Anatomia da circulação medular

Amato, Alexandre Campos Moraes; Stolf, Noedir Antônio Groppo

doi:10.1590/1677-5449.0004

Alexandre Campos Moraes Amato ^**Correspondência Alexandre Campos Moraes Amato Av. Brasil, 2283 - Jardim América CEP 01431-001 - São Paulo (SP), Brasil E-mail: dr.alexandre@amato.com.br

Universidade de Santo Amaro – Unisa, São Paulo, SP, Brasil

Universidade de São Paulo – USP, São Paulo, SP, Brasil

Noedir Antônio Groppo Stolf

Universidade de São Paulo – USP, São Paulo, SP, Brasil

Conflito de interesse: Os autores declararam não haver conflitos de interesse que precisam ser informados.

*Correspondência Alexandre Campos Moraes Amato Av. Brasil, 2283 - Jardim América CEP 01431-001 - São Paulo (SP), Brasil E-mail: dr.alexandre@amato.com.br

Informações sobre os autores ACMA - Professor da Disciplina de Cirurgia Vascular, Universidade de Santo Amaro (Unisa); Faculdade de Medicina, Universidade de São Paulo (USP). NAGS - Professor Emérito de Cirurgia Cardiovascular, Faculdade de Medicina, Universidade de São Paulo (USP).

Contribuições dos autores Concepção e desenho do estudo: ACMA, NAGS Análise e interpretação dos dados: ACMA, NAGS Coleta de dados: ACMA, NAGS Redação do artigo: ACMA, NAGS Revisão crítica do texto: ACMA, NAGS Aprovação final do artigo*: ACMA, NAGS Análise estatística: N/A. Responsabilidade geral pelo estudo: ACMA, NAGS *Todos os autores leram e aprovaram a versão final submetida do J Vasc Bras.

