The kidney of tapirs: a macroscopical study.

The renal cortex of tapirs, water-loving primordial ungulates, was continuous, nonlobed, and about 80% of renal mass in adult and 71% in term-neonate. In the neonates even the peripheral glomeruli were moderately mature. Tapirus bairdi had about 4 million glomeruli per kidney and T. pinchaque about 3 million smaller glomeruli. Number of glomeruli per gm of cortex was 12,444 in T. bairdi and 13,400 in T. pinchaque. Cortical loops were common in the medullary rays. The medulla was the simple crest-type. The terminal collecting ducts (T.C.D.) opened separately at the crest and not into a tubus maximus. The "outer stripe" of the outer medulla apparently was telescoped into the deep cortex. The medullary loops turned at a thick portion and at nearly all levels of the medulla. The medullary crest was lined by urothelium which extended into the ends of the T.C.D. Otherwise the T.C.D. were made of columnar epithelium. The pelvic urothelium was continuous with that of the medullary crest at the dorsal and ventral fornices. The fornices were well within the inner medulla. Hence only inner medulla could be exposed to pelvic urine. The hilar arteries, unlike the other two perissodactyl families (rhinoceri and equids), passed through the cortico-medullary (C-M) border and some large arteries and veins passed through the outer medulla to and from the C-M border without branches or tributaries. Unlike kidneys with a medullary crest in diverse eutherian mammals, tapirs lacked pelvic extensions along the major intrarenal blood vessels and thus lacked pelvic intervascular eminences.     

The kidney of tapirs: A macroscopical study

The renal cortex of tapirs, water-loving primordial ungulates, was continuous, nonlobed, and about 80% of renal mass in adult and 71% in term-neonate. In the neonates even the peripheral glomeruli were moderately mature. Tapirus bairdi had about 4 million glomeruli per kidney and T. pinchaque about 3 million smaller glomeruli. Number of glomeruli per gm of cortex was 12,444 in T. bairdi and 13,400 in T. pinchaque. Cortical loops were common in the medullary rays. The medulla was the simple crest-type. The terminal collecting ducts (T.C.D.) opened separately at the crest and not into a tubus maximus. The “outer stripe” of the outer medulla apparently was telescoped into the deep cortex. The medullary loops turned at a thick portion and at nearly all levels of the medulla. The medullary crest was lined by urothelium which extended into the ends of the T.C.D. Otherwise the T.C.D. were made of columnar epithelium. The pelvic urothelium was continuous with that of the medullary crest at the dorsal and ventral fornices. The fornices were well within the inner medulla. Hence only inner medulla could be exposed to pelvic urine. The hilar arteries, unlike the other two perissodactyl families (rhinoceri and equids), passed through the cortico-medullary (C-M) border and some large arteries and veins passed through the outer medulla to and from the C-M border without branches or tributaries. Unlike kidneys with a medullary crest in diverse eutherian mammals, tapirs lacked pelvic extensions along the major intrarenal blood vessels and thus lacked pelvic intervascular eminences.     

Kidney of the great indian rhino Rhinoceros unicornis,linnaeus

The kidney of R. unicornis has almost 80 closely apposed lobes, all appearing peripherally. Every lobe, almost enclosed by a collagenous septum, resembles a deformed truncated cone. The pelvis proper is a small pouch which divides into a cephalic and a caudal urothelial-lined fibromuscular conduit. The terminal collecting ducts of every lobe open into a tubus maximus. This is lined by cuboidal cells and otherwise has no wall. There is no papilla. All lobes finally empty through the 18 primary infundibular orifices at the pelvic conduits. A primary fibromuscular infundibulum typically yields a secondary one supplying an adjacent lobe. Two or three lobes can use a common tubus maximus by “convergence” of their medullae. Tubus maximus, terminal collecting ducts and deep outer medulla are embraced by a fibromuscular calyx which is the peripheral extension of an infundibulum and is fused to the outer medulla. There is thus no vault between medulla and calyx. Large intralobar veins are fused to the outer wall of the calyx. The possible significance of this is discussed. The cortex is the only part of a lobe which has contact with infundibulum, pelvic conduits, or pelvis proper. The kidney has about 16 million glomeruli which form 5.8% of the adult's cortical mass. Many adult mammals, from mouse to rhinoceros, fit into the log₁₀-log₁₀ slope relating number of glomeruli per kidney to body-mass. Neonatal rhinos at term have mature glomeruli throughout the cortex. The small size of the glomeruli and the large number per field allow 16 million in an 118-gm kidney.     

