Das zerebrospinale venöse System

Dieser Artikel beschreibt ein lebendiges anatomisches Bild, in dem die dynamischen Prozesse zum zerebrospinalen venösen System einbezogen sind. Der Schwerpunkt liegt auf der venösen Drainage der LWS. Zuerst wird ein grober Überblick über die anatomische Systematik gegeben, und darin eingebunden werden die hämodynamischen Verhaltensweisen des zerebrospinalen venösen Systems betrachtet. Mit den daraus gewonnenen Erkenntnissen wird anhand einiger selektiver Studien die mögliche pathophysiologische Relevanz dieses Venensystems im Kontext verschiedener lumbaler Pathologien diskutiert.

Publication History

Article published online:
05 July 2021

• Literatur

• 1 Kraml M. Die visuelle Vorstellung in der osteopathischen Palpation. DO 2020; 18: 4-10
• 2 Breschet G. Recherches anatomiques physiologiques et pathologiques sur le système veineux. Paris: Rouen frères; 1829
• 3 Kamogawa J, Kato O, Morizane T. Three-dimensional visualization of internal vertebral venous plexuses relative to dural sac and spinal nerve root of spinal canal stenosis using MRI. Japanese Journal of Radiology 2018; 36: 351-360
• 4 Clemens HJ. Die Venensysteme der menschlichen Wirbelsäule. Berlin: de Gruyter; 1961
• 5 Bogduk N. Clinical anatomy of the lumbar spine and sacrum. 4. Aufl.. Edinburgh: Elsevier; 2005
• 6 Tsuji H, Tamaki T. Studies on the Intraosseous Blood Circulation and the Bone Marrow Pressure in Human Lumbar Vertebrae. Int Orthop 1978; 2: 17-24
• 7 Hamid M, Toussaint PJ, Delmas V. et al. Anatomical and radiological evidence for the iliolumbar vein as an inferior lumbar venous system. Clinical Anatomy 2007; 20: 545-552
• 8 Morita S, Kimura T, Masukawa A. et al. Flow direction of ascending lumbar veins on magnetic resonance angiography and venography: would “descending lumbar veins” be a more precise name physiologically?. Abdominal Imaging 2007; 32: 749-753
• 9 Spalteholz W, Spanner R. Handatlas der Anatomie des Menschen. Gefäß-System, Eingeweide, Nervensystem, Sinnesorgane. 16. Aufl.. Amsterdam: Scheltema & Holkema; 1970
• 10 Grant E, Rendano F, Sevinc E. et al. Normal inferior vena cava: caliber changes observed by dynamic ultrasound. American Journal of Roentgenology 1980; 135: 335-338
• 11 Kimura BJ, Dalugdugan R, Gilcrease 3rd GW. et al. The effect of breathing manner on inferior vena caval diameter. Eur J Echocardiogr 2011; 12: 120-123
• 12 Busse R. Kreislaufphysiologie. Stuttgart: Thieme; 1982
• 13 Gignon L, Roger C, Bastide S. et al. Influence of Diaphragmatic Motion on Inferior Vena Cava Diameter Respiratory Variations in Healthy Volunteers. Anesthesiology 2016; 124: 1338-1346
• 14 Batson OV. The Valsalva maneuver and the vertebral vein system. Angiology 1960; 11: 443-447
• 15 Batson OV. The function of the vertebral veins and their role in the spread of metastases. Ann Surg 1940; 112: 138-149
• 16 Eckenhoff JE. Vertebral venous plexus. Canadian Anaesthetists Society Journal 1971; 18: 487
• 17 Barclay DL, Renegar OJ, Nelson EW. The influence of inferior vena cava compression on the level of spinal anesthesia. American Journal of Obstetrics and Gynecology 1968; 101: 792-800
• 18 Schmailzl KJG, Hackelöer BJ. Schwangerschaft und Krankheit. Wechselwirkung, Therapie, Prognose. Berlin: Blackwell; 2002
• 19 Nan L, Yang XG, Lian X. et al. Full-term pregnant women have higher lumbar epidural pressure than non-pregnant women: A preliminary report. Journal of Obstetrics and Gynaecology 2013; 33: 50-53