Mais frequente	Sinônimos	Termo Adotado
Aorta	Aorta	Aorta
Artérias segmentares	Segmental a.¹⁰10 Toole JF, Patel AN. Cerebrovascular disorders. United States of America: McGraw-Hill; 1967., segmental posterior intercostal a.⁹9 Chiesa R, Melissano G, Bertoglio L, et al. The risk of spinal cord ischemia during thoracic aorta endografting. Acta Chir Belg. 2008;108(5):492-502. PMid:19051455.^,¹¹11 Thron AK, Rossberg C. Vascular anatomy of the spinal cord: neuroradiological investigations and clinical syndromes. Springer; 1988., radicular a.¹²12 Dickman C, Fehlings M, Gokaslan Z. Spinal cord and spinal column tumors: principles and practice. New York: Thieme; 2006. aa. intercostales, intercostal a.¹³13 Boll DT, Bulow H, Blackham KA, Aschoff AJ, Schmitz BL. MDCT angiography of the spinal vasculature and the artery of Adamkiewicz. AJR Am J Roentgenol. 2006;187(4):1054-60. http://dx.doi.org/10.2214/AJR.05.0562. PMid:16985157. http://dx.doi.org/10.2214/AJR.05.0562... aa. lumbales	Artérias segmentares AA. intercostais posteriores (TA) lombares
Ramo ventral	vertebral branch⁹9 Chiesa R, Melissano G, Bertoglio L, et al. The risk of spinal cord ischemia during thoracic aorta endografting. Acta Chir Belg. 2008;108(5):492-502. PMid:19051455., ventral branch¹¹11 Thron AK, Rossberg C. Vascular anatomy of the spinal cord: neuroradiological investigations and clinical syndromes. Springer; 1988., dural a.¹²12 Dickman C, Fehlings M, Gokaslan Z. Spinal cord and spinal column tumors: principles and practice. New York: Thieme; 2006., anterior branch¹³13 Boll DT, Bulow H, Blackham KA, Aschoff AJ, Schmitz BL. MDCT angiography of the spinal vasculature and the artery of Adamkiewicz. AJR Am J Roentgenol. 2006;187(4):1054-60. http://dx.doi.org/10.2214/AJR.05.0562. PMid:16985157. http://dx.doi.org/10.2214/AJR.05.0562... ^,¹⁴14 Yoshioka K, Niinuma H, Ehara S, Nakajima T, Nakamura M, Kawazoe K. MR angiography and CT angiography of the artery of Adamkiewicz: state of the art. Radiographics. 2006;26(Supl 1):S63-73. http://dx.doi.org/10.1148/rg.26si065506. PMid:17050520. http://dx.doi.org/10.1148/rg.26si065506... , anterior ramus, muscular branch¹⁵15 Takase K, Akasaka J, Sawamura Y, et al. Preoperative MDCT evaluation of the artery of Adamkiewicz and its origin. J Comput Assist Tomogr. 2006;30(5):716-22. http://dx.doi.org/10.1097/01.rct.0000228150.35410.45. PMid:16954917. http://dx.doi.org/10.1097/01.rct.0000228...	Ramo vertebral
Ramo dorsal	dorsal branch¹¹11 Thron AK, Rossberg C. Vascular anatomy of the spinal cord: neuroradiological investigations and clinical syndromes. Springer; 1988., muscular branch¹⁴14 Yoshioka K, Niinuma H, Ehara S, Nakajima T, Nakamura M, Kawazoe K. MR angiography and CT angiography of the artery of Adamkiewicz: state of the art. Radiographics. 2006;26(Supl 1):S63-73. http://dx.doi.org/10.1148/rg.26si065506. PMid:17050520. http://dx.doi.org/10.1148/rg.26si065506... ^,¹⁶16 Yoshioka K, Niinuma H, Ohira A, et al. MR angiography and CT angiography of the artery of Adamkiewicz: noninvasive preoperative assessment of thoracoabdominal aortic aneurysm. Radiographics. 2003;23(5):1215-25. http://dx.doi.org/10.1148/rg.235025031. PMid:12975511. http://dx.doi.org/10.1148/rg.235025031... , branches to erector spinae and intercostal muscle¹⁷17 Etz CD, Kari FA, Mueller CS, et al. The collateral network concept: a reassessment of the anatomy of spinal cord perfusion. J Thorac Cardiovasc Surg. 2011;141(4):1020-8. http://dx.doi.org/10.1016/j.jtcvs.2010.06.023. PMid:21419903. http://dx.doi.org/10.1016/j.jtcvs.2010.0... , dorsal somatic branch¹⁵15 Takase K, Akasaka J, Sawamura Y, et al. Preoperative MDCT evaluation of the artery of Adamkiewicz and its origin. J Comput Assist Tomogr. 2006;30(5):716-22. http://dx.doi.org/10.1097/01.rct.0000228150.35410.45. PMid:16954917. http://dx.doi.org/10.1097/01.rct.0000228...	Ramo dorsal (TA)
