Anatomy of labyrinthine artery and its clinical significance in neurosurgical procedures - A narrative review

The labyrinthine artery (LA), is a major vessel responsible for blood supply of labyrinth and cochlea in the inner ear, as well as cranial nerves, including vestibulocochlear and facial nerves. Its origin varies throughout numerous reports, however the most commonly reported origins include anterior...

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Main Authors: Jonasz Tempski, Grzegorz Fibiger, Katarzyna Majka, Ignacy Jastrzębski, Oliwia Andrasz, Dominik Łazarz, Jakub Pękala, Konrad Malinowski, Marcin Czternastek
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Translational Research in Anatomy
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214854X24000955
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author Jonasz Tempski
Grzegorz Fibiger
Katarzyna Majka
Ignacy Jastrzębski
Oliwia Andrasz
Dominik Łazarz
Jakub Pękala
Konrad Malinowski
Marcin Czternastek
author_facet Jonasz Tempski
Grzegorz Fibiger
Katarzyna Majka
Ignacy Jastrzębski
Oliwia Andrasz
Dominik Łazarz
Jakub Pękala
Konrad Malinowski
Marcin Czternastek
author_sort Jonasz Tempski
collection DOAJ
description The labyrinthine artery (LA), is a major vessel responsible for blood supply of labyrinth and cochlea in the inner ear, as well as cranial nerves, including vestibulocochlear and facial nerves. Its origin varies throughout numerous reports, however the most commonly reported origins include anterior inferior cerebellar artery (AICA) and basilar artery (BA). Nevertheless, arteries such as superior cerebellar, vertebral and posterior inferior cerebellar artery have also been reported as the sources of LA. What is more, the relationship between LA and vestibulocochlear and facial nerves has been described vaguely in many publications. The aforementioned not only represent anatomical idiosyncrasies, but the area of LA origin is also crucial from a clinical perspective, especially when performing a wide spectrum of skull base approaches, most commonly involving exposure of cerebellopontine angle. The thorough knowledge regarding LA course, branches, correlation with cranial nerves can be critical in prevention of iatrogenic lesions, which may occur during various approaches such as middle cranial fossa, rectosigmoid and labyrinthine (both trans- and retro) ones. Lastly, we should remember that many different variants of LA can lead to a broader range of symptoms in the case of vascular changes, such as aneurysms.This publication's aim is to provide a brief overview on all possible variants of labyrinthine arteries described in the literature, as well as its trajectories in relation to vestibulocochlear and facial nerves.
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spelling doaj-art-07d1b3a9e29444d6b660604ab80321442025-01-24T04:45:14ZengElsevierTranslational Research in Anatomy2214-854X2025-03-0138100371Anatomy of labyrinthine artery and its clinical significance in neurosurgical procedures - A narrative reviewJonasz Tempski0Grzegorz Fibiger1Katarzyna Majka2Ignacy Jastrzębski3Oliwia Andrasz4Dominik Łazarz5Jakub Pękala6Konrad Malinowski7Marcin Czternastek8International Evidence-Based Anatomy Working Group, Kraków, Poland; Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland; The Brain and Spine Lab, Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland; Corresponding author. Department of Anatomy, Jagiellonian University Medical College, 12 Kopernika St, 31–034, Kraków, Poland.Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland; Jagiellonian University Medical College, Faculty of Medicine, Kraków, Poland; ARTROMED Orthopedic and Rehabilitation Center, Kraków, PolandJagiellonian University Medical College, Faculty of Medicine, Kraków, PolandJagiellonian University Medical College, Faculty of Medicine, Kraków, PolandJagiellonian University Medical College, Faculty of Medicine, Kraków, PolandInternational Evidence-Based Anatomy Working Group, Kraków, Poland; Department of Anatomy, Jagiellonian University Medical College, Kraków, PolandInternational Evidence-Based Anatomy Working Group, Kraków, Poland; Department of Anatomy, Jagiellonian University Medical College, Kraków, PolandDepartment of Anatomy, Jagiellonian University Medical College, Kraków, Poland; Artromedical Orthopedic Clinic, Bełchatów, PolandInternational Evidence-Based Anatomy Working Group, Kraków, Poland; Department of Anatomy, Jagiellonian University Medical College, Kraków, PolandThe labyrinthine artery (LA), is a major vessel responsible for blood supply of labyrinth and cochlea in the inner ear, as well as cranial nerves, including vestibulocochlear and facial nerves. Its origin varies throughout numerous reports, however the most commonly reported origins include anterior inferior cerebellar artery (AICA) and basilar artery (BA). Nevertheless, arteries such as superior cerebellar, vertebral and posterior inferior cerebellar artery have also been reported as the sources of LA. What is more, the relationship between LA and vestibulocochlear and facial nerves has been described vaguely in many publications. The aforementioned not only represent anatomical idiosyncrasies, but the area of LA origin is also crucial from a clinical perspective, especially when performing a wide spectrum of skull base approaches, most commonly involving exposure of cerebellopontine angle. The thorough knowledge regarding LA course, branches, correlation with cranial nerves can be critical in prevention of iatrogenic lesions, which may occur during various approaches such as middle cranial fossa, rectosigmoid and labyrinthine (both trans- and retro) ones. Lastly, we should remember that many different variants of LA can lead to a broader range of symptoms in the case of vascular changes, such as aneurysms.This publication's aim is to provide a brief overview on all possible variants of labyrinthine arteries described in the literature, as well as its trajectories in relation to vestibulocochlear and facial nerves.http://www.sciencedirect.com/science/article/pii/S2214854X24000955Labyrinthine arteryInternal auditory arteryCerebellopontine angleSkull baseNeuroanatomy
spellingShingle Jonasz Tempski
Grzegorz Fibiger
Katarzyna Majka
Ignacy Jastrzębski
Oliwia Andrasz
Dominik Łazarz
Jakub Pękala
Konrad Malinowski
Marcin Czternastek
Anatomy of labyrinthine artery and its clinical significance in neurosurgical procedures - A narrative review
Translational Research in Anatomy
Labyrinthine artery
Internal auditory artery
Cerebellopontine angle
Skull base
Neuroanatomy
title Anatomy of labyrinthine artery and its clinical significance in neurosurgical procedures - A narrative review
title_full Anatomy of labyrinthine artery and its clinical significance in neurosurgical procedures - A narrative review
title_fullStr Anatomy of labyrinthine artery and its clinical significance in neurosurgical procedures - A narrative review
title_full_unstemmed Anatomy of labyrinthine artery and its clinical significance in neurosurgical procedures - A narrative review
title_short Anatomy of labyrinthine artery and its clinical significance in neurosurgical procedures - A narrative review
title_sort anatomy of labyrinthine artery and its clinical significance in neurosurgical procedures a narrative review
topic Labyrinthine artery
Internal auditory artery
Cerebellopontine angle
Skull base
Neuroanatomy
url http://www.sciencedirect.com/science/article/pii/S2214854X24000955
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