• 20 Casagrande D, Gugala Z, Clark SM. et al. Low Back Pain and Pelvic Girdle Pain in Pregnancy. J Am Acad Orthop Surg 2015; 23: 539-549
• 21 Spencer DL, Ray RD, Spigos DG. et al. Intraosseous Pressure in the Lumbar Spine. Spine 1981; 6
• 22 Arnoldi CC. Intravertebral Pressures in Patients with Lumbar Pain: A Preliminary Communication. Acta Orthopaedica Scandinavica 1972; 43: 109-117
• 23 Airaksinen O, Brox JI, Cedraschi C. et al. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. European Spine Journal 2006; 15 Suppl 2: S192-S300
• 24 Hanai K. Dynamic Measurement of Intraosseous Pressures in Lumbar Spinal Vertebrae With Reference to Spinal Canal Stenosis. Spine 1980; 5 (06) 568-574
• 25 Moore MR, Brown CW, Brugman JL. et al. Relationship Between Vertebral Intraosseous Pressure, pH, PO2, pCO2, and Magnetic Resonance Imaging Signal Inhomogeneity in Patients with Back Pain. Spine 1991; 16: S239-S242
• 26 Hoyland JA, Freemont AJ, Jayson MI. Intervertebral foramen venous obstruction. A cause of periradicular fibrosis?. Spine 1989; 14: 558-568
• 27 Cooper RG, Freemont AJ, Hoyland JA. et al. Herniated intervertebral disc-associated periradicular fibrosis and vascular abnormalities occur without inflammatory cell infiltration. Spine 1995; 20: 591-598
• 28 Hammer A, Knight I, Agarwal A. Localized Venous Plexi in the Spine Simulating Prolapse of an Intervertebral Disc. Spine 2003; 28: E5-E12
• 29 Berthelot J-M, Le Goff B, Maugars Y. The role for radicular veins in nerve root pain is underestimated: Limitations of imaging studies. Joint Bone Spine 2011; 78: 115-117
• 30 Ju J-H, Ha H-G, Jung C-K. et al. Patterns of epidural venous varicosity in lumbar stenosis. Korean J Spine 2012; 9: 244-249
• 31 Takahashi K, Kagechika K, Takino T. et al. Changes in epidural pressure during walking in patients with lumbar spinal stenosis. Spine 1995; 20: 2746-2749
• 32 Olmarker K, Rydevik B. Single-Versus Double-Level Nerve Root Compression: An Experimental Study on the Porcine Cauda Equina With Analyses of Nerve Impulse Conduction Properties. Clin Orthop Relat Res 1992; 279: 35-39
• 33 Kobayashi S, Suzuki Y, Meir A. et al. Circulatory dynamics of the cauda equina in lumbar canal stenosis using dynamic contrast-enhanced magnetic resonance imaging. Spine J 2015; 15: 2132-2141
• 34 Brinjikji W, Luetmer PH, Comstock B. et al. Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol 2015; 36: 811-816
• 35 Hoy D, Brooks P, Blyth F. et al. The Epidemiology of low back pain. Best Practice & Research Clinical Rheumatology 2010; 24: 769-781
• 36 Okanishi N, Kito N, Akiyama M. et al. Spinal curvature and characteristics of postural change in pregnant women. Acta Obstetricia Et Gynecologica Scandinavica 2012; 91: 856-861
• 37 Mutschler E, Schaible H-G, Vaupel P, Thews G. Anatomie, Physiologie, Pathophysiologie des Menschen. 6. Aufl.. Stuttgart: Wissenschaftliche Verlagsgesellschaft; 2007
• 38 Kopelman M, Glik A, Greenberg S. et al. Intracranial Nonjugular Venous Pathways: A Possible Compensatory Drainage Mechanism. AJNR Am J Neuroradiol 2013; 34: 1348-1352
• 39 Reyes-Zúñiga M, Castorena-Maldonado A, Carrillo-Alduenda JL. et al. Anxiety and depression symptoms in patients with sleep-disordered breathing. Open Respir Med J 2012; 6: 97-103
• 40 Kolar P, Sulc J, Kyncl M. et al. Postural function of the diaphragm in persons with and without chronic low back pain. J Orthop Sports Phys Ther 2012; 42: 352-362