Artéria radiculomedular	Dorsal ramus intercostal a.¹²12 Dickman C, Fehlings M, Gokaslan Z. Spinal cord and spinal column tumors: principles and practice. New York: Thieme; 2006., nervomedullary a.⁷7 Melissano G, Civilini E, Bertoglio L, Calliari F, Campos Moraes Amato A, Chiesa R. Angio-CT imaging of the spinal cord vascularisation: a pictorial essay. Eur J Vasc Endovasc Surg. 2010;39(4):436-40. http://dx.doi.org/10.1016/j.ejvs.2009.11.026. PMid:20034815. http://dx.doi.org/10.1016/j.ejvs.2009.11... ^,⁹9 Chiesa R, Melissano G, Bertoglio L, et al. The risk of spinal cord ischemia during thoracic aorta endografting. Acta Chir Belg. 2008;108(5):492-502. PMid:19051455.^,¹¹11 Thron AK, Rossberg C. Vascular anatomy of the spinal cord: neuroradiological investigations and clinical syndromes. Springer; 1988., spinal branch¹¹11 Thron AK, Rossberg C. Vascular anatomy of the spinal cord: neuroradiological investigations and clinical syndromes. Springer; 1988., radicular a.¹²12 Dickman C, Fehlings M, Gokaslan Z. Spinal cord and spinal column tumors: principles and practice. New York: Thieme; 2006., radicular medullary dural a.¹⁸18 Bowen BC, DePrima S, Pattany PM, Marcillo A, Madsen P, Quencer RM. MR angiography of normal intradural vessels of the thoracolumbar spine. AJNR Am J Neuroradiol. 1996;17(3):483-94. PMid:8881243., radiculomedullary a.¹³13 Boll DT, Bulow H, Blackham KA, Aschoff AJ, Schmitz BL. MDCT angiography of the spinal vasculature and the artery of Adamkiewicz. AJR Am J Roentgenol. 2006;187(4):1054-60. http://dx.doi.org/10.2214/AJR.05.0562. PMid:16985157. http://dx.doi.org/10.2214/AJR.05.0562... ^,¹⁴14 Yoshioka K, Niinuma H, Ehara S, Nakajima T, Nakamura M, Kawazoe K. MR angiography and CT angiography of the artery of Adamkiewicz: state of the art. Radiographics. 2006;26(Supl 1):S63-73. http://dx.doi.org/10.1148/rg.26si065506. PMid:17050520. http://dx.doi.org/10.1148/rg.26si065506... ^,¹⁶16 Yoshioka K, Niinuma H, Ohira A, et al. MR angiography and CT angiography of the artery of Adamkiewicz: noninvasive preoperative assessment of thoracoabdominal aortic aneurysm. Radiographics. 2003;23(5):1215-25. http://dx.doi.org/10.1148/rg.235025031. PMid:12975511. http://dx.doi.org/10.1148/rg.235025031... , ramo espinhal¹⁹19 Machado ABM. Neuroanatomia funcional. 2. ed. São Paulo: Atheneu; 2002., posterior ramus	Ramo espinhal (TA)
Ramo anterior da artéria radicular	anterior radicular a.⁹9 Chiesa R, Melissano G, Bertoglio L, et al. The risk of spinal cord ischemia during thoracic aorta endografting. Acta Chir Belg. 2008;108(5):492-502. PMid:19051455.^,¹⁰10 Toole JF, Patel AN. Cerebrovascular disorders. United States of America: McGraw-Hill; 1967.^,²⁰20 Mauney MC, Blackbourne LH, Langenburg SE. Prevention of spinal cord injury after repair of the thoracic or thoracoabdominal aorta. Ann Thorac Surg. 1995;59:245-52., medullary a.¹²12 Dickman C, Fehlings M, Gokaslan Z. Spinal cord and spinal column tumors: principles and practice. New York: Thieme; 2006., anterior medullary a.¹⁸18 Bowen BC, DePrima S, Pattany PM, Marcillo A, Madsen P, Quencer RM. MR angiography of normal intradural vessels of the thoracolumbar spine. AJNR Am J Neuroradiol. 1996;17(3):483-94. PMid:8881243., anterior radiculomedullary aa.¹⁶16 Yoshioka K, Niinuma H, Ohira A, et al. MR angiography and CT angiography of the artery of Adamkiewicz: noninvasive preoperative assessment of thoracoabdominal aortic aneurysm. Radiographics. 2003;23(5):1215-25. http://dx.doi.org/10.1148/rg.235025031. PMid:12975511. http://dx.doi.org/10.1148/rg.235025031... ^,¹⁷17 Etz CD, Kari FA, Mueller CS, et al. The collateral network concept: a reassessment of the anatomy of spinal cord perfusion. J Thorac Cardiovasc Surg. 2011;141(4):1020-8. http://dx.doi.org/10.1016/j.jtcvs.2010.06.023. PMid:21419903. http://dx.doi.org/10.1016/j.jtcvs.2010.0... , a. radicular anterior¹⁹19 Machado ABM. Neuroanatomia funcional. 2. ed. São Paulo: Atheneu; 2002., anterior spinal canal a., segmental a.²¹21 Charles YP, Barbe B, Beaujeux R, Boujan F, Steib JP. Relevance of the anatomical location of the Adamkiewicz artery in spine surgery. Surg Radiol Anat. 2011;33(1):3-9. http://dx.doi.org/10.1007/s00276-010-0654-0. PMid:20589376. http://dx.doi.org/10.1007/s00276-010-065...	Ramo radicular anterior (TA)
