Shimidzu, K., Beiträge zur Arteriographie des Gehirns — einfache percutane Methode. Arch. f. klin. Chir.188 (1937), 295–316.

    Google Scholar 

  41. Smith, D. R., Ferry, D. J., Kempe, L. G., Tentorial artery: its diagnostic significance. Acta Neurochir.21 (1969), 57–69.

    Google Scholar 

  42. Takahashi, M.,et al., Angiographic diagnosis of acoustic neurinomas: Analysis of 30 lesions. Neuroradiology2 (1971), 191–200.

    PubMed  Google Scholar 

  43. Takahashi, M., Atlas of Vertebral Angiography. München-Berlin-Wien: Urban & Schwarzenberg. Tokyo: Igaku Shoin Ltd. 1974.

    Google Scholar 

  44. Takekawa, S., Holman, B., Roentgenologic diagnosis of anomalous communications between the external carotid artery and intracranial veins. Amer. J. Roentgenol.95 (1965), 822–825.

    PubMed  Google Scholar 

  45. Theron, J., Superselective arteriography of the external carotid in intracranial tumors. 22 November 1975, Zürich, Krayenbühl Lectures.

  46. Theron, J., Lasjaunias, P., Participation of the external and internal carotid arteries in the blood supply of acoustic neurinomas. Radiology118 (1976), 83–88.

    PubMed  Google Scholar 

  47. Toynbee, J., Neuroma of the auditory nerve. Trans. Path. Soc. Lond.4 (1853), 259–260.

    Google Scholar 

  48. Urdanibia, J. F., Silvela, J., Soto, M., Occipital dural arteriovenous malformations. Neuroradiology7 (1974), 57–64.

    PubMed  Google Scholar 

  49. Weinstein, M., Stein, R., Pollock, J., Stucker, T. B., Newton, T. H., Meningeal branch of the posterior cerebral artery. Neuroradiology7 (1974), 129–131.

    PubMed  Google Scholar 

  50. Wollschlaeger, P. B., Wollschlaeger, G., Eine infratentorielle meningeale Arterie. Radiologe5 (1965), 451–452.

    PubMed  Google Scholar 

  51. YaŞargil, M. G., Fox, J. L., The microsurgical approach to acoustic neurinomas. Surg. Neurol.2 (1974), 393–398.

    PubMed  Google Scholar 

  52. YaŞargil, M. G., Persönliche Mitteilung (1975.

  53. YaŞargil, M. G., Die Chirurgie des Kleinhirnbrückenwinkels. 27. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie, 12. bis 15. September 1976, Berlin.

  54. YaŞargil, M. G., Subokzipitale-transmeatale mikrotechnische Exstirpation des Akustikusneurinomes. In: Kopf- und Hals-Chirurgie, pp. 545–587 (Naumann, H. H., ed.). Stuttgart: G. Thieme. 1976.

    Google Scholar 

  55. YaŞargil, M. G., Mikrochirurgie der Kleinhirnbrückenwinkeltumoren. In: Kleinhirnbrückenwinkeltumoren, pp. 215–257 (Plester, D., Wende, S., Nahanyama, N., eds.). Berlin-Heidelberg-New York: Springer. 1978.

    Google Scholar 

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  1. A. Perneczky

    Present address: Department of Neurosurgery, University of Vienna Medical School, Austria

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    Perneczky, A. Blood supply of acoustic neurinomas. Acta neurochir 52, 209–218 (1980). https://doi.org/10.1007/BF01402076

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