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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 dural venous sinuses drain blood from the brain to the internal jugular veins, which in turn drains blood to the heart. It has been proposed that the empty delta sign occurs in dural venous thromboses due to contrast material filling the dural venous collateral circulation immediately surrounding the dura whilst being unable to fill the ...
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.
The transverse sinuses are of large size and begin at the internal occipital protuberance; one, generally the right, being the direct continuation of the superior sagittal sinus, the other of the straight sinus. Each transverse sinus passes lateral and forward, describing a slight curve with its convexity upward, to the base of the petrous ...
[5] [7] [8] A contrast-enhanced MRV (ATECO) scan has a high detection rate for abnormal transverse sinus stenoses. [15] These stenoses can be more adequately identified and assessed with catheter cerebral venography and manometry. [16] Buckling of the bilateral optic nerves with increased perineural fluid is also often noted on MRI imaging.
Patients with SJVCS experience compression of venous outflow on both sides due to bone structures. It occurs due to compression of the internal jugular vein (IJV) between the C1 vertebrae transverse process and the temporal styloid process. Treatments like venous stenting and styloidectomy have shown positive results. [13] [14] [15] [16]
The dural venous sinuses (also called dural sinuses, cerebral sinuses, or cranial sinuses) are venous sinuses (channels) found between the periosteal 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 .
Most commonly found adjacent to dural sinuses in the following locations: [2] 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]