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DO - Deutsche Zeitschrift für Osteopathie 2021; 19(03): 30-39
DOI: 10.1055/a-1346-4272
Spektrum
Anatomie

Das zerebrospinale venöse System

Jan Flenker
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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

© 2021. Thieme. All rights reserved.

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  • Literatur

  • 1 Kraml M. Die visuelle Vorstellung in der osteopathischen Palpation. DO 2020; 18: 4-10
    Thieme ConnectSearch in Google Scholar
  • 2 Breschet G. Recherches anatomiques physiologiques et pathologiques sur le système veineux. Paris: Rouen frères; 1829
    Search in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 4 Clemens HJ. Die Venensysteme der menschlichen Wirbelsäule. Berlin: de Gruyter; 1961
    Search in Google Scholar
  • 5 Bogduk N. Clinical anatomy of the lumbar spine and sacrum. 4. Aufl.. Edinburgh: Elsevier; 2005
    Search in Google Scholar
  • 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
    CrossrefSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 9 Spalteholz W, Spanner R. Handatlas der Anatomie des Menschen. Gefäß-System, Eingeweide, Nervensystem, Sinnesorgane. 16. Aufl.. Amsterdam: Scheltema & Holkema; 1970
    Search in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 12 Busse R. Kreislaufphysiologie. Stuttgart: Thieme; 1982
    Search in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 14 Batson OV. The Valsalva maneuver and the vertebral vein system. Angiology 1960; 11: 443-447
    CrossrefPubMedSearch in Google Scholar
  • 15 Batson OV. The function of the vertebral veins and their role in the spread of metastases. Ann Surg 1940; 112: 138-149
    CrossrefPubMedSearch in Google Scholar
  • 16 Eckenhoff JE. Vertebral venous plexus. Canadian Anaesthetists Society Journal 1971; 18: 487
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 18 Schmailzl KJG, Hackelöer BJ. Schwangerschaft und Krankheit. Wechselwirkung, Therapie, Prognose. Berlin: Blackwell; 2002
    Search in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 21 Spencer DL, Ray RD, Spigos DG. et al. Intraosseous Pressure in the Lumbar Spine. Spine 1981; 6
    Search in Google Scholar
  • 22 Arnoldi CC. Intravertebral Pressures in Patients with Lumbar Pain: A Preliminary Communication. Acta Orthopaedica Scandinavica 1972; 43: 109-117
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 24 Hanai K. Dynamic Measurement of Intraosseous Pressures in Lumbar Spinal Vertebrae With Reference to Spinal Canal Stenosis. Spine 1980; 5 (06) 568-574
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 26 Hoyland JA, Freemont AJ, Jayson MI. Intervertebral foramen venous obstruction. A cause of periradicular fibrosis?. Spine 1989; 14: 558-568
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 28 Hammer A, Knight I, Agarwal A. Localized Venous Plexi in the Spine Simulating Prolapse of an Intervertebral Disc. Spine 2003; 28: E5-E12
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 35 Hoy D, Brooks P, Blyth F. et al. The Epidemiology of low back pain. Best Practice & Research Clinical Rheumatology 2010; 24: 769-781
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 37 Mutschler E, Schaible H-G, Vaupel P, Thews G. Anatomie, Physiologie, Pathophysiologie des Menschen. 6. Aufl.. Stuttgart: Wissenschaftliche Verlagsgesellschaft; 2007
    Search in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar