Spatial Aspect of the Mouse Orbital Venous Sinus Materials
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Imaging Options in Retinal Vein Occlusion Management of This Condition Should Take Direction from Clinical Trial Results
Imaging Options in Retinal Vein Occlusion Management of this condition should take direction from clinical trial results. BY NIDHI RELHAN, MD; WILLIAM E. SMIDDY, MD; AND DELIA CABRERA DEBUC, PHD etinal vein occlusion (RVO) is the Objectively assessing RVO severity Laser Photocoagulation second leading cause of retinal and determining prognosis of the The Branch Vein Occlusion Study vascular disease, with reported condition depend on imaging stud- (BVOS) recommended focal laser pho- cumulative annual incidence of ies. All clinical trials in RVO have tocoagulation for BRVO causing visual 1.8% for branch RVO (BRVO) and relied heavily on various imaging acuity of 20/40 or worse and macular R0.5% for central RVO (CRVO),1,2 and modalities to standardize eligibil- edema.13,14 Evidence of center-involving bilateral or subsequent incidences of ity and treatment monitoring. This macular edema on fluorescein angiogra- 6.4% and 0.9%, respectively.1,3,4 article reviews the use of some phy (FA) was the critical entry criterion. The postulated mechanism of action established imaging modalities in Separately, scatter photocoagulation involves impingement of venules at these important clinical trials and to the involved segment was found to the shared adventitial sheath by cross- looks ahead at some promising new prevent occurrence of vitreous hemor- ing arterioles leading to turbulence, imaging technologies. rhage if neovascularization developed. stasis, thrombosis, and occlusion.5,6 The Central Vein Occlusion Study Response to anti-VEGF and antiinflam- ESTABLISHED TREATMENT OPTIONS (CVOS) reported that panretinal matory agents has empirically dem- Management of RVO with laser photocoagulation reduced visual onstrated that inflammatory factors photocoagulation, anti-VEGF agents, loss when 2 or more clock hours of play a more important role in RVO and corticosteroids has been well iris neovascularization or more than than previously presumed, beyond established (Tables 1 and 2).13-29 10 disc areas of capillary nonperfusion the obvious ischemia. -
Gross Anatomy Assignment Name: Olorunfemi Peace Toluwalase Matric No: 17/Mhs01/257 Dept: Mbbs Course: Gross Anatomy of Head and Neck
GROSS ANATOMY ASSIGNMENT NAME: OLORUNFEMI PEACE TOLUWALASE MATRIC NO: 17/MHS01/257 DEPT: MBBS COURSE: GROSS ANATOMY OF HEAD AND NECK QUESTION 1 Write an essay on the carvernous sinus. The cavernous sinuses are one of several drainage pathways for the brain that sits in the middle. In addition to receiving venous drainage from the brain, it also receives tributaries from parts of the face. STRUCTURE ➢ The cavernous sinuses are 1 cm wide cavities that extend a distance of 2 cm from the most posterior aspect of the orbit to the petrous part of the temporal bone. ➢ They are bilaterally paired collections of venous plexuses that sit on either side of the sphenoid bone. ➢ Although they are not truly trabeculated cavities like the corpora cavernosa of the penis, the numerous plexuses, however, give the cavities their characteristic sponge-like appearance. ➢ The cavernous sinus is roofed by an inner layer of dura matter that continues with the diaphragma sellae that covers the superior part of the pituitary gland. The roof of the sinus also has several other attachments. ➢ Anteriorly, it attaches to the anterior and middle clinoid processes, posteriorly it attaches to the tentorium (at its attachment to the posterior clinoid process). Part of the periosteum of the greater wing of the sphenoid bone forms the floor of the sinus. ➢ The body of the sphenoid acts as the medial wall of the sinus while the lateral wall is formed from the visceral part of the dura mater. CONTENTS The cavernous sinus contains the internal carotid artery and several cranial nerves. Abducens nerve (CN VI) traverses the sinus lateral to the internal carotid artery. -
CHAPTER 8 Face, Scalp, Skull, Cranial Cavity, and Orbit