Further studies on the kidney of the hook-lipped African rhinoceros,Diceros bicornis

A healthy, pregnant Diceros bicornis (No. 29455), with histologically normal but relatively large kidneys containing a correspondingly large number of nephrons, died suddenly from an injury. Renal lobation was studied partly from serial transverse cuts across the kidney. The fibromuscular pelvic conduits, which are a craniocaudal bifurcation of the ureter, are associated with prominent longitudinally disposed paraconduital veins which anastomose with the interlobar veins. The arcuate veins open widely into the paraconduital veins. The latter drain into the major tributaries of the renal vein at the renal sinus. The interlobar arteries enter the parenchyma through the interlobar septa. These arteries release internal perforator branches, through the septa, which pass to the corticomedullary border, branch along that border as arcuate arteris, and release cortical branches centrifugally. All these branches give off twigs to the glomeruli. Relative renal mass of mammals is inversely proportional to their adult body mass. This is indicated by a regression line which includes rhinoceroses. D. bicornis No. 29455, accordingly, has exceptionally large kidneys. The mesonephros of the 75 mm fetus of D. bicornis has mature glomeruli and tubules. The metanephros has pelvic conduits, paraconduital veins, but, as yet, no medullary loops. © 1994 Wiley-Liss, Inc.     

Kidney of giraffes

This study focuses on certain aspects of the renal structure of the giraffe, with some implications as to its function. About 4,000 collecting ducts open at the truncated end of a curved crest that juts into the renal pelvis as the inner medulla (IM). Extensions of the pelvis pass between the medullary (MP) and vascular (VP) processes almost to the corticomedullary border. The MPs contain an IM and an outer medulla (OM) containing clusters of capillaries (vascular bundles). The VPs contain the interlobar arteries and veins. All of the IM and almost all of the OM, with its vascular bundles, are bathed with pelvic urine. The cortex comprises 63% of the parenchyma. The OM has nine times the mass of the IM. The IM comprises 4% of the parenchyma. The ratio of mass of the adult cortex to the medulla is 1.7:1.0, and the number of glomeruli per kidney is 6.6 x 10(6). Glomerular mass is 6.2-6.7% of renal mass in the adult and 5.2% in the 6-month-old calf. The dimensions of the glomerular capsules are the same across the thickness of the cortex. Every terminal collecting duct drains an estimated 1,650 nephrons. In the adult giraffe the ratio of thickness of the muscularis of the main renal artery (RA) to its diameter is 0.117 (right RA) and 0.132 (left RA). These ratios are close to those in rhinoceros and ox but greater than in man. The visceral arteries (celiac, anterior mesenteric, and renal) have about the same muscularis : diameter ratio. Giraffes have arterial hypertension, but atherosclerosis is apparently absent and serum lipid fractions are low.     

Kidney of giraffes

This study focuses on certain aspects of the renal structure of the giraffe, with some implications as to its function. About 4,000 collecting ducts open at the truncated end of a curved crest that juts into the renal pelvis as the inner medulla (IM). Extensions of the pelvis pass between the medullary (MP) and vascular (VP) processes almost to the corticomedullary border. The MPs contain an IM and an outer medulla (OM) containing clusters of capillaries (vascular bundles). The VPs contain the interlobar arteries and veins. All of the IM and almost all of the OM, with its vascular bundles, are bathed with pelvic urine. The cortex comprises 63% of the parenchyma. The OM has nine times the mass of the IM. The IM comprises 4% of the parenchyma. The ratio of mass of the adult cortex to the medulla is 1.7:1.0, and the number of glomeruli per kidney is 6.6 × 10⁶. Glomerular mass is 6.2–6.7% of renal mass in the adult and 5.2% in the 6‐month‐old calf. The dimensions of the glomerular capsules are the same across the thickness of the cortex. Every terminal collecting duct drains an estimated 1,650 nephrons. In the adult giraffe the ratio of thickness of the muscularis of the main renal artery (RA) to its diameter is 0.117 (right RA) and 0.132 (left RA). These ratios are close to those in rhinoceros and ox but greater than in man. The visceral arteries (celiac, anterior mesenteric, and renal) have about the same muscularis : diameter ratio. Giraffes have arterial hypertension, but atherosclerosis is apparently absent and serum lipid fractions are low. Anat Rec 267:94–111, 2002. © 2002 Wiley‐Liss, Inc.     

