A New Classification of the Anatomical Variations of Labbé’s Inferior Anastomotic Vein
(1) Background: The inferior anastomotic vein of Labbé (LV) courses on the temporal lobe, from the sylvian fissure towards the tentorium cerebelli and finishes at the transverse sinus (TS). The importance of the LV topography is related to skull base neurosurgical approaches. Based on the hypothesis...
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MDPI AG
2022-08-01
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author | Dragoş Ionuţ Mincă Mugurel Constantin Rusu Petrinel Mugurel Rădoi Sorin Hostiuc Corneliu Toader |
author_facet | Dragoş Ionuţ Mincă Mugurel Constantin Rusu Petrinel Mugurel Rădoi Sorin Hostiuc Corneliu Toader |
author_sort | Dragoş Ionuţ Mincă |
collection | DOAJ |
description | (1) Background: The inferior anastomotic vein of Labbé (LV) courses on the temporal lobe, from the sylvian fissure towards the tentorium cerebelli and finishes at the transverse sinus (TS). The importance of the LV topography is related to skull base neurosurgical approaches. Based on the hypothesis of the existence of as yet unidentified anatomical possibilities of the LV, we aimed through this research to document the superficial venous topographic patterns at the lateral and inferior surfaces of the temporal lobe. (2) Methods: A retrospective cohort of 50 computed tomography angiograms (CTAs) of 32 males and 18 females was documented. (3) Results: Absent (type 0) LVs were found in 6% of cases. Anterior (temporal, squamosal–petrosal–mastoid, type 1) LVs were found in 12% of cases. LVs with a posterior, temporoparietal course (type 2) were found to be bilateral in 46% of cases and unilateral in 36% of cases. Type 3 LVs (posterior, parietooccipital) were found to be bilateral in 8% and unilateral in 32% of cases. In 24% of cases, duplicate LVs were found that were either complete or incomplete. A quadruplicate LV was found in a male case. On 78 sides, the LV drained either into a tentorial sinus or into the TS. (4) Conclusions: The anatomy of the vein of Labbé is variable in terms of its course, the number of veins and the modality of drainage; thus, it should determine personalized neurosurgical and interventional approaches. A new classification of the anatomical variations of Labbé’s vein, as detected on the CTAs, is proposed here (types 0–3). |
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series | Tomography |
spelling | doaj.art-852507f22fa24c70a5139bc01ec6895a2023-11-24T02:56:10ZengMDPI AGTomography2379-13812379-139X2022-08-01852182219210.3390/tomography8050183A New Classification of the Anatomical Variations of Labbé’s Inferior Anastomotic VeinDragoş Ionuţ Mincă0Mugurel Constantin Rusu1Petrinel Mugurel Rădoi2Sorin Hostiuc3Corneliu Toader4Division of Anatomy, Department 1, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, RO-020021 Bucharest, RomaniaDivision of Anatomy, Department 1, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, RO-020021 Bucharest, RomaniaDivision of Neurosurgery, Department 6—Clinical Neurosciences, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, RO-020021 Bucharest, RomaniaDepartment of Legal Medicine and Bioethics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, RO-020021 Bucharest, RomaniaDivision of Neurosurgery, Department 6—Clinical Neurosciences, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, RO-020021 Bucharest, Romania(1) Background: The inferior anastomotic vein of Labbé (LV) courses on the temporal lobe, from the sylvian fissure towards the tentorium cerebelli and finishes at the transverse sinus (TS). The importance of the LV topography is related to skull base neurosurgical approaches. Based on the hypothesis of the existence of as yet unidentified anatomical possibilities of the LV, we aimed through this research to document the superficial venous topographic patterns at the lateral and inferior surfaces of the temporal lobe. (2) Methods: A retrospective cohort of 50 computed tomography angiograms (CTAs) of 32 males and 18 females was documented. (3) Results: Absent (type 0) LVs were found in 6% of cases. Anterior (temporal, squamosal–petrosal–mastoid, type 1) LVs were found in 12% of cases. LVs with a posterior, temporoparietal course (type 2) were found to be bilateral in 46% of cases and unilateral in 36% of cases. Type 3 LVs (posterior, parietooccipital) were found to be bilateral in 8% and unilateral in 32% of cases. In 24% of cases, duplicate LVs were found that were either complete or incomplete. A quadruplicate LV was found in a male case. On 78 sides, the LV drained either into a tentorial sinus or into the TS. (4) Conclusions: The anatomy of the vein of Labbé is variable in terms of its course, the number of veins and the modality of drainage; thus, it should determine personalized neurosurgical and interventional approaches. A new classification of the anatomical variations of Labbé’s vein, as detected on the CTAs, is proposed here (types 0–3).https://www.mdpi.com/2379-139X/8/5/183vein of Labbécerebral veintentorium cerebellitentorial sinussuperficial middle cerebral veincomputed tomography |
spellingShingle | Dragoş Ionuţ Mincă Mugurel Constantin Rusu Petrinel Mugurel Rădoi Sorin Hostiuc Corneliu Toader A New Classification of the Anatomical Variations of Labbé’s Inferior Anastomotic Vein Tomography vein of Labbé cerebral vein tentorium cerebelli tentorial sinus superficial middle cerebral vein computed tomography |
title | A New Classification of the Anatomical Variations of Labbé’s Inferior Anastomotic Vein |
title_full | A New Classification of the Anatomical Variations of Labbé’s Inferior Anastomotic Vein |
title_fullStr | A New Classification of the Anatomical Variations of Labbé’s Inferior Anastomotic Vein |
title_full_unstemmed | A New Classification of the Anatomical Variations of Labbé’s Inferior Anastomotic Vein |
title_short | A New Classification of the Anatomical Variations of Labbé’s Inferior Anastomotic Vein |
title_sort | new classification of the anatomical variations of labbe s inferior anastomotic vein |
topic | vein of Labbé cerebral vein tentorium cerebelli tentorial sinus superficial middle cerebral vein computed tomography |
url | https://www.mdpi.com/2379-139X/8/5/183 |
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