228 CHAPTER 8 Face, Scalp, Skull, Cranial Cavity, and Orbit MUSCLES OF FACIAL EXPRESSION Dural Venous Sinuses Not in the Subendocranial Occipitofrontalis Space More About the Epicranial Aponeurosis and the Cerebral Veins Subcutaneous Layer of the Scalp Emissary Veins Orbicularis Oculi CLINICAL SIGNIFICANCE OF EMISSARY VEINS Zygomaticus Major CAVERNOUS SINUS THROMBOSIS Orbicularis Oris Cranial Arachnoid and Pia Mentalis Vertebral Artery Within the Cranial Cavity Buccinator Internal Carotid Artery Within the Cranial Cavity Platysma Circle of Willis The Absence of Veins Accompanying the PAROTID GLAND Intracranial Parts of the Vertebral and Internal Carotid Arteries FACIAL ARTERY THE INTRACRANIAL PORTION OF THE TRANSVERSE FACIAL ARTERY TRIGEMINAL NERVE ( C.N. V) AND FACIAL VEIN MECKEL’S CAVE (CAVUM TRIGEMINALE) FACIAL NERVE ORBITAL CAVITY AND EYE EYELIDS Bony Orbit Conjunctival Sac Extraocular Fat and Fascia Eyelashes Anulus Tendineus and Compartmentalization of The Fibrous "Skeleton" of an Eyelid -- Composed the Superior Orbital Fissure of a Tarsus and an Orbital Septum Periorbita THE SKULL Muscles of the Oculomotor, Trochlear, and Development of the Neurocranium Abducens Somitomeres Cartilaginous Portion of the Neurocranium--the The Lateral, Superior, Inferior, and Medial Recti Cranial Base of the Eye Membranous Portion of the Neurocranium--Sides Superior Oblique and Top of the Braincase Levator Palpebrae Superioris SUTURAL FUSION, BOTH NORMAL AND OTHERWISE Inferior Oblique Development of the Face Actions and Functions of Extraocular Muscles Growth of Two Special Skull Structures--the Levator Palpebrae Superioris Mastoid Process and the Tympanic Bone Movements of the Eyeball Functions of the Recti and Obliques TEETH Ophthalmic Artery Ophthalmic Veins CRANIAL CAVITY Oculomotor Nerve – C.N. III Posterior Cranial Fossa CLINICAL CONSIDERATIONS Middle Cranial Fossa Trochlear Nerve – C.N. -
Ultrasound Enhanced Thrombolysis in Experimental Retinal Vein Occlusion in the Rabbit
1438 Br J Ophthalmol 1998;82:1438–1440 Ultrasound enhanced thrombolysis in experimental retinal vein occlusion in the rabbit Jörgen Larsson, Jonas Carlson, S Bertil Olsson Abstract such as myocardial infarction, which is life Aims—To investigate if it was possible to threatening, this incidence of haemorrhage is lower the dose of streptokinase and main- acceptable, but in a patient with a retinal vein tain an eVective thrombolysis by adding occlusion it is hard to accept life threatening pulsed low energy ultrasound. side eVects. Methods—53 retinal veins in 27 rabbits Dye enhanced photothrombosis is a method were occluded by rose bengal enhanced where a dye that absorbs maximally at a laser treatment. Six rabbits were treated specific wavelength is injected intravenously with streptokinase (50 000 IU/kg), 10 rab- immediately before laser treatment in order to bits were treated with a low dose of strep- enhance the absorption of the laser light and tokinase (25 000 IU/kg), and 11 rabbits thus making it possible to use less laser energy. were treated with a low dose of streptoki- This method easily produces thrombi in the nase (25 000 IU/kg) and pulsed ultrasound vessels.18–20 during 1 hour. Fluorescein angiography Based on earlier in vitro experiences21 22 we was performed immediately before the wanted to investigate whether it was possible to thrombolytic treatment and after 12 lower the dose of streptokinase by adding hours. pulsed low energy ultrasound towards a Results—In the group treated with strep- thrombus in the eye. We investigated this in a tokinase (50 000 IU/kg) all vessels were model of experimental retinal vein occlusion in open. -
Morphology and Fracture Effects of the Hamulus Pterygoid: a Literature Review of the Last 49 Years
Latin American Journal of Development, Curitiba, v. 3, n. 1, p. 475-487, jan./feb. 2021. ISSN 2674-9297 Morphology and fracture effects of the hamulus pterygoid: a literature review of the last 49 years Morfología y efectos de fractura del hamulus pterygoid: una revisión de la literatura de los últimos 49 años DOI: 10.46814/lajdv3n1-041 Recebimento dos originais: 30/10/2020 Aceitação para publicação: 23/12/2020 Polyanne Junqueira Silva Andresen Strini PhD, Federal University of Uberlândia - UFU, Uberlândia, MG, Brazil Address: Rio Preto Street, 178, Lídice, Uberlândia - MG Paulinne Junqueira Silva Andresen Strini PhD, Federal University of Uberlândia - UFU, Uberlândia, MG, Brazil Address: Rio Preto Street, 178, Lídice, Uberlândia - MG ABSTRACT The hamulus pterygoid consists in a relevant anatomical structure, important for fixation of several tendons and muscles, keeping the integrity of soft palate and pharynx. A literature review was conducted in order to investigate the morphology and effect of hamulus pterygoid fracture in clinical manifestation and its relationships with other orofacial components. A literature search was conducted, using Pubmed and Bireme data bases, and covering the time period 1970 to 2019. The Key words for the research were hamulus pterygoid, pterygoid fracture and hamulus pterygoid fracture, resulting in 440 articles, being 41 initials selected. Among them, just 31 were included in the analysis and 08 of the articles were not available through our library system or were in volumes before our holdings began. The remaining were excluded when they weren’t in English idiom, or when didn’t talk about morphological, functional or damages in the hamulus pterygoid. -
