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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Main Authors: Dragoş Ionuţ Mincă, Mugurel Constantin Rusu, Petrinel Mugurel Rădoi, Sorin Hostiuc, Corneliu Toader
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Tomography
Subjects:
Online Access:https://www.mdpi.com/2379-139X/8/5/183
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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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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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