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Skull base surgery. 1991 January; 1(1): 64–72.
PMCID: PMC1656304

About the Suboccipital Part of the Vertebral Artery and the Neighboring Bone-Joint and Nerve Relationships


Length measurements, nerve-vessel relationships, and vessel relationships to articulations and the dura mater were examined in 65 head and neck halves. The paramedian distance of the vertebral artery (midpoint) is a mean of 15.8 mm on the right, and a mean of 17.3 mm on the left, in the area of the intervertebral symphysis C2-C3 at the transverse foramen of the axis the artery has a paramedian mean distance of 17 mm. After the exit of the artery from the axis four types of loop formations of the axoatlantal part and their occurrences are described. Also, the atlantal part of the artery was studied: the overlapping of the posterior arch of the atlas was 5.14 (0 to 13) mm. The length of the axoatlantal part of the vertebral artery was a mean of 39 mm, and the length of the atlantal part was a mean of 44 mm. Besides the measurements of the outer diameter of the artery, the branches and anastomoses of the V3 segment, nerve-vessel and nerve-joint relationships of the artery, and some veins of the craniocervical junction are described. All findings are discussed in relation to their clinical significance.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Clark K, Perry MO. Carotid vertebral anastomosis: an alternate technic for repair of the subclavian steal syndrome. Ann Surg. 1966 Mar;163(3):414–416. [PubMed]
  • Corkill G, French BN, Michas C, Cobb CA, 3rd, Mims TJ. External carotid-vertebral artery anastomosis for vertebrobasilar insufficiency. Surg Neurol. 1977 Mar;7(3):109–115. [PubMed]
  • Laurian C, George B. Abord de l'artère vertébrale extracrânienne. Etude anatomique--Intérêt chirurgical. Nouv Presse Med. 1979 Feb 3;8(6):433–436. [PubMed]
  • Redtenbacher M, Chouéki A, Firbas W. Surgical anatomy of the upper vertebral artery. Acta Neurochir (Wien) 1988;92(1-4):37–38. [PubMed]
  • Issing PR, Lang J. Weitere Untersuchungen zur klinischen Anatomie der kraniocervicalen Region. Gegenbaurs Morphol Jahrb. 1989;135(3):455–461. [PubMed]
  • Einstein RA, Katz AD. Parotid area swelling caused by a prominent transverse process of atlas. Arch Otolaryngol. 1975 Sep;101(9):558–559. [PubMed]
  • Lang J. Mikroskopische Anatomie der Arterien. Angiologica. 1965;2(4):225–284. [PubMed]
  • Lang J. Feinstruktur der Arterienwand. Verh Dtsch Ges Kreislaufforsch. 1974;40:1–14. [PubMed]
  • KUNERT W. Pathogenese und Klinik der Vertebralisschädigungen; ihre Beziehungen zur Durchblutung und zum Schmerzgeschehen. Med Klin (Munich) 1958 Jun 6;53(23):1004–1008. [PubMed]
  • JEFFERSON G, BAILEY RA, KERR AS. Suboccipital arteriovenous aneurysms of the vertebral artery. J Bone Joint Surg Br. 1956 Feb;38-B(1):114–127. [PubMed]
  • Lang J, Baldauf R. Beitrag zur Gefässversorgung des Rückenmarks. Gegenbaurs Morphol Jahrb. 1983;129(1):57–95. [PubMed]
  • Bogduk N. The clinical anatomy of the cervical dorsal rami. Spine (Phila Pa 1976) 1982 Jul-Aug;7(4):319–330. [PubMed]
  • de Jong PT, de Jong JM, Cohen B, Jongkees LB. Ataxia and nystagmus induced by injection of local anesthetics in the Neck. Ann Neurol. 1977 Mar;1(3):240–246. [PubMed]

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