Renal morphology of the hook-lipped african rhinoceros,Diceros bicornis,linnaeus

The kidney of Diceros bicornis has about 60 lobes, all appearing peripherally. These are separated by interlobar septa, except for small septal defects through which tubules pass. Renal capsule and interlobar septa are fibromuscular and contain small blood vessels. The kidney is about 65% cortex. It contains about 12.5 × 10⁶ glomeruli, which form about 7% of the cortical mass and 4.6% of the renal mass. Diameter of a glomerular capsule is about 244 μm, there being no difference in size across the cortex in these adults. The ureter bifurcates into a cephalic and a caudal, fibromuscular, urothelial-lined conduit, into which open about 23 urothelial-lined infundibula. The common large collecting duct, or tubus maximus, of every lobe opens at the apex of its infundibulum. Two tubi may join into one infundibulum. The tubi and their terminal collecting ducts (of Bellini) are part of the inner medulla. Musculature of conduits and infundibula is largely longitudinal. The calyx may be represented by a circular muscle bundle near the apex of every infundibulum. The large intralobar veins are partly adherent to their infundibulum and calyx and receive arcuate veins via valved orifices. Most branches of the renal artery enter via the interlobar septa. Within a septum they branch again and also supply numerous perforators, which thence enter the cortex. Remaining branches of the renal artery enter cortex directly from without. A fibromuscular scaffolding lies deep to arcuate veins where they contact medulla. Where these veins contact cortical tubules; however, their walls become merely endothelium, like the walls of the interlobular veins.     

Kidney of elephants

Background: Elephants are an important and isolated order. Their kidneys need substantial investigation and hitherto have not been portrayed even by a pyelogram. Methods: Pyelograms and injection of vessels with colored acrylic emulsions were done initially. Dissection was under fiberoptics using a dissecting microscope with frequent measurements. Special areas were cut for microscopy (light and electron) and photography. Glomerular counts were done by macerating weighed pieces of cortex and later finding the cortical fraction of the renal parenchyma. Results: The elephant kidney is devoid of dorsoventral symmetry. It is composed of 8 ± 2 lobes separated by fine interlobar septa. There is no reduction of lobes with maturity. The pelvis bifurcates at the sinus into primary branches or infundibula which dispatch a secondary branch or infundibulum into every lobe. Interlobar arteries and veins, nerves, fat, and connective tissue generally accompany every secondary infundibulum into its lobe. A major branch of the renal artery may perforate the renal capsule and course to the cortico-medullary (C-M) border independently of the secondary infundibulum to that lobe. The number of glomeruli per kidney is approximately 15 × 10⁶. In adults the glomerular mass is 4.9 ± 0.5% of the renal parenchyma and 6.7 ± 0.3% of the cortex. Areae cribrosae occur generally at low papillae. They are the outlets of numerous terminal collecting ducts which may be accompanied by a tubus maximus (T.M.) A T.M. of diameter 1.6 mm and length 10 mm may act as the only substitute for an area cribrosa. Wide anastomoses between the two main renal veins occur within the renal sinus. Intralobar arteries and veins often course right through the outer medulla to and from, respectively, the C-M border. Conclusions: Anatomically, an elephant's kidneys appear to be able to concentrate urine only moderately. Their kidneys tend to resemble those of the manatee but not of the dugong. © 1995 Wiley-Liss, Inc.     

增殖细胞核抗原在小鼠生后肾脏发育中的表达

目的：观察小鼠出生后肾脏发育过程中增殖细胞核抗原（PCNA）的表达特征,探讨出生后小鼠肾脏发育过程中细胞增殖的规律。方法：应用免疫组织化学技术检测小鼠出生后1、3、7、14、21、28和70d肾脏PCNA的表达。结果：小鼠出生后1～70d,皮质中的生肾区、肾小体、肾小管、髓放线以及髓质中的肾小管和集合管PCNA阳性细胞的表达具有一定的规律,早期PCNA阳性表达丰富,随着肾脏发育逐渐成熟而表达减弱直至消失。在70d成年小鼠肾脏中,没有检测到PCNA阳性细胞。结论：出生后小鼠肾脏皮质中的生肾区、肾小体、肾小管、髓放线以及髓质中小管的细胞增殖规律是由高逐渐降低的,直至成年完全停止。     

