Dural venous sinuses

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Vein: Dural venous sinuses

Dural veins

Sagittal section of the skull, showing the sinuses of the dura.
Latin	s. durae matris
Gray's	p.654
MeSH	Cranial+Sinuses

The dural venous sinuses (also called dural sinuses, cerebral sinuses, or cranial sinuses) are venous channels found between layers of dura mater in the brain.^[1] They receive blood from internal and external veins of the brain, receive cerebrospinal fluid (CSF) from the subarachnoid space, and ultimately empty into the internal jugular vein.

Venous sinuses

Name	Drains to
Inferior sagittal sinus	Straight sinus
Superior sagittal sinus	Typically becomes right transverse sinus or confluence of sinuses
Straight sinus	Typically becomes left transverse sinus or confluence of sinuses
Occipital sinus	Confluence of sinuses
Confluence of sinuses	Right and Left transverse sinuses
Sphenoparietal sinuses	Cavernous sinuses
Cavernous sinuses	Superior and inferior petrosal sinuses
Superior petrosal sinus	Transverse sinuses
Transverse sinuses	Sigmoid sinus
Inferior petrosal sinus	Internal jugular vein
Sigmoid sinuses	Internal jugular vein

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 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. It also lacks valves as seen in veins.

Clinical relevance

The sinuses can be injured by trauma.^[2] Damage to the dura mater, which may be caused by skull fracture, may result in blood clot formation (thrombosis) within the dural sinuses. While rare, dural sinus thrombosis may lead to hemorrhagic infarction with serious consequences including epilepsy, neurological deficits, or death.^[3]

Additional images

Dura mater and its processes exposed by removing part of the right half of the skull, and the brain.
The sinuses at the base of the skull.

References

↑ Kiernan, John A. (2005). Barr's The Human Nervous System: An Anatomical Viewpoint. Lippincott Williams & Wilkins. pp. 428–230. ISBN 0-7817-5154-3.
↑ Anatomy at MUN head/cbv
↑ 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. PMID 10066840.

External links

Veins (emissary, jugular and others) of head and neck (drainage patterns can vary) (TA A12.3.04–06, GA 7.644)

External jugular

Retromandibular	maxillary (pterygoid plexus) · superficial temporal (anterior auricular)

Direct	posterior auricular transverse cervical · suprascapular · anterior jugular (jugular venous arch)

Internal jugular

Diploic/brain

Cerebral

Superficial cerebral veins: superior · superficial middle · inferior · inferior anastomotic (Labbé) · superior anastomotic (Trolard)

Deep cerebral veins: great · internal (basal, deep middle, superior thalamostriate)

Cerebellar

superior · inferior

Sinuses

To COS	superior sagittal · straight (inferior sagittal) · occipital

To CS	sphenoparietal · intercavernous superior ophthalmic (ethmoidal, central retinal, nasofrontal, vorticose veins) · inferior ophthalmic

To IJV	sigmoid: transverse (petrosquamous) · superior petrosal inferior petrosal (basilar plexus, internal auditory veins) · condylar

Facial/common facial

frontal · supraorbital · angular · superior labial · inferior labial · deep facial

Direct

lingual (dorsal lingual, deep lingual, sublingual) · pharyngeal · superior thyroid (superior laryngeal) · middle thyroid

Brachiocephalic

Vertebral	occipital (occipital emissary) · suboccipital venous plexus deep cervical

Direct	inferior thyroid (inferior laryngeal) · thymic

M: VAS

anat (a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot

noco/syva/cong/lyvd/tumr, sysi/epon, injr

proc, drug (C2s+n/3/4/5/7/8/9)

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