The Venous System Flashcards

1
Q

How does the extracranial venous system accuses the sinuses

A

Via the ‘emissary’ vessels crossing the skull

Uncommon but potential route for infection

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2
Q

Name the 3 types of intracranial veins

Where do they drain into

A
  1. Superficial veins
  2. Deep veins
  3. Dural veins

Drain to the internal jugular bulb and vein

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3
Q

Where do superficial cerebral veins drain to

A

Superior sagittal sinus

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4
Q

Deep intracranial venous drainage

A
  • Internal cerebral veins - bilateral, formed by the union of the posterior and anterior terminal veins
  • Great cerebral vein (of Galen), union of the internal cerebral veins - most common location for malformation of infants and foetuses, drains to the straight venous sinus
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5
Q

What are venous sinuses

A

A series of large veins that reside between the dural sublayers and ultimately drain blood to the internal jugular vein

** CSF drains into these via arachnoid granulations as the end of the CSF route where it then merges with the venous blood

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6
Q

Where are venous sinuses located

What is their function

What are they lined with

What empties into them

Where do they ultimately drain into

A
  • Large vessels that reside between the periosteal and meningeal sub layers of the dura mater
  • Contain and transport venous blood
  • Endothelial lined spaces
  • Large veins from the surface of the brain empty into them
  • CSF arrives into them as well via the arachnoid granulations
  • Ultimately drain to the internal jugular veins
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7
Q

Where does the superior sagittal sinus run

Where does it begin

Where does it end

A
  • Runs along the superior border of the falx cerebri
  • Begins at the crista gali of the ethmoid bone
  • Ends near the internal occipital protuberance at the CONFLUENCE OF THE SINUSES
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8
Q

How does the inferior sagittal sinus compare to the superior

Where does it run

Where does it drain into

A
  • Inferior sagittal sinus is smaller and shorter than the superior
  • Runs inside the inferior border of the falx cerebri
  • Drains into the straight sinus which runs along the midline joint between the falx cerebri and the tentorium cerebelli to drain into the confluence of the sinuses
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9
Q

Where do the superior sagittal and straight sinuses drain into the confluence of sinuses

A

At the internal occipital protuberance

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10
Q

Where does blood go when it leaves the confluence

A

Travels laterally in both directions in the transverse sinues which run in the posterior margin of the tentorium cerebelli

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11
Q

Where do the transverse sinuses (along with a network of other smaller venous sinuses - sphenoidal, clival) drain into

A

The sigmoid sinus which ultimately drains to the internal jugular bulb and vein located at the jugular foramen and returning blood to the heart

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12
Q

Corresponding dural venous sinus associated with the falx cerebri

A

Superior sagittal

Inferior sagittal

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13
Q

Corresponding dural venous sinus associated with the tentorium cerebelli

A

Transverse sinus - sigmoid

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14
Q

Veins that drain the skull

A

Deploic veins

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15
Q

What do emissary vessels supply

A

The venous sinuses

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16
Q

Sub-ependymal veins drain the lateral and 3rd ventricles

A
17
Q

What do superficial veins traverse

A

Sub-arachnoid space

Mainly follow sulci

18
Q

Where do venous sinuses reside

A

Between the periosteal and meningeal sublayers of the dura mater

19
Q

Where is the superior sagittal sinus

A

At the superior most point of the longitudinal fissure

Runs anterior to posterior - superior portion of falx cerebri

20
Q

Where does the inferior sagittal sinus run

A

Inside the inferior border of the falx cerebri

Superior to the corpus callosum

21
Q

Where does the ISS drain

A

Where the falx cerebri meets tentorium cerebelli

* falco-tentorial apex

Great vein of gallen also drains at this junction

-> drain into straight sinus (runs from apex of tentorium cerebelli to the confluence of sinuses)

22
Q

Where does the SSS drain into

A

The confluence of sinuses

23
Q

Where does blood go after the confluence of sinuses

A

Laterally into transverse sinuses

24
Q

Where does blood go from the sigmoid sinus

A

Internal jugular bulb and vein

25
Q

Tentorial notch

A

Gap through which the brainstem passes

26
Q

Emissary vessels function

A

Bring extracranial blood into the intracranial space specifically to the venous sinuses (potential route for infection)