Vessels and Circulation
CARDIOVASCULAR SYSTEM OUTLINE 23.1 Anatomy of Blood Vessels 684 23.1a Blood Vessel Tunics 684 23.1b Arteries 685 23.1c Capillaries 688 23 23.1d Veins 689 23.2 Blood Pressure 691 23.3 Systemic Circulation 692 Vessels and 23.3a General Arterial Flow Out of the Heart 693 23.3b General Venous Return to the Heart 693 23.3c Blood Flow Through the Head and Neck 693 23.3d Blood Flow Through the Thoracic and Abdominal Walls 697 23.3e Blood Flow Through the Thoracic Organs 700 Circulation 23.3f Blood Flow Through the Gastrointestinal Tract 701 23.3g Blood Flow Through the Posterior Abdominal Organs, Pelvis, and Perineum 705 23.3h Blood Flow Through the Upper Limb 705 23.3i Blood Flow Through the Lower Limb 709 23.4 Pulmonary Circulation 712 23.5 Review of Heart, Systemic, and Pulmonary Circulation 714 23.6 Aging and the Cardiovascular System 715 23.7 Blood Vessel Development 716 23.7a Artery Development 716 23.7b Vein Development 717 23.7c Comparison of Fetal and Postnatal Circulation 718 MODULE 9: CARDIOVASCULAR SYSTEM mck78097_ch23_683-723.indd 683 2/14/11 4:31 PM 684 Chapter Twenty-Three Vessels and Circulation lood vessels are analogous to highways—they are an efficient larger as they merge and come closer to the heart. The site where B mode of transport for oxygen, carbon dioxide, nutrients, hor- two or more arteries (or two or more veins) converge to supply the mones, and waste products to and from body tissues. The heart is same body region is called an anastomosis (ă-nas ′tō -mō′ sis; pl., the mechanical pump that propels the blood through the vessels. -
Download PDF Correlations Between Anomalies of Jugular Veins And
Romanian Journal of Morphology and Embryology 2006, 47(3):287–290 ORIGINAL PAPER Correlations between anomalies of jugular veins and areas of vascular drainage of head and neck MONICA-ADRIANA VAIDA, V. NICULESCU, A. MOTOC, S. BOLINTINEANU, IZABELLA SARGAN, M. C. NICULESCU Department of Anatomy and Embryology “Victor Babeş” University of Medicine and Pharmacy, Timişoara Abstract The study conducted on 60 human cadavers preserved in formalin, in the Anatomy Laboratory of the “Victor Babes” University of Medicine and Pharmacy Timisoara, during 2000–2006, observed the internal and external jugular veins from the point of view of their origin, course and affluents. The morphological variability of the jugular veins (external jugular that receives as affluents the facial and lingual veins and drains into the internal jugular, draining the latter’s territory – 3.33%; internal jugular that receives the lingual, upper thyroid and facial veins, independent – 13.33%, via the linguofacial trunk – 50%, and via thyrolinguofacial trunk – 33.33%) made possible the correlation of these anomalies with disorders in the ontogenetic development of the veins of the neck. Knowing the variants of origin, course and drainage area of jugular veins is important not only for the anatomist but also for the surgeon operating at this level. Keywords: internal jugular vein, external jugular vein, drainage areas. Introduction The ventral pharyngeal vein that receives the tributaries of the face and tongue becomes the Literature contains several descriptions of variations linguofacial vein. With the development of the face, the in the venous drainage of the neck [1–4]. primitive maxillary vein expands its drainage territories The external jugular drains the superficial areas of to those innervated by the ophtalmic and mandibular the head, the deep areas of the face and the superficial branches of the trigeminal nerve, and it anastomoses layers of the posterior and lateral parts of the neck. -
The Bowman Lecture Papilloedema
