The left and right brachiocephalic veins are major veins in the upper chest, formed by the union of the ipsilateral internal jugular vein and subclavian vein behind the sternoclavicular joint. The left brachiocephalic vein is more than twice the length of the right brachiocephalic vein.
In human anatomy, the spinal canal, vertebral canal or spinal cavity is an elongated body cavity enclosed within the dorsal bony arches of the vertebral column, which contains the spinal cord, spinal roots and dorsal root ganglia. It is a process of the dorsal body cavity formed by alignment of the vertebral foramina. Under the vertebral arches, the spinal canal is also covered anteriorly by the posterior longitudinal ligament and posteriorly by the ligamentum flavum. The potential space between these ligaments and the dura mater covering the spinal cord is known as the epidural space. Spinal nerves exit the spinal canal via the intervertebral foramina under the corresponding vertebral pedicles.
In human anatomy, the inferior mesenteric artery (IMA) is the third main branch of the abdominal aorta and arises at the level of L3, supplying the large intestine from the distal transverse colon to the upper part of the anal canal. The regions supplied by the IMA are the descending colon, the sigmoid colon, and part of the rectum.
In human anatomy, the left and right posterior communicating arteries are small arteries at the base of the brain that form part of the circle of Willis.
The inferior orbital fissure is a gap between the greater wing of sphenoid bone, and the maxilla. It connects the orbit (anteriorly) with the infratemporal fossa and pterygopalatine fossa (posteriorly).
The pterygoid plexus is a fine venous plexus upon and within the lateral pterygoid muscle. It drains by a short maxillary vein.
The superficial temporal vein is a vein of the side of the head which collects venous blood from the region of the temple. It arises from an anastomosing venous plexus on the side and top of the head. The superficial temporal vein terminates within the substance of the parotid gland by uniting with the maxillary vein to form the retromandibular vein.
The retromandibular vein is a major vein of the face. It is formed within the parotid gland by the confluence of the maxillary vein, and superficial temporal vein. It descends in the gland and splits into two branches upon emerging from the gland. Its anterior branch then joins the (anterior) facial vein forming the common facial vein, while its posterior branch joins the posterior auricular vein forming the external jugular vein.
The occipital vein is a vein of the scalp. It originates from a plexus around the external occipital protuberance and superior nuchal line to the back part of the vertex of the skull. It usually drains into the internal jugular vein, but may also drain into the posterior auricular vein. It drains part of the scalp.
The superior hypogastric plexus is a plexus of nerves situated on the vertebral bodies anterior to the bifurcation of the abdominal aorta. It bifurcates to form the left and the right hypogastric nerve. The SHP is the continuation of the abdominal aortic plexus.
The rectal venous plexus is the venous plexus surrounding the rectum. It consists of an internal and an external rectal plexus. It is drained by the superior, middle, and inferior rectal veins. It forms a portosystemic (portocaval) anastomosis. This allows rectally administered medications to bypass first pass metabolism.
The ligamenta flava are a series of ligaments that connect the ventral parts of the laminae of adjacent vertebrae. They help to preserve upright posture, preventing hyperflexion, and ensuring that the vertebral column straightens after flexion. Hypertrophy can cause spinal stenosis.
In a typical vertebra, the vertebral foramen is the foramen (opening) of a vertebra bounded ventrally/anteriorly by the body of the vertebra, and the dorsally/posteriorly by the vertebral arch.
The intervertebral foramen is an opening between two pedicles of adjacent vertebra in the articulated spine. Each intervertebral foramen gives passage to a spinal nerve and spinal blood vessels, and lodges a posterior (dorsal) root ganglion. Cervical, thoracic, and lumbar vertebrae all have intervertebral foramina.
The posterior longitudinal ligament is a ligament connecting the posterior surfaces of the vertebral bodies of all of the vertebrae of humans. It weakly prevents hyperflexion of the vertebral column. It also prevents posterior spinal disc herniation, although problems with the ligament can cause it.
The posterior spinal artery arises from the vertebral artery in 25% of humans or the posterior inferior cerebellar artery in 75% of humans, adjacent to the medulla oblongata. It is usually double, and spans the length of the spinal cord. It supplies the grey and white posterior columns of the spinal cord.
The inferior cervical ganglion is one of the three cervical sympathetic ganglia. It is situated between the base of the transverse process of the last cervical vertebra and the neck of the first rib, on the medial side of the costocervical artery.
The external vertebral venous plexuses consist of anterior and posterior plexuses which anastomose freely with each other. They are most prominent in the cervical region where they form anastomoses with the vertebral, occipital, and deep cervical veins.
The internal vertebral venous plexuses lie within the vertebral canal in the epidural space, embedded within epidural fat. They receive tributaries from bones, red bone marrow, and spinal cord. They are arranged into four interconnected, vertically oriented vessels - two situated anteriorly, and two posteriorly:
The intervertebral veins accompany the spinal nerves through the intervertebral foramina to drain the internal vertebral venous plexuses into the external vertebral venous plexuses. They drain into vertebral vein, intercostal veins, lumbar veins, and lateral sacral veins. Upper posterior intercostal veins may additionally drain via brachiocephalic vens. They may drain to ascending lumbar veins. They may drain into the inferior vena cava directly, reaching it by winding around the surface of the vertebral body.
