ABSTRACT
The morphology of the extraglandular and intraglandular portions of the adrenal veins and other veins concerned with the catheterization in adrenal venography was observed on 53 adult cadavers.The extraglandnlar portion of both adrenal veins is of single trunk type on all the specimens. The left adrenal vein consistently ends into the left renal vein while the right adrenal vein ends into the inferior vena cava in 83.02% of cases and into the right accessory hepatic vein in 9.43%.The length and diameter of the extraglandular portion of the left adrenal vein are 23.05?5.96 mm and 4.99?0.82 mm and those of the right adrenal vein are 8.73?5.13 mm and 2.93 ? 0.87 mm. The angle formed by the left adrenal and left renal veins is 117.35?11.95? and that formed by right adrenal vein and inferior vena cava is 47.5?14.58?.The distances from the femoral vein(lower margin of inguinal ligment)through the external and common iliac veins and inferior vena cava to the hila of both adrenal glands were measured. They may be used as references in performing adrenal venography.The intraglandular portion of the adrenal veins is of three types: single, double and triple trunk types. The single trunk type is the most common occurring in 86% of the left adrenal veins and 50% of the right veins. The triple trunk type exists only on the right side.In addition, the feasibilities and difficulties of the catheterization of the both adrenal veins were discussed according to the anatomy studied.
ABSTRACT
Specimens of 50 adult brain with meninges were examined under magnificationof 5?.The number of the superior cerebral veins(SCV)varies considerably on bothsides.Cases with 7 branches on one side are most commonly seen. SCV perforate the arachnoid either at the superior border of the cerebral hemi-sphere or far beyond it.More branches perforate the arachnoid beyond the superiorborder of the cerebral hemisphere.The length of SCV between the superior borderof the cerebral hemisphere and the point where the veins perforate the arachnoid ismeasured and in average,the length of the frontal veins and veins of central gyriis longer than that of the parieto-occipital veins.The outer caliber of the frontopolar veins and occipital veins is the smallest andthat of the combined trunk veins is the largest.Bridge veins usually occur in the branches of SCV except the left central vein.The incidence of the bridge vein in the left and right frontopolar veins is thehighest(50～60%).There is an adherent segment occurring in all branches of SCV.The incidenceof the adherent segment in different branches is almost over 50%.Therefore it maybe considered that the presence of the adherent segment in SCV is a normal pheno-menon.The frontal veins and the veins of the central gyri usually adhere to thedura,and the parieto-occipital veins to the lateral wall of the superior sagittal sinusand the cerebral falx.Very few perforated segments can be seen in frontal veins,yet the percentageof its presence in the both sides of the veins of central gyri and parieto-occipitalveins are 9% and 11.22% respectively.Any vein with a perforated segment per-forates the lateral wall of the superior sagittal sinus predominantly.The application of the bridging vein,or adherent segment and perforated seg-ment of the SCV in neurosurgery has been discussed.