THE BOWMAN LECTURE PAPILLOEDEMA: 'THE PENDULUM OF PROGRESS' M. D. SANDERS London I. HISTORICAL BACKGROUND appreCiatIOn a gift in the form of a compound One year after the Battle of Waterloo, William microscope. This may have been one of the crucial Bowman was born into a world entering a period of events in his life, for though the compound micro dramatic change. The new age of science would see scope was developed in the previous century, the transport and communication revolutionised and the chromatic aberration was only overcome in 1830 by purpose of human existence shaken by Darwin's Lord Lister's father, just before the gift was made to thoughts on natural selection. Surgery would benefit Bowman. from the techniques of antisepsis and the first Thus in 1837 Queen Victoria ascended the throne, anaesthetic would be administered. In ophthalmol and William Bowman aged 21 entered the portals of King's College in London's Strand fully equipped to ogy the description of glaucoma and the invention of contribute to the explosion in knowledge that was the ophthalmoscope would enable the specialty to about to erupt. Todd, the new Professor of Physiol survive in its own right, with the inception of its own ogy at King's, was using his phenomenal enthusiasm society. to compile two massive books on the anatomy and Bowman's introduction to medicine probably physiology of the whole body. resulted from an initial injury inflicted to his ha.nd Bowman described the voluntary and involuntary whilst experimenting with gunpowder as a boy.1 He muscles4 and their actions without formal methods of consulted the Birmingham Surgeon Joseph Hodgson fixing or staining specimens, and no microtome. -
Vascular Supply to the Head and Neck
Vascular supply to the head and neck Sumamry This lesson covers the head and neck vascular supply. ReviseDental would like to thank @KIKISDENTALSERVICE for the wonderful drawings in this lesson. Arterial supply to the head Facial artery: Origin: External carotid Branches: submental a. superior and inferior labial a. lateral nasal a. angular a. Note: passes superiorly over the body of there mandible at the masseter Superficial temporal artery: Origin: External carotid Branches: It is a continuation of the ex carotid a. Note: terminal branch of the ex carotid a. and is in close relation to the auricular temporal nerve Transverse facial artery: Origin: Superficial temporal a. Note: exits the parotid gland Maxillary branch: supplies the areas missed from the above vasculature Origin: External carotid a. Branches: (to the face) infraorbital, buccal and inferior alveolar a.- mental a. Note: Terminal branch of the ex carotid a. The ophthalmic branches Origin: Internal carotid a. Branches: Supratrochlear, supraorbital, lacrimal, anterior ethmoid, dorsal nasal Note:ReviseDental.com enters orbit via the optic foramen Note: The face arterial supply anastomose freely. ReviseDental.com ReviseDental.com Venous drainage of the head Note: follow a similar pathway to the arteries Superficial vessels can communicate with deep structures e.g. cavernous sinus and the pterygoid plexus. (note: relevant for spread of infection) Head venous vessels don't have valves Supratrochlear vein Origin: forehead and communicates with the superficial temporal v. Connects: joins with supra-orbital v. Note: from the angular vein Supra-orbital vein Origin: forehead and communicates with the superficial temporal v. Connects: joins with supratrochlear v. -
Diagnosis and Management of Central Retinal Vein Occlusion
RETINA OPHTHALMIC PEARLS Diagnosis and Management of Central Retinal Vein Occlusion etinal vein occlusion (RVO) has Ocular conditions. Open-angle glau- 1 a prevalence of 0.5%, making coma is a major ocular risk factor for Rit the second most-common CRVO. retinal vascular disorder after diabetic In addition, individuals with CRVO retinopathy.1 RVO is classified accord- in 1 eye are at higher risk of developing ing to the anatomic level of the occlu- CRVO in the fellow eye.2 In the Central sion, with 3 major distinct entities: Vein Occlusion Study (CVOS), 4% of • Central retinal vein occlusion patients presented with bilateral CRVO (CRVO): occlusion of the central reti- at study enrollment, and a further 5% nal vein at the level of, or posterior to, had evidence of previous CRVO in the the lamina cribrosa (Fig. 1) fellow eye at baseline. In the remaining • Hemiretinal vein occlusion (HRVO): subjects, 1.4% developed CRVO in the occlusion at the disc, involving either fellow eye during 3 years of follow-up. ACUTE CRVO. Classic “blood and thun- the superior or inferior hemiretina Other ocular risk factors include der” fundus