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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 (which drain blood from the brain), the cerebral veins, or both.
The sigmoid sinus is a dural venous sinus situated within the dura mater.The sigmoid sinus receives blood from the transverse sinuses, which track the posterior wall of the cranial cavity, travels inferiorly along the parietal bone, temporal bone and occipital bone, and converges with the inferior petrosal sinuses to form the internal jugular vein.
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.
Transverse (lateral) sinus, [3] left-sided slightly more common than right [4] Intratentorial; From the posterior cavernous sinus, usually draining to the transverse or sigmoid sinuses; Vertebral artery (posterior meningeal branch) [2]
The confluence of sinuses shows significant variation. [1] Most commonly, there is a continuous connection between all of the sinuses. [1] [2] A very common variant is the superior sagittal sinus only draining into the right transverse sinus - more rarely, it may also only drain into the left transverse sinus.
Each transverse sinus passes lateral and forward, describing a slight curve with its convexity upward, to the base of the petrous portion of the temporal bone, and lies, in this part of its course, in the attached margin of the tentorium cerebelli; it then leaves the tentorium and curves downward and medialward (an area sometimes referred to as ...
One notable emissary vein, the vein of Vesalius, travels through the sphenoidal emissary foramen inferior to the zygomatic arch, connecting the pterygoid plexus with the cavernous sinus. [3] This is an important route for the spread of infection as cranial nerve VI and the internal carotid pass through the cavernous sinus, with cranial nerves ...
Thrombosis (obstruction of a blood vessel by a blood clot forming locally) Embolism (obstruction due to an embolus from elsewhere in the body), [17] Systemic hypoperfusion (general decrease in blood supply, e.g., in shock) [18] Cerebral venous sinus thrombosis. [19] Unusual causes such as gas embolism from rapid ascents in scuba diving. [20]