Cerebral Venous Anatomy L JS Yang August 14

Cerebral Venous Anatomy L J-S Yang August 14, 2003 Michigan Neurosurgery

Arterial phase Michigan Neurosurgery

Capillary phase Michigan Neurosurgery

Early Venous phase Michigan Neurosurgery

Late Venous phase Michigan Neurosurgery

Veins of the Head and Neck Scalp/Emissary veins Diploic veins Facial veins Neck veins Meningeal veins Superficial Brain and meningeal veins Dural sinuses Cerebral veins Deep Michigan Neurosurgery

Cerebral veins • Superficial veins • Deep veins Michigan Neurosurgery

Deep Veins Thalamostriate vein Internal Cerebral vein (2) Vein of Galen Septal vein Basal vein of Rosenthal (2) Occipital vein (2) Posterior Pericallosal vein (2) Mesencephalic vein (2) Precentral Cerebellar vein (1) Inferior Sagittal Sinus Straight Sinus Michigan Neurosurgery

Michigan Neurosurgery

Michigan Neurosurgery

Frontal lobe tumor Michigan Neurosurgery

Thalamic tumor Michigan Neurosurgery

Veins of the Head and Neck Scalp/Emissary veins Diploic veins Facial veins Neck veins Meningeal veins Superficial Brain and meningeal veins Dural sinuses Cerebral veins Deep Michigan Neurosurgery

Cerebral veins • Superficial veins • Deep veins Michigan Neurosurgery

Superficial Veins • Sylvian vein • Vein of Trolard • Vein of Labbe • Cortical veins draining into the dural sinuses Michigan Neurosurgery

Michigan Neurosurgery

Chronic subdural hematoma Michigan Neurosurgery

Acute subdural hematoma Michigan Neurosurgery

Veins of the Head and Neck Scalp/Emissary veins Diploic veins Facial veins Neck veins Meningeal veins Superficial Brain and meningeal veins Dural sinuses Cerebral veins Deep Michigan Neurosurgery

Dural Sinuses • Sagittal sinuses – superior and inferior • Cavernous sinus • Petrosal sinuses – superior and inferior • Occipital sinus • Straight sinus • Transverse sinus • Sigmoid sinus Michigan Neurosurgery

Chiari II Michigan Neurosurgery

Posterior fossa cyst Michigan Neurosurgery

Veins of the Head and Neck Scalp/Emissary veins Diploic veins Facial veins Neck veins Meningeal veins Superficial Brain and meningeal veins Dural sinuses Cerebral veins Deep Michigan Neurosurgery

Brain and Meningeal Veins • Diploic Veins • Meningeal Veins • Dural Sinuses • Cerebral Veins Michigan Neurosurgery

Veins of the Head and Neck Scalp/Emissary veins Diploic veins Facial veins Neck veins Meningeal veins Superficial Brain and meningeal veins Dural sinuses Cerebral veins Deep Michigan Neurosurgery

Veins of the Head and Neck • Scalp and Emissary Veins • Facial Veins • Veins of the Neck • Veins of the Brain and Meninges Michigan Neurosurgery

Venous Thrombosis (CT) Michigan Neurosurgery

Venous Thrombosis (MRI-T 2) Michigan Neurosurgery

Venous Thrombosis (MRI-T 1) Michigan Neurosurgery

Venous Thrombosis (Angio) Michigan Neurosurgery

Sinus Thrombosis (delta sign) Michigan Neurosurgery

Topics to be covered later Posterior fossa anatomy Vascular malformations Congenital malformations and anomalies Michigan Neurosurgery

Michigan Neurosurgery

Michigan Neurosurgery

Michigan Neurosurgery

Michigan Neurosurgery

Deep Veins Michigan Neurosurgery

Michigan Neurosurgery

Michigan Neurosurgery

Angiographic digression to aid the understanding of venous angiography Michigan Neurosurgery

Scout view Michigan Neurosurgery

Michigan Neurosurgery