Dural venous sinuses

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Dural venous sinuses
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Illustration of the dural venous sinuses
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Dural venous sinuses
Details
Identifiers
Latin sinus durae matris
MeSH D003392
TA98 A12.3.05.101
TA2 4846
FMA 76590
Anatomical terminology

The dural venous sinuses (also called dural sinuses, cerebral sinuses, or cranial sinuses) are venous sinuses (channels) found between the endosteal and meningeal layers of dura mater in the brain. [1] [2] They receive blood from the cerebral veins, and cerebrospinal fluid (CSF) from the subarachnoid space via arachnoid granulations. They mainly empty into the internal jugular vein. [2] Cranial venous sinuses communicate with veins outside the skull through emissary veins. These communications help to keep the pressure of blood in the sinuses constant. The major dural venous sinuses included the superior sagittal sinus, inferior sagittal sinus, transverse sinus, straight sinus, sigmoid sinus and cavernous sinus. These sinuses play a crucial role in cerebral venous drainage. A dural venous sinus, in human anatomy, is any of the channels of a branching complex sinus network that lies between layers of the dura mater, the outermost covering of the brain, and functions to collect oxygen-depleted blood. Unlike veins, these sinuses possess no muscular coat.

Contents

The major dural venous sinuses included the superior sagittal sinus , inferior sagittal sinus, straight sagittal sinus, sigmoid sagittal sinus, transverse sagittal sinus and cavernous sinus

Venous sinuses

NameDrains to
Anterior
Sphenoparietal sinuses Cavernous sinuses
Cavernous sinus Superior and inferior petrosal sinuses
Midline
Superior sagittal sinus Typically becomes right transverse sinus or confluence of sinuses
Inferior sagittal sinus Straight sinus
Straight sinus Typically becomes left transverse sinus or confluence of sinuses
Posterior
Occipital sinus Confluence of sinuses
Confluence of sinuses Right and left transverse sinuses
Lateral
Superior petrosal sinus Transverse sinuses
Transverse sinuses Sigmoid sinus
Inferior petrosal sinus Internal jugular vein
Sigmoid sinuses Internal jugular vein

Paired venous sinus [3]

Structure

The walls of the dural venous sinuses are composed of dura mater lined with endothelium, a specialized layer of flattened cells found in blood and lymph vessels. They differ from other blood vessels in that they lack a full set of vessel layers (e.g. tunica media) characteristic of arteries and veins. They also lack valves (in veins; with exception of materno-fetal blood circulation i.e. placental artery and pulmonary arteries both of which carry deoxygenated blood).[ citation needed ]

Clinical relevance

The sinuses can be injured by trauma in which damage to the dura mater, may result in blood clot formation (thrombosis) within the dural sinuses. Other common causes of dural sinus thrombosis include tracking of infection through the ophthalmic vein in orbital cellulitis. While rare, dural sinus thrombosis may lead to hemorrhagic infarction or cerebral edema with serious consequences including epilepsy, neurological deficits, or death. [4]

Additional images

Related Research Articles

<span class="mw-page-title-main">Vein</span> Blood vessels that carry blood towards the heart

Veins are blood vessels in the circulatory system of humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are those of the pulmonary and fetal circulations which carry oxygenated blood to the heart. In the systemic circulation, arteries carry oxygenated blood away from the heart, and veins return deoxygenated blood to the heart, in the deep veins.

Articles related to anatomy include:

<span class="mw-page-title-main">Internal carotid artery</span> Artery of the human brain

The internal carotid artery is an artery in the neck which supplies the anterior circulation of the brain.

<span class="mw-page-title-main">Arachnoid granulation</span> Protrusions of the arachnoid mater for returning cerebrospinal fluid to circulation

Arachnoid granulations are small protrusions of the arachnoid mater into the outer membrane of the dura mater. They protrude into the dural venous sinuses of the brain, and allow cerebrospinal fluid (CSF) to exit the subarachnoid space and enter the blood stream.

<span class="mw-page-title-main">Dura mater</span> Outermost layer of the protective tissues around the central nervous system (meninges)

In neuroanatomy, dura mater is a thick membrane made of dense irregular connective tissue that surrounds the brain and spinal cord. It is the outermost of the three layers of membrane called the meninges that protect the central nervous system. The other two meningeal layers are the arachnoid mater and the pia mater. It envelops the arachnoid mater, which is responsible for keeping in the cerebrospinal fluid. It is derived primarily from the neural crest cell population, with postnatal contributions of the paraxial mesoderm.

<span class="mw-page-title-main">Great cerebral vein</span>

The great cerebral vein is one of the large blood vessels in the skull draining the cerebrum of the brain. It is also known as the vein of Galen, named for its discoverer, the Greek physician Galen.

<span class="mw-page-title-main">Cerebral circulation</span> Brain blood supply

Cerebral circulation is the movement of blood through a network of cerebral arteries and veins supplying the brain. The rate of cerebral blood flow in an adult human is typically 750 milliliters per minute, or about 15% of cardiac output. Arteries deliver oxygenated blood, glucose and other nutrients to the brain. Veins carry "used or spent" blood back to the heart, to remove carbon dioxide, lactic acid, and other metabolic products. The neurovascular unit regulates cerebral blood flow so that activated neurons can be supplied with energy in the right amount and at the right time. Because the brain would quickly suffer damage from any stoppage in blood supply, the cerebral circulatory system has safeguards including autoregulation of the blood vessels. The failure of these safeguards may result in a stroke. The volume of blood in circulation is called the cerebral blood flow. Sudden intense accelerations change the gravitational forces perceived by bodies and can severely impair cerebral circulation and normal functions to the point of becoming serious life-threatening conditions.

