Neuroanatomy of the brachial plexus: Normal and variant anatomy of its formation

Surgical and Radiologic Anatomy

Volumn 32, Issue 3, 2010, Pages 291-297

  Johnson, Elizabeth O ^d   Vekris, Marios ^a   Demesticha, Theano ^b   Soucacos, Panayotis N ^c  

^a UNIVERSITY OF IOANNINA   (Greece)

^b METROPOLITAN HOSPITAL   (Greece)

^c UNIVERSITY OF ATHENS MEDICAL SCHOOL   (Greece)

^d NONE

Author keywords

Anatomical variations; Brachial plexus; Microanatomy; Neural architecture; Spinal nerve

Indexed keywords

ANATOMICAL VARIATION; ARM; ARTICLE; AXILLA; BRACHIAL PLEXUS; CLINICAL PRACTICE; HUMAN; MOTOR NERVE; NECK; NEUROANATOMY; PRIORITY JOURNAL; SENSORY NERVE; SPINAL NERVE; SYMPATHETIC NERVE; VENTRAL RAMUS; CONGENITAL MALFORMATION; HISTOLOGY; INNERVATION; METHODOLOGY; REVIEW; SPINAL ROOT;

BRACHIAL PLEXUS; HUMANS; NEUROANATOMY; SPINAL NERVE ROOTS; UPPER EXTREMITY;

EID: 77953934203     PISSN: 09301038     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00276-010-0646-0     Document Type: Article

References (54)