Ramo posterior da artéria radicular	posterior radicular a.⁹9 Chiesa R, Melissano G, Bertoglio L, et al. The risk of spinal cord ischemia during thoracic aorta endografting. Acta Chir Belg. 2008;108(5):492-502. PMid:19051455.^,¹⁰10 Toole JF, Patel AN. Cerebrovascular disorders. United States of America: McGraw-Hill; 1967.^,²⁰20 Mauney MC, Blackbourne LH, Langenburg SE. Prevention of spinal cord injury after repair of the thoracic or thoracoabdominal aorta. Ann Thorac Surg. 1995;59:245-52., medullary a.¹²12 Dickman C, Fehlings M, Gokaslan Z. Spinal cord and spinal column tumors: principles and practice. New York: Thieme; 2006., posterior medullary a.¹⁸18 Bowen BC, DePrima S, Pattany PM, Marcillo A, Madsen P, Quencer RM. MR angiography of normal intradural vessels of the thoracolumbar spine. AJNR Am J Neuroradiol. 1996;17(3):483-94. PMid:8881243., posterior radiculomedullary aa.¹⁶16 Yoshioka K, Niinuma H, Ohira A, et al. MR angiography and CT angiography of the artery of Adamkiewicz: noninvasive preoperative assessment of thoracoabdominal aortic aneurysm. Radiographics. 2003;23(5):1215-25. http://dx.doi.org/10.1148/rg.235025031. PMid:12975511. http://dx.doi.org/10.1148/rg.235025031... , a. radicular posterior¹⁹19 Machado ABM. Neuroanatomia funcional. 2. ed. São Paulo: Atheneu; 2002., posterior segmental medullary a.²²22 Manjila S, Haroon N, Parker B, Xavier AR, Guthikonda M, Rengachary SS. Albert Wojciech Adamkiewicz (1850-1921): unsung hero behind the eponymic artery. Neurosurg Focus. 2009;26(1):E2. http://dx.doi.org/10.3171/FOC.2009.26.1.E2. PMid:19119888. http://dx.doi.org/10.3171/FOC.2009.26.1....	Ramo radicular posterior (TA)
Artéria espinhal posterolateral	posterolateral spinal aa.⁹9 Chiesa R, Melissano G, Bertoglio L, et al. The risk of spinal cord ischemia during thoracic aorta endografting. Acta Chir Belg. 2008;108(5):492-502. PMid:19051455.^,¹⁸18 Bowen BC, DePrima S, Pattany PM, Marcillo A, Madsen P, Quencer RM. MR angiography of normal intradural vessels of the thoracolumbar spine. AJNR Am J Neuroradiol. 1996;17(3):483-94. PMid:8881243., posterior spinal aa.¹²12 Dickman C, Fehlings M, Gokaslan Z. Spinal cord and spinal column tumors: principles and practice. New York: Thieme; 2006.^,¹⁶16 Yoshioka K, Niinuma H, Ohira A, et al. MR angiography and CT angiography of the artery of Adamkiewicz: noninvasive preoperative assessment of thoracoabdominal aortic aneurysm. Radiographics. 2003;23(5):1215-25. http://dx.doi.org/10.1148/rg.235025031. PMid:12975511. http://dx.doi.org/10.1148/rg.235025031... , posterior pial arterilar plexus¹⁰10 Toole JF, Patel AN. Cerebrovascular disorders. United States of America: McGraw-Hill; 1967., aa. espinhais posteriores¹⁹19 Machado ABM. Neuroanatomia funcional. 2. ed. São Paulo: Atheneu; 2002.	Artéria espinhal posterolateral
Artéria espinhal anterior	a. spinalis anterior⁵5 Adamkiewicz A. Die blutgefäße des menschlichen rückenmarkes. I theil. Sitzungsber. Kaiserl. Akad. Wiss., Wien, Math.-Naturwiss. Cl. 1881;84(3):469-502.^,⁶6 Adamkiewicz A. Die blutgefässe des menschlichen rückenmarkes. II theil. Sitzungsber. Kaiserl. Akad. Wiss., Wien, Math.-Naturwiss. Cl. 1882;85(2):101-35.; anterior spinal a.¹²12 Dickman C, Fehlings M, Gokaslan Z. Spinal cord and spinal column tumors: principles and practice. New York: Thieme; 2006. 13 Boll DT, Bulow H, Blackham KA, Aschoff AJ, Schmitz BL. MDCT angiography of the spinal vasculature and the artery of Adamkiewicz. AJR Am J Roentgenol. 