Veins of thebrain

Arnab Rana

Veins of the brain

Arnab Rana

Last updated 5th December 2016

Veins of thebrain

Arnab Rana

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Veins of thebrain

Arnab Rana

Table of contents

Veins of thebrain

Arnab Rana

Aberdeen MBChB learning guide links

Nervous system lecture 6: Venous drainage into venoussinuses

Nervous system lecture 33: Headache

Veins of thebrain

Arnab Rana

How to use this online tutorial

Have your favourite neuroanatomy textbook beside yourcomputer (or an online equivalent)

Find the labelled structures in your textbook on the 3Dmodel

Turn and zoom the model as needed to improve yourunderstanding of the 3D structure

These slides can be navigated by clicking on the headingsin the margin or with the small slide icons below

Labelled 2D screenshots are provided as slides after themodel

Veins of thebrain

Arnab Rana

How to use this online tutorial

Have your favourite neuroanatomy textbook beside yourcomputer (or an online equivalent