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A falcine sinus is a venous channel that lies within the falx cerebri connecting the vein of Galen and the posterior part of superior sagittal sinus. [1] It is normally present during fetal development and involutes after birth. The presence of a falcine sinus has been associated with a vein of Galen malformation and other vascular anomalies. The persistence of a falcine sinus after the neonatal period was previously thought to be rare, but has recently been described to be present in up to 5% of all people, [2] [1] appearings in approximately 2.1% of CT examinations of adult patients. Some authors have studied the plexus rather than the sinus, a rare form of the venous pathway between the layers of the cerebral falx, which connects the superior sagittal sinus with the inferior sagittal sinus and the straight sinus. [3]
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.
The portal vein or hepatic portal vein (HPV) is a blood vessel that carries blood from the gastrointestinal tract, gallbladder, pancreas and spleen to the liver. This blood contains nutrients and toxins extracted from digested contents. Approximately 75% of total liver blood flow is through the portal vein, with the remainder coming from the hepatic artery proper. The blood leaves the liver to the heart in the hepatic veins.
The inferior vena cava is a large vein that carries the deoxygenated blood from the lower and middle body into the right atrium of the heart. It is formed by the joining of the right and the left common iliac veins, usually at the level of the fifth lumbar vertebra.
The azygos vein is a vein running up the right side of the thoracic vertebral column draining itself towards the superior vena cava. It connects the systems of superior vena cava and inferior vena cava and can provide an alternative path for blood to the right atrium when either of the venae cavae is blocked.
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.
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.
In anatomy, the epidural space is the potential space between the dura mater and vertebrae (spine).
The diploic veins are large, thin-walled valveless veins that channel in the diploë between the inner and outer layers of the cortical bone in the skull, first identified in dogs by the anatomist Guillaume Dupuytren. A single layer of endothelium lines these veins supported by elastic tissue. They develop fully by the age of two years. The diploic veins drain this area into the dural venous sinuses. The four major trunks of the diploic veins found on each side of the head are frontal, anterior temporal, posterior temporal, and occipital diploic veins. They tend to be symmetrical, with the same pattern of large veins on each side of the skull. It has been suggested that the venous patterns they form resemble fingerprints in their individuality.
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.
The coronary sinus is the largest vein of the heart. It drains over half of the deoxygenated blood from the heart muscle into the right atrium. It begins on the backside of the heart, in between the left atrium, and left ventricle; it begins at the junction of the great cardiac vein, and oblique vein of the left atrium. It receives multiple tributaries. It passes across the backside of the heart along a groove between left atrium and left ventricle, then drains into the right atrium at the orifice of the coronary sinus.
The dural venous sinuses are venous sinuses (channels) found between the endosteal and meningeal layers of dura mater in the brain. 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.
The confluence of sinuses, torcular Herophili, or torcula is the connecting point of the superior sagittal sinus, straight sinus, and occipital sinus. It is below the internal occipital protuberance of the skull. It drains venous blood from the brain into the transverse sinuses. It may be affected by arteriovenous fistulas, a thrombus, major trauma, or surgical damage, and may be imaged with many radiology techniques.
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.
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.
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.".
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 smallest cardiac veins are small, valveless veins in the walls of all four heart chambers that drain venous blood from the myocardium directly into any of the heart chambers.
Cerebral venous sinus thrombosis (CVST), cerebral venous and sinus thrombosis or cerebral venous thrombosis (CVT), is the presence of a blood clot in the dural venous sinuses, the cerebral veins, or both. Symptoms may include severe headache, visual symptoms, any of the symptoms of stroke such as weakness of the face and limbs on one side of the body, and seizures, which occur in around 40% of patients.
Vein of Galen aneurysmal malformations(VGAMs) and Vein of Galen aneurysmal dilations (VGADs) are the most frequent arteriovenous malformations in infants and fetuses. A VGAM consists of a tangled mass of dilated vessels supplied by an enlarged artery. The malformation increases greatly in size with age, although the mechanism of the increase is unknown. Dilation of the great cerebral vein of Galen is a secondary result of the force of arterial blood either directly from an artery via an arteriovenous fistula or by way of a tributary vein that receives the blood directly from an artery. There is usually a venous anomaly downstream from the draining vein that, together with the high blood flow into the great cerebral vein of Galen causes its dilation. The right sided cardiac chambers and pulmonary arteries also develop mild to severe dilation.
A developmental venous anomaly is a congenital variant of the cerebral venous drainage. On imaging it is seen as a number of small deep parenchymal veins converging toward a larger collecting vein.