Document Detail

History of the Vertebral Venous Plexus and the Significant Contributions of Breschet and Batson.
MedLine Citation:
PMID:  21654535     Owner:  NLM     Status:  Publisher    
Prior to the eighteenth century, the vertebral venous plexus (VVP) received scant mention, had no clinical relevance and was largely ignored by anatomists, most likely due to its location and non - distensible nature. Gilbert Breschet in 1819 provided the first detailed anatomical description of the VVP, describing it as a large plexiform valveless network of vertebral veins consisting of three interconnecting divisions, spanning the entire spinal column with connections to the cranial dural sinuses, distributed in a longitudinal pattern, running parallel to and communicating with the vena cavae, and had multiple interconnections. More than a century was to pass before any work of significance was again noted on the VVP. In 1940, Oscar V. Batson reported the true functionality of the VVP by proving the continuity of the prostatic venous plexus with the VVP and proposed this route as the most plausible explanation for the distribution of prostate metastatic disease. With his seminal work, Batson reclassified the human venous system to consist of the caval, pulmonary, portal and vertebral divisions. Further advances in imaging technology went on to confirm Batson's results. Today the VVP is part of the cerebrospinal venous system (CSVS), which is regarded as a unique, large-capacitance, valveless plexiform venous network in which flow is bidirectional and plays an important role in the regulation of intracranial pressure with changes in posture, and in venous outflow from the brain while in disease states provides a potential route for the spread of tumor, infection, or emboli.
Narendra Nathoo; Elizabeth C Caris; Judith A Wiener; Ehud Mendel
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-07
Journal Detail:
Title:  Neurosurgery     Volume:  -     ISSN:  1524-4040     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-6-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
1 Department of Neurological Surgery and 2Prior Health Sciences Library and Center for Knowledge Management, The Ohio State University Medical Center, Columbus, OH, USA.
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