1. Abrams MS, Panzer O, Atchabahian A, Horn JL, Brown A (2008) Case report: limitation of local anesthetic spread during ultrasound- guided interscalene block. Description of an anatomic variant with clinical correlation. Reg Anesth Pain Med 33:357-359
2. Apan A, Baydar P, Yylmaz S, Uz A, Tekdemir I, Guney S, Elhan A (2001) Surface landmarks of brachial plexus: ultrasound and magnetic resonance imaging for supraclavicular approach with anatomical correlation. Eur J Ultrasound 13:191-196
3. Bergman RA, Thompson SA, AWW AK (1988) Compendium of human anatomic variation. Urban and Schwarzenberg, Baltimore
4. Berthold CH, Carlstedt T (1977) Observations on the morphology at the transition between the peripheral and the central nervous system in the cat. Acta Physiol Scand Suppl 446:43-60
5. Bigeleisen PE (2004) The bifid axillary artery. J Clin Anesth 16:224-225
6. Bonnel F (1984) Microscopic anatomy of the adult human brachial plexus: an anatomical and histological basis for microsurgery. Microsurgery 5:107-118
7. Boyer P, Buchheit F, Thiebaut JB, Arrouf L, Al Rihaoui S (1981) Anatomy of intradural anastomoses between cervical nerve roots. Neurochirurgie 27:191-196
8. Carpenter MB, Sutin J (1983) Human neuroanatomy. Williams & Wilkins, Baltimore
9. Carlstedt T (1981) An electron microscopical study of the developing transitional region in feline S1 dorsal rootlets. J Neurol Sci 50:357-372
10. Cornish PG, Leaper C (2006) The sheath of the brachial plexus. Anesthesiology 105:563-565
11. Delaunay L, Jochum D (2004) Anatomy of the brachial plexus. In: Chelly JE (ed) Peripheral nerve blocks: a color atlas, 2nd edn. Lippincott Williams and Wilkins, Philadelphia, pp 28-38
12. Demondion X, Herbinet P, Boutry N, Fontaine C, Francke J, Cotten A (2003) Sonographic mapping of the normal brachial plexus. Am J Neuroradiol 24:1303-1309
13. Dykes RW, Terzis JK (1981) Spinal nerve distributions in the upper limb: the organization of the dermatome and aVerent myotome. Phil Trans R Soc Lond Ser B 293:509-554
14. Fabricius S, Berthold CH, Rydmark M (1994) Dimensions of individual alpha and gamma motor Wbers in the ventral funiculus of the cat spinal cord. J Anat 184:319-333
15. Fraher JP (1992) The CNS-PNS transitional zone of the rat. Morphometric studies at cranial and spinal levels. Prog Neurobiol 38:261-316
16. Fraher JP (2000) The transitional zone and CNS regeneration. J Anat 196:137-158
17. Harry WG, Bennett JDC, Guha SC (1997) Scalene muscles and the brachial plexus. Clin Anat 10:250-252
18. Herzberg G, Narakas A, Comtet JJ (1996) Surgical approach of the brachial plexus roots. In: Alnot JY, Narakas A (eds) Traumatic brachial plexus injuries. Expansion Scientifique Francaise, Paris, pp 19-22
19. Johnson EO, Vekris MD, Zoubos AB, Soucacos PN (2006) Neuroanatomy of the brachial plexus: the missing link in the continuity between the central and peripheral nervous systems. Microsurgery 26:218-229
20. Kerr AT (1918) The brachial plexus of nerves in man, the variations in its formation and branches. Am J Anat 23:285-395
21. Kessler J, Gray AT (2007) Sonography of scalene muscle anomalies for brachial plexus block. Reg Anesth Pain Med 32:172-173
22. Kessler J, Gray AT (2007) Course of the spinal accessory nerve relative to the brachial plexus. Reg Anesth Pain Med 32:174-176
23. Kutiyanawala MA, Stotter A, Windle R (1998) Anatomical variants during axillary dissection. Br J Surg 85:393-394
24. Loeb GE (1976) Ventral root projections of myelinated dorsal root ganglion cells in the cat. Brain Res 106:159-165
25. Loukas M, Louis RG Jr, Wartman CT (2007) T2 contributions to the brachial plexus. Neurosurg 60:S13-S18
26. Marzo JM, Simmons EH, Kallen F (1987) Intradural connections between adjacent cervical spinal roots. Spine 12:964-968
27. Matejcik V (2005) Variations of nerve roots of the brachial plexus. Bratisl Lek Listy 106:34-36
28. Neal JM, Hebl JR, Gerancher JC, Hogan Q (2002) Brachial plexus anesthesia: essentials of our current understanding. Reg Anesth Pain Med 27:402-428
29. Nilsson I, Berthold Ch (1988) Axon classes and internodal growth in the ventral spinal root L7 of adult and developing cat. J Anat 156:71-96
30. Orebaugh SL, Williams BA (2009) Brachial plexus anatomy: normal and variant. Scientific World J 9:300-312
31. Pallie W (1959) The intersegmental anastomoses of posterior spinal rootlets and their significance. J Neurosurg 16:188-196
32. Pallie W, Manuel JK (1968) Intersegmental anastomoses between dorsal spinal rootlets in some vertebrates. Acta Anat (Basel) 70:341-351
33. Perneczky A, Sunder-Plassmann M (1980) Intradural variant of cervical nerve root Wbers potential cause of misinterpreting the segmental location of cervical disc prolapses from clinical evidence. Acta Neurochir (Wien) 52:79-83
34. Rao GS, Sahu S, Saigal RP (1971) The somatotopic arrangement of motor neurons in the spinal cord of buffalo. A. Brachial plexus. Acta Anat 70:250-254
35. Rosner MJ, Whaley R (1984) Anomalous exit of the C-6 nerve root via the C-6, C-7 foramen. Neurosurgery 14:740-743
36. Ruiz A, Sala X, Bargallo X, Hurtado P, Arguis M, Carera A (2009) The inXuence of arm abduction on the anatomic relations of infraclavicular brachial plexus: an ultrasound study. Anesth Analg 108:364-366
37. Shinomiya K, Okawa A, Nakao K, Mochida K, Haro H, Sato T (1994) Morphology of C5 ventral nerve rootlets as part of dissociated motor loss of deltoid muscle. Spine 19(22):2501-2504
38. Slingluff CL, Terzis JK, Edgerton MT (1996) Surgical anatomy of the human brachial plexus. In: Alnot JY, Naraks A (eds) Traumatic brachial plexus injuries. Monographie GEM Expansion Scientifique Francaise, Paris
39. Slingluff CL, Terzis JK, Edgerton MT (1987) The quantitative microanatomy of the brachial plexus in man: reconstructive relevance. In: Terzis J (ed) Microreconstruction of nerve injuries. WB Saunders Company, Philadelphia, pp 285-324
40. Sterling P, Kuypers HGJM (1967) Anatomical organization of the brachial spinal cord of the cat. I. The distribution of dorsal root Wbers. Brain Res 4:1-15
41. Sterling P, Kuypers HGJM (1967) Anatomical organization of the brachial spinal cord of the cat. II. The motoneuron plexus. Brain Res 4:16-32
42. Sunderland S, Bedbrook GM (1949) The relative sympathetic contribution to individual roots of the brachial plexus in man. Brain 72:297-301
43. Sunderland S (1945) The distribution of sympathetic Wbers in the brachial plexus in man. Brain 71:88-102
44. Sunderland S (1978) Nerves and nerve injuries, 2nd edn. Churchill Livingstone, Edinburgh
45. Thompson GE, Rorie DK (1983) Functional anatomy of the brachial plexus sheaths. Anesthesiology 59:117-122
46. Tubbs RS, Louis RG Jr, Wartmann CT, Lott R, Chua GD, Kelly D, Palmer CA, Shoja MM, Loukas M, Oakes WJ (2008) Histological basis for neurogenic thoracic outlet syndrome. Laboratory investigation. J Neurosurg Spine 8(4):347-351
47. Tubbs RS, Loukas M, Shoja MM, Ardalan MR, Apaydin N, Myers C, Shokouhi G, Oakes WJ (2008) Contributions of the fourth spinal nerve to the brachial plexus without preWxation. J Neurosurg 8:548-551
48. Uglietta JP, Kadir S (1989) Arteriographic study of variant arterial anatomy of the upper extremities. Cardiovasc Intervent Radiol. 12:145-148
49. Uysal II, Seker M, Karabulut AK, Buyukmumcu M, Ziylan T (2003) Brachial plexus variations in human fetuses. Neurosurgery 53:676-684
50. Von Luschka H (1858) Die Halbgelenke des menschlichen Körpers. Eine Monographie, Berlin
51. Walsh JF (1877) The anatomy of the brachial plexus. Am J Med Sci 74:388-399
52. Williams PL, Warwick R, Dyson M, Bannister LH (1989) Gray's anatomy. Churchill Livingstone, Edinburgh, pp 1130-1137
53. Yan J, Horiguchi M (2000) The communicating branch of the 4th cervical nerve to the brachial plexus: the double constitution, anterior and posterior of its Wbers. Surg Radio Anat 22:175-179
54. Yang WT, Chui PT, Metreweli C (1998) Anatomy of the normal brachial plexus revealed by sonography and the role of sonographic guidance in anesthesia of the brachial plexus. Am J Roentgenol 171:1631-1636