2006;187(4):1054-60. http://dx.doi.org/10.2214/AJR.05.0562. PMid:16985157. http://dx.doi.org/10.2214/AJR.05.0562... ^-¹⁴14 Yoshioka K, Niinuma H, Ehara S, Nakajima T, Nakamura M, Kawazoe K. MR angiography and CT angiography of the artery of Adamkiewicz: state of the art. Radiographics. 2006;26(Supl 1):S63-73. http://dx.doi.org/10.1148/rg.26si065506. PMid:17050520. http://dx.doi.org/10.1148/rg.26si065506... ^,¹⁸18 Bowen BC, DePrima S, Pattany PM, Marcillo A, Madsen P, Quencer RM. MR angiography of normal intradural vessels of the thoracolumbar spine. AJNR Am J Neuroradiol. 1996;17(3):483-94. PMid:8881243., anterior median spinal a.¹⁰10 Toole JF, Patel AN. Cerebrovascular disorders. United States of America: McGraw-Hill; 1967., anterior long spinal a.	Artéria espinhal anterior (TA)
Artery of Adamkiewicz	a. radicularis magna, great(er) radicular a., anterior great(er) radicular a., lumbar enlargement a., anterior radiculomedullary a., major radicular a., dominant radiculomedullary a., e outros.⁹9 Chiesa R, Melissano G, Bertoglio L, et al. The risk of spinal cord ischemia during thoracic aorta endografting. Acta Chir Belg. 2008;108(5):492-502. PMid:19051455.^,¹¹11 Thron AK, Rossberg C. Vascular anatomy of the spinal cord: neuroradiological investigations and clinical syndromes. Springer; 1988.^,²³23 Cech P, Kachlik D, Liskovec T, Musil V. Frekvence eponym s příjmením adamkiewicz a neeponymních alternativ pro pojmenování hlavní tepny hřbetní míchy v článcích vedených v databázi medline na počátku 21. Století. Plzen Lek Sb. 2009; (S82):149-55.	Artéria de Adamkiewicz^* * Epônimo adotado mediante frequência de uso na literatura23.
Artérias lombares	aa. lumbales	Artérias lombares (TA)
Artérias intercostais	aa. intercostales, intercostal a. ¹³13 Boll DT, Bulow H, Blackham KA, Aschoff AJ, Schmitz BL. MDCT angiography of the spinal vasculature and the artery of Adamkiewicz. AJR Am J Roentgenol. 2006;187(4):1054-60. http://dx.doi.org/10.2214/AJR.05.0562. PMid:16985157. http://dx.doi.org/10.2214/AJR.05.0562...	Artérias intercostais posteriores (TA)
Artérias sulcais	a. sulci⁵5 Adamkiewicz A. Die blutgefäße des menschlichen rückenmarkes. I theil. Sitzungsber. Kaiserl. Akad. Wiss., Wien, Math.-Naturwiss. Cl. 1881;84(3):469-502.^,⁶6 Adamkiewicz A. Die blutgefässe des menschlichen rückenmarkes. II theil. Sitzungsber. Kaiserl. Akad. Wiss., Wien, Math.-Naturwiss. Cl. 1882;85(2):101-35., sulcal a.¹⁰10 Toole JF, Patel AN. Cerebrovascular disorders. United States of America: McGraw-Hill; 1967.^,¹¹11 Thron AK, Rossberg C. Vascular anatomy of the spinal cord: neuroradiological investigations and clinical syndromes. Springer; 1988., aa. sulcais¹⁹19 Machado ABM. Neuroanatomia funcional. 2. ed. São Paulo: Atheneu; 2002., medial medullary branch²²22 Manjila S, Haroon N, Parker B, Xavier AR, Guthikonda M, Rengachary SS. Albert Wojciech Adamkiewicz (1850-1921): unsung hero behind the eponymic artery. Neurosurg Focus. 2009;26(1):E2. http://dx.doi.org/10.3171/FOC.2009.26.1.E2. PMid:19119888. http://dx.doi.org/10.3171/FOC.2009.26.1.... , sulco-commissural a.²¹21 Charles YP, Barbe B, Beaujeux R, Boujan F, Steib JP. Relevance of the anatomical location of the Adamkiewicz artery in spine surgery. Surg Radiol Anat. 2011;33(1):3-9. http://dx.doi.org/10.1007/s00276-010-0654-0. PMid:20589376. http://dx.doi.org/10.1007/s00276-010-065...	Artérias sulcais
Plexo pial	pial plexus¹⁸18 Bowen BC, DePrima S, Pattany PM, Marcillo A, Madsen P, Quencer RM. MR angiography of normal intradural vessels of the thoracolumbar spine. AJNR Am J Neuroradiol. 1996;17(3):483-94. PMid:8881243.	Plexo pial^ Termo não existente na Terminologia Anatômica.

[1] Conflito de interesse: Os autores declararam não haver conflitos de interesse que precisam ser informados.

Brasil

Brasil

Anatomia da circulação medular

Resumo