<span class="mw-page-title-main">Intracranial hemorrhage</span> Hemorrhage, or bleeding, within the skull

Intracranial hemorrhage (ICH), also known as intracranial bleed, is bleeding within the skull. Subtypes are intracerebral bleeds, subarachnoid bleeds, epidural bleeds, and subdural bleeds.

<span class="mw-page-title-main">Epidural space</span> Space between the dura mater and vertebrae

In anatomy, the epidural space is the potential space between the dura mater and vertebrae (spine).

<span class="mw-page-title-main">Falx cerebri</span> Anatomical structure of the brain

The falx cerebri is a large, crescent-shaped fold of dura mater that descends vertically into the longitudinal fissure between the cerebral hemispheres of the human brain, separating the two hemispheres and supporting dural sinuses that provide venous and CSF drainage to the brain. It is attached to the crista galli anteriorly, and blends with the tentorium cerebelli posteriorly.

<span class="mw-page-title-main">Cavernous sinus</span> Sinus in the human head

The cavernous sinus within the human head is one of the dural venous sinuses creating a cavity called the lateral sellar compartment bordered by the temporal bone of the skull and the sphenoid bone, lateral to the sella turcica.

<span class="mw-page-title-main">Straight sinus</span> Venous sinus draining the brain

The straight sinus, also known as tentorial sinus or the sinus rectus, is an area within the skull beneath the brain. It receives blood from the inferior sagittal sinus and the great cerebral vein, and drains into the confluence of sinuses.

<span class="mw-page-title-main">Superior sagittal sinus</span> Anatomical structure of the brain

The superior sagittal sinus, within the human head, is an unpaired area along the attached margin of the falx cerebri. It allows blood to drain from the lateral aspects of anterior cerebral hemispheres to the confluence of sinuses. Cerebrospinal fluid drains through arachnoid granulations into the superior sagittal sinus and is returned to venous circulation.

<span class="mw-page-title-main">Inferior sagittal sinus</span> Anatomical structure of the brain

The inferior sagittal sinus, within the human head, is an area beneath the brain which allows blood to drain outwards posteriorly from the center of the head. It drains to the straight sinus, which connects to the transverse sinuses. See diagram : labeled in the brain as "SIN. SAGITTALIS INF.".

<span class="mw-page-title-main">Dural arteriovenous fistula</span> Medical condition

A dural arteriovenous fistula (DAVF) or malformation is an abnormal direct connection (fistula) between a meningeal artery and a meningeal vein or dural venous sinus.

<span class="mw-page-title-main">Sigmoid sinus</span>

The sigmoid sinuses, also known as the pars sigmoid, are paired dural venous sinuses within the skull that receive blood from posterior transverse sinuses.

<span class="mw-page-title-main">Transverse sinuses</span>

The transverse sinuses, within the human head, are two areas beneath the brain which allow blood to drain from the back of the head. They run laterally in a groove along the interior surface of the occipital bone. They drain from the confluence of sinuses to the sigmoid sinuses, which ultimately connect to the internal jugular vein. See diagram : labeled under the brain as "SIN. TRANS.".

<span class="mw-page-title-main">Cerebellar veins</span> Veins that drain the cerebellum

The cerebellar veins are veins which drain the cerebellum. They consist of the superior cerebellar veins and the inferior cerebellar veins. The superior cerebellar veins drain to the straight sinus and the internal cerebral veins. The inferior cerebellar veins drain to the transverse sinus, the superior petrosal sinus, and the occipital sinus.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

The empty delta sign is a radiologic sign seen on brain imaging which is associated with cerebral venous sinus thrombosis. It is usually seen on magnetic resonance imaging (MRI) or computed tomography (CT) scans with contrast. It is seen as dural wall enhancement in the absence of intra-sinus enhancement. This is due to the presence of a blood clot in the dural venous sinuses. The dural venous sinuses drain blood from the brain to the internal jugular veins, which in turn drains blood to the heart. It has been proposed that the empty delta sign occurs in dural venous thromboses due to contrast material filling the dural venous collateral circulation immediately surrounding the dura whilst being unable to fill the intra-dural sinus space due to the presence of a blood clot. The superior sagittal sinus is most commonly affected, but the radiologic sign may also be seen in the transverse sinuses.

References

  1. Kiernan, John A. (2005). Barr's The Human Nervous System: An Anatomical Viewpoint. Lippincott Williams & Wilkins. pp. 428–230. ISBN   0-7817-5154-3. Archived from the original on 2011-05-14. Retrieved 2006-01-27.
  2. 1 2 Gaillard, Frank. "Dural venous sinuses | Radiology Reference Article | Radiopaedia.org". Radiopaedia.
  3. Human Anatomy, B D Chaurasia's (2023). Anatomy (9th ed.). CBS publisher and Distuributer Pvt Ltd. p. 213. ISBN   978-93-5466-477-9.
  4. de Bruijn SF, Stam J (1999). "Randomized, placebo-controlled trial of anticoagulant treatment with low-molecular-weight heparin for cerebral sinus thrombosis". Stroke. 30 (3): 484–8. doi: 10.1161/01.str.30.3.484 . PMID   10066840.