Dural venous sinuses explained

Dural venous sinuses
Latin:sinus durae matris

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.

Venous sinuses

Name Drains to
Anterior
Sphenoparietal sinusesCavernous sinuses
Superior and inferior petrosal sinuses
Midline
Superior sagittal sinusTypically becomes right transverse sinus or confluence of sinuses
Inferior sagittal sinusStraight sinus
Typically becomes left transverse sinus or confluence of sinuses
Posterior
Confluence of sinuses
Right and left transverse sinuses
Lateral
Superior petrosal sinusTransverse sinuses
Sigmoid sinus
Internal jugular vein
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).

Clinical relevance

See main article: Cerebral venous sinus thrombosis. 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]

References

  1. Book: Kiernan, John A. . Barr's The Human Nervous System: An Anatomical Viewpoint . Lippincott Williams & Wilkins . 2005 . 0-7817-5154-3 . 428–230 . 2006-01-27 . https://web.archive.org/web/20110514004113/http://www.lww.com/product/?0-7817-5154-3 . 2011-05-14 . dead.
  2. Web site: Dural venous sinuses Radiology Reference Article Radiopaedia.org . Gaillard . Frank . Radiopaedia.
  3. Book: Human Anatomy, B D Chaurasia's . Anatomy . CBS publisher and Distuributer Pvt Ltd . 2023 . 978-93-5466-477-9 . 9th . 213 . English.
  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 . 10.1161/01.str.30.3.484 . 10066840 . free.

External links