The morphology of perivascular spaces in the thymus

The perivascular spaces (PVS) are a functional component of the thymus gland that allows cells or possibly soluble products to reach or leave the medulla without the necessity of passing through the cortex. They are connective tissue compartments, continuous with the tissue around the gland, that extend to the cortico-medullary junction where they become merged with the medulla. Around the gland and in their course to the cortico-medullary junction they are delimited by a continuous layer of type-1 epithelial cells (subcapsular/perivascular cells) that rest on a basal lamina. They contain the major blood vessels to and from the medulla, and capillary loops that enter the cortex from the medulla are also ensheathed by the type-1 cells. Capillary loops in the medulla may not be ensheathed. Nerves run in the tunica adventitia of the blood vessels and may also be found separate from the vessels as small unmyelinated fibres that enter the cortex. Lymphatic vessels are formed either in the medulla or at the cortico-medullary junction and leave the gland along the main PVS between thymic lobes. PVS frequently contain lymphocytes, plasma cells and myeloid cells. Lymphocytes free in the connective tissue are commonest at the cortico-medullary junction: macrophages, plasma cells, eosinophils are frequent in the connective tissue of all PVS, and mast cells are closely associated with the veins of PVS and the capsule around the lobes. Some possible functional correlates of this morphological arrangement are discussed.     

小鼠肾近端小管的三维重建

目的 研究小鼠肾近端小管三维空间走行的特点及规律。 方法 C57/BL/6J小鼠3只,灌流固定后取肾组织块并树脂812包埋,垂直肾长轴连续半薄切片,从肾被膜到肾外髓外带共得到1 200张2.5μm厚的连续切片,显微镜下获取数字图像,计算机配准,C语言编程,追踪并三维重建58条近端小管走行。 结果 在皮质迷路中,近端小管起始段在离开肾小球后,均先向被膜方向走行约100～1 400μm后返折,在各自肾小球周围盘曲并占据相对独立的区域,很少和其他肾单位近端小管曲部区域重合。浅表皮质肾单位与中间皮质肾单位的近曲小管盘曲紧密,所占空间比近髓肾单位近曲小管小。在髓放线中,近端小管直部的走行有明显的层次：来源于浅表皮质肾单位的近端小管直部走行于中央,来源于皮质深部肾单位的近直小管则依次走行在其外围,皮质最深层的肾单位的近直小管几乎无直部。所有近端小管均止于肾外髓外带与内带的交界处,并移行为髓袢降支细段。 结论 小鼠近端小管的起始段、曲部和直部在皮质迷路与髓放线都有各自走行区间,其吡邻关系及所处生物学环境不同,这对肾近端小管不同节段对不同物质转运功能的生理及病理评估提供形态依据。     

Histopathologic features of a unilateral renal dysplasia in a cat (Felis domestica)

Renal dysplasia is a rare congenital anomaly that has been reported in human and some species of animals. This study shows congenital renal dysplasia that was detected in a stray cat. The present report describes the primary microscopic features that are essential to renal dysplasia diagnosis. Histopathologic examination showed a narrow renal cortex, decreased numbers of glomeruli, underdeveloped glomeruli, marked medullary mesenchymal connective tissue, and disorganized primitive tubules in the cortex and medulla. It is the first report of this anomaly that explains microscopic lesions of renal dysplasia in cat.     

Modulation of the mdr-1b gene in the kidney of rats subjected to dehydration or a high-salt diet

The localization of the multidrug resistance gene (mdr-1b) messenger ribonucleic acid (mRNA) along the rat nephron and its regulation was investigated under two different experimental situations: dehydration and high-Na+ diet. The mdr-1b mRNA was detected in glomeruli, proximal tubule segments, cortical and medullary thick ascending limbs, inner medullary collecting ducts and thin limbs of Henle's loop. Using the ribonuclease (RNase) protection assay (RPA), the abundance of mdr-1b mRNA was shown to be 35% less in renal cortex than in medulla. The mdr-1b mRNA expression in dehydrated rats in cortex or medulla did not differ from control. However, after 5 or 14 days on a high-Na+ diet, mdr-1b expression had decreased significantly in both cortex and medulla. There was no change in protein expression in dehydrated rats but a significant decrease occurred in rats fed the high-salt diet, confirming the results obtained with RPA. Our results suggest that the mdr-1b product is involved in extracellular volume regulation in rats.     