appearance of a patient • Branch retinal vein occlusion retrobulbar external compression of the presenting acutely with central retinal (BRVO): occlusion of a tributary vein, central retinal vein, as occurs in thyroid vein occlusion of the right eye. typically at the site of an arteriovenous orbitopathy, or compression by intra- crossing; thought to be caused by com- orbital space-occupying lesions. may be absent. In subacute or late pression from an overlying atheroscle- presentations in which disc swelling rotic arteriole Clinical Presentation has resolved (with or without collateral This article will focus on diagnosis Patients with CRVO typically present vessel formation), the flame-shaped and management of the first entity, with a history of unilateral acute, pain- hemorrhages clear first, leaving deeper CRVO. -
Venous Arrangement of the Head and Neck in Humans – Anatomic Variability and Its Clinical Inferences
Original article http://dx.doi.org/10.4322/jms.093815 Venous arrangement of the head and neck in humans – anatomic variability and its clinical inferences SILVA, M. R. M. A.1*, HENRIQUES, J. G. B.1, SILVA, J. H.1, CAMARGOS, V. R.2 and MOREIRA, P. R.1 1Department of Morphology, Institute of Biological Sciences, Universidade Federal de Minas Gerais – UFMG, Av. Antonio Carlos, 6627, CEP 31920-000, Belo Horizonte, MG, Brazil 2Centro Universitário de Belo Horizonte – UniBH, Rua Diamantina, 567, Lagoinha, CEP 31110-320, Belo Horizonte, MG, Brazil *E-mail: [email protected] Abstract Introduction: The knowledge of morphological variations of the veins of the head and neck is essential for health professionals, both for diagnostic procedures as for clinical and surgical planning. This study described changes in the following structures: retromandibular vein and its divisions, including the relationship with the facial nerve, facial vein, common facial vein and jugular veins. Material and Methods: The variations of the veins were analyzed in three heads, five hemi-heads (right side) and two hemi-heads (left side) of unknown age and sex. Results: The changes only on the right side of the face were: union between the superficial temporal and maxillary veins at a lower level; absence of the common facial vein and facial vein draining into the external jugular vein. While on the left, only, it was noted: posterior division of retromandibular, after unite with the common facial vein, led to the internal jugular vein; union between the posterior auricular and common facial veins to form the external jugular and union between posterior auricular and common facial veins to terminate into internal jugular. -
Anatomy and Physiology of the Afferent Visual System
Handbook of Clinical Neurology, Vol. 102 (3rd series) Neuro-ophthalmology C. Kennard and R.J. Leigh, Editors # 2011 Elsevier B.V. All rights reserved Chapter 1 Anatomy and physiology of the afferent visual system SASHANK PRASAD 1* AND STEVEN L. GALETTA 2 1Division of Neuro-ophthalmology, Department of Neurology, Brigham and Womens Hospital, Harvard Medical School, Boston, MA, USA 2Neuro-ophthalmology Division, Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA INTRODUCTION light without distortion (Maurice, 1970). The tear–air interface and cornea contribute more to the focusing Visual processing poses an enormous computational of light than the lens does; unlike the lens, however, the challenge for the brain, which has evolved highly focusing power of the cornea is fixed. The ciliary mus- organized and efficient neural systems to meet these cles dynamically adjust the shape of the lens in order demands. In primates, approximately 55% of the cortex to focus light optimally from varying distances upon is specialized for visual processing (compared to 3% for the retina (accommodation). The total amount of light auditory processing and 11% for somatosensory pro- reaching the retina is controlled by regulation of the cessing) (Felleman and Van Essen, 1991). Over the past pupil aperture. Ultimately, the visual image becomes several decades there has been an explosion in scientific projected upside-down and backwards on to the retina understanding of these complex pathways and net- (Fishman, 1973). works. Detailed knowledge of the anatomy of the visual The majority of the blood supply to structures of the system, in combination with skilled examination, allows eye arrives via the ophthalmic artery, which is the first precise localization of neuropathological processes.