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Документ Craniotopographic characteristics of sinuous-liquor relationships in mature people(Чорноморський національний університет ім. Петра Могили, 2023) Bondarenko, S. V.; Dubina, S. O.; Serbin, S. I.; Khapchenkova, D. S.; Fedorova, I. O.; Koptev, M. M.; Danylchenko, S. I.; Бондаренко, Станіслав Володимирович; Дубина, Сергій Олександрович; Сербін, Сергій Ігорович; Хапченкова, Дар’я Сергіївна; Федорова, Інна Олегівна; Коптев, Михайло Миколайович; Данильченко, Світлана ІванівнаThe purpose o f the study was to determine the craniotopographic (craniometric) indicators of sinuous- liquor relationships in the horizontal plane in people of the first and second periods of mature age, based on the maximum permissible depth of its introduction. Materials and methods. The object of the study was the dura mater of the brain with its sinuses, the ventricles of the brain and the vault of the skull of mature people. The study was performed on 100 corpses of people of different ages and gender with the manufacturing of native preparations of the brain with membranes and liquor structures. Of the indicated number of morphological objects, 70 preparations of veins and sinuses of the dura mater o f the brain and 30 preparations of the cerebrospinal fluid system of the brain of mature people were made. The study used such research methods as: macro-and micropreparation of anatomical objects of the brain; cranio- and morphometry of veins, sinuses of the dura mater of the brain and liquor structures of the brain; manufacturing o f corrosive (acrylic) casts - preparations of veins, sinuses of the dura mater o f the brain and liquor formations of the brain; injection technique; variational-statistical analysis of morphometric data; computer-graphic analysis. Results and discussion. As a result of the study, it was found that the puncture of the central part of the lateral ventricle is better to be performed at the level o f the bregma point, or between this point and the vertex (v). The puncture needle penetrates to a depth of 6.0-7.0 cm through the milling hole, which is displaced by 3.0-4.0 cm from the arrow line at an angle of 70-75°. The obtained data make it possible to determine the most optimal craniometric puncture points o f the cerebrospinal fluid system of the brain. To penetrate into the cavity of the anterior horn of the lateral ventricle, the metopion point is proposed, which is located at the intersection of the median plane of the head with the line connecting the most convex areas of the frontal humps. The upper puncture of the lateral ventricle is better to be performed by puncturing at the bregma point (the point of connection o f the sagittal and coronal sutures) 2.0 cm from the midline (sagittal plane); the needle is directed down and backwards and at a depth of 5 -6 cm (taking into account that it is enlarged and stretched) it enters the ventricular cavity. The suboccipital puncture or a puncture of the cerebellar-cerebral cistern must be performed between the opisthocranion and lambda points. The puncture needle is inserted to a depth o f 6 .0-7.5 cm, and the end of the needle is gradually lowered to the base of the skull. Conclusion. The most optimal puncture points of the constituent parts of the cerebrospinal fluid system of the brain - the cavity o f the anterior horn and the central part of the lateral ventricle, the cavity of the cerebellar-cerebral cistern - were determined using craniometric analysis.Документ Сraniotopographic features of the transverse sinuses of the dura mater of the brain of the cranial vault of mature people(Івано-Франківський національний медичний університет, 2024) Bondarenko, S. V.; Serbin, S. I.; Dubyna, S. O.; Kalyuzhna, V. V.; Bilash, V. P.; Svintsytsʹka, N. L.; Danylchenko, S. I.; Бондаренко, Станіслав Володимирович; Сербін, Сергій Ігорович; Дубина, Сергій Олександрович; Калюжна, Вікторія Вікторівна; Білаш, Валентина Павлівна; Свінцицька, Наталія Леонідівна; Данильченко, Світлана ІванівнаThe goal of our research is the description of craniotopographic features of the transverse sinuses of the dura mater. The aim and the methods of research. In order to achieve the goal, a set of methods for morphological studies was developed: macro- and micropreparation of anatomical objects of the brain; cranio– the morphometry of veins, sinuses, and the cervian structures of the cephalic brain; preparation of corrosive (acrylic) ulcerative preparations of veins, sinuses of the dura mater and pervoric lesions of the head; injection technique; variational and statistical analysis of morphometric data; computer-graphic analysis. This study was conducted on 70 preparations of veins and sinuses of the dura mater of the brain. Results of the study and their discussion. Considering the above-mentioned facts, we established a craniotopographical projection of the transverse sinuses in relation to generally accepted craniotopographical planes and points. According to the data we have obtained, the venous collectors (transverse sinuses) studied by us have a certain projection analogy on the bones of the cranial vault and the corresponding correlations to the craniometric points, which can be used in medical craniology. In this regard, there is a natural range of individual anatomical variability in the parameters of the dura mater, which are described in people of mature age. The obtained data on the structure, shape, size and position of the venous collectors of the cranial vault (transverse sinuses) can be used in surgical interventions on the cerebrospinal fluid system, including the ventricles and cerebrospinal fluid pathways. Transverse sinuses, located on both sides of the skull in the horizontal plane, are of important practical importance from a neurosurgical point of view. In adults, fully formed right and left transverse sinuses are always noted, which perform an important transport function of carrying venous blood from the drain of the sinuses into the sigmoid sinus and internal jugular veins. The transverse sinuses of the posterolateral surface are adjacent to the inner surface of the parietal and occipital bones, which explains the frequent damage and injury to the collector in variousskull injuries. In addition, these collectors must be taken into account during surgical access to various parts of the brain, including the lateral ventricles. Taking into account the above, it is possible to distinguish different areas of the accumulation of veins that flow into the transverse sinuses. The densest location of tributaries, branches and anastomoses is observed in the initial part of the collectors, near the drainage of the sinuses, due to the surface veins of the occipital lobe and the veins of the cerebellar tent. The second place of accumulation of venous vessels is noted in the area of the transition of the transverse sinuses into the sigmoid sinuses, where the superficial temporal and parietal veins are concentrated. Conclusions. The obtained results not only complement the known facts, but also more deeply reveal the principles of the craniotopographic structure of the transverse sinuses of the dura mater of the cranial vault of people of mature age. On the basis of the actual data obtained, the position is substantiated, according to which a kind of “vascular zone” in the middle part of the transverse sinuses is topographically distinguished, where, in our opinion, it is better to perform surgical interventions in neurosurgical practice.