Weight and shape of the human adrenal medulla in various age groups

Summary The weight and shape of the adrenal medulla were studied in 118 adrenal glands obtained at autopsies of 62 patients (38 males and 24 females) between 0 and 52 years of age. In adolescents 15 years and older and adults cases of sudden death only were entered in this study. The weight was calculated using morphometric measurements done on serial sections of the glands. In the new-born, the medulla accounts for less than 1% of the total volume of the adrenal gland. Though there is a rapid growth of the adrenal medulla after birth, the percentage of adrenal medullary volume at all age levels during childhood and adolescence is lower than in adults where it constitutes 9% of the total adrenal volume on the average. This corresponds to an average medullary weight of 0.43 g. In the new-born, the medulla consists of a thin plate made up of immature medulloblasts. Within a few months these are transformed into mature medullary cells; the shape of the medulla soon approaches that of the adult gland: an increase in thickness around the central vein and flat processes into the alae. With increasing age the cortico-medullary border becomes irregular and ragged. Especially in the vicinity of the central vein an intermingling of medullary and cortical cell complexes is found. An unequivocal diagnosis of genuine adrenal medullary hyperplasia can be established only by weighing the dissected medulla or by applying morphometric methods.     

Aristolochic acid nephropathy revisited: a place for innate and adaptive immunity?

Pozdzik A A, Berton A, Schmeiser H H, Missoum W, Decaestecker C, Salmon I J, Vanherweghem J‐L & Nortier J L
(2010) Histopathology 56 , 449–463 Aristolochic acid nephropathy revisited: a place for innate and adaptive immunity? Aims: The histological features of aristolochic acid nephropathy (AAN) consist of paucicellular interstitial fibrosis, severe tubular atrophy, and almost intact glomeruli with media lesions of interlobular arteries. As an early phase of interstitial inflammation preceded peritubular fibrosis in the rat model of AAN, the aim was to investigate the presence of inflammatory cells in human AAN. Methods and results: Reports of confirmed cases and case series of AAN were reviewed in terms of interstitial inflammation and found to have very conflicting results. This prompted us to search for and characterize inflammatory cells within the native kidneys provided from four end‐stage AAN patients. Prior aristolochic acid exposure was attested by the intrarenal presence of the typical aristolactam I‐derived DNA adduct. Besides the tubulointerstitial lesions usually seen in the cortex, a massive infiltration of macrophages, T and B lymphocytes was detected by immunohistochemistry in the medullary rays and in the outer medullae with some extension to the upper cortical labyrinth. Conclusions: In parallel with histological findings reported in the rat model, inflammatory cells are present preferentially in the interstitium of the medullary rays and of the outer medulllae in renal interstitium from human AAN cases, even in the terminal stages. Further studies must be undertaken to determine the respective roles of innate and adaptive immunity in the progression of AAN.     

Opposed effects of prostaglandin E2 on perfusion of rat renal cortex and medulla: interactions with the renin-angiotensin system

While prostaglandin E(2) (PGE(2)) is an established renal vasodilator, studies of prostaglandin EP receptors suggest that it also has vasoconstrictor potential. Prostaglandin E(2) is much more abundant in the medulla than in the cortex, yet likely differences in effects between zones have not been defined. This study is focused on different vascular effects in the cortex and medulla and interaction with the renin-angiotensin system (RAS). In anaesthetized rats, the effects of cyclo-oxygenase blockade and of PGE(2) infused into the renal artery or renal interstitium were examined. Total renal blood flow was measured by ultrasonic renal artery probe, and local perfusion, separately, of the superficial cortex, outer- and inner medulla, as laser-Doppler fluxes. Indomethacin (5 mg kg(-1) i.v.) increased cortical perfusion (by approximately 10%) and decreased medullary perfusion (by approximately 20%). Renal artery infusion of PGE(2) (15-30 microg kg(-1) h(-1)) increased cortical and medullary perfusion only transiently. Previous inactivation of the RAS using losartan or captopril, and background infusion of exogenous angiotensin II, prevented the transient increase and enhanced the subsequent stable decrease in perfusion. Prostaglandin E(2) infused into the medullary interstitium (7-22 microg kg(-1) h(-1)) increased medullary perfusion by 13%, while cortical perfusion decreased by 6%. Misoprostol, an agonist of constrictor EP(3) receptors, decreased perfusion of the cortex and medulla, with both renal artery and medullary interstitial infusion. In conclusion, in rat renal cortex the dominating stable PGE(2) effect is vasoconstriction, most probably mediated by EP(3) receptors and unrelated to activation of the RAS. Prostaglandin E(2) applied to the cortical or medullary interstitium, a natural route for paracrine agents, induces medullary vasodilatation.     

