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The pathophysiology of cranial venous outflow obstruction involves the disruption of normal venous drainage from the brain. Cerebral veins play a crucial role in draining brain interstitial fluid (ISF), and their significance has been linked in various neurological conditions. [1] It can be caused by extrinsic or intrinsic anomalies. [7]
3D model of cerebral veins. In human anatomy, the cerebral veins are blood vessels in the cerebral circulation which drain blood from the cerebrum of the human brain. They are divisible into external (superficial cerebral veins) and internal (internal cerebral veins) groups according to the outer or inner parts of the hemispheres they drain into.
The veins of the brain, both the superficial veins and the deep venous system, empty into the dural venous sinuses, which carry blood back to the jugular vein and thence to the heart. In cerebral venous thrombosis, blood clots usually form both in the veins of the brain and the venous sinuses.
Atrial fibrillation causes blood clots to form within the heart, which may travel to the arteries within the brain and cause an embolism. The embolism prevents blood flow to the brain, which leads to a stroke. [26] An aneurysm is an abnormal bulging of small sections of arteries, which increases the risk of artery rupture.
Deep cerebral vein thrombosis is a rare [7] condition characterized by the presence of a blood clot in the deep cerebral veins and can appear in the septal veins. [8] This condition is commonly comorbid with other thrombi in the cerebral veins.
Oxygen is removed in the capillaries to be used by the brain. [10] After the oxygen is removed, blood reaches venules and later veins which will take it back to the heart and lungs. [10] A cerebral AVM causes blood to be shunted directly from arteries to veins because the capillary bed is lacking, causing a disrupted circulation. [10] [11]
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Venous cutdown is an emergency procedure in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. It is used for venous access in cases of trauma, and hypovolemic shock when the use of a peripheral venous catheter is either difficult or impossible. The great saphenous vein is most