Adrenal corticomedullary hyperplasia in hypobaric hypoxia

Continuous exposure of adult male Wistar albino rats to a barometric pressure of 380 mm Hg (equivalent to an altitude of 5500 m) for 28 days causes a marked increase in adrenal gland weight due to hyperplasia of both adrenal cortex and medulla. The size of the cortical and medullary components of the gland relative to each other is unaffected; in both hypoxic and control animals the cortex occupies approximately 85 per cent of the overall volume of the gland. Cortical hyperplasia is consistent with the elevated levels of ACTH which have previously been shown to occur during hypoxia. Medullary hyperplasia under such conditions presumably reflects a continuing increased requirement for catecholamines in an hypoxic environment. The morphology of these adrenal medullae bears a striking structural resemblance to some phaeochromocytomata. Adrenal medullary hyperplasia does not appear to have been described previously under such conditions and may be an important effect of prolonged severe hypoxia.     

Anatomy and cytology of the thymus in juvenile Australian lungfish, Neoceratodus forsteri

The anatomy, histology and ultrastructure of the thymus of a dipnoan, the Australian lungfish, Neoceratodus forsteri , was studied by light and transmission electron microscopy. The thymic tissue showed clear demarcation into a cortex and medulla with ample vascularization. Large cells including foamy and giant multinucleated cells with periodic acid Schiff/Alcian blue positive staining properties were localized mainly in the medulla. The major cellular components were epithelial cells and lymphoid cells. The epithelial cells were classified by location and ultrastructure into six sub-populations: capsular cells, cortical and medullary reticular cells, perivascular endothelial cells, intermediate cells, nurse-like cells and Hassall-like corpuscles. Myoid cells were found mainly in the cortico-medullary boundary and medulla. Macrophages and secretory-like cells were also present. These findings will provide a base of knowledge about the cellular immune system of lungfish.     

Renal medullary changes in renal allograft recipients with raised serum creatinine

OBJECTIVE: To test the hypothesis that the renal medulla may reflect rejection related changes and thus have a predictive value in the assessment of acute renal allograft rejection or chronic graft damage. METHODS: 75 post-transplant biopsies from 57 patients were scored according to the Banff 1997 scheme. The biopsies with adequate cortical and medullary tissue (n = 23) were selected and medullary tissues were reviewed for rejection related lesions except intimal arteritis. Chronic damage was determined by image analysis depending on periodic acid-methenamine silver (PAMS)-Masson trichrome (MT) staining. Medullary and cortical changes were compared. RESULTS: Interstitial inflammation and tubulitis were more frequent and severe in the cortex (p<0.001). Medullary tubulitis was associated with intimal arteritis (p = 0.003, r = 0.598). Medullary interstitial inflammation (n = 8) and tubulitis (n = 4) were associated with cortical borderline changes (n = 5) or allograft rejection (n = 3). The sensitivity, specificity, and positive and negative predictive values of medullary inflammatory changes in predicting cortical allograft rejection were 43%, 69%, 37%, and 73%, respectively. A significant association was observed between medullary MT-SAP and cortical PAMS-SAP values (p = 0.02, R(2) = 0.23). CONCLUSIONS: Acute rejection related lesions are more common and severe in the cortex, and the renal medulla does not sufficiently reflect cortical rejection. The positive and negative predictive values of medullary changes for allograft rejection are low, and medullary inflammation is not a reliable indicator of allograft rejection. Increased medullary fibrosis is correlated with chronic cortical damage.     

小脑皮质及髓质的微血管构筑

12例新鲜儿童尸脑,以甲醛碳素墨水灌注,光镜观察.小脑皮质及髓质的动脉来源于小脑动脉皮质支及中央支.血管多以直角及呈放射状穿小脑实质.小脑皮质及髓质的动脉分为皮质浅动脉、皮质中动脉、皮质深动脉、皮质髓质动脉及髓质动脉.动脉分支间相互吻合构成皮质浅、深层及髓质血管网.血管及血管网眼密度以皮质深层为最高.皮质的血供主要来自皮质浅、中、深动脉,髓质主要来自皮质髓质动脉及髓质动脉.髓质内的血管多呈直角分支.且血管走行与白质纤维方向一致.本文讨论了小脑皮质及髓质的血供及血管形态与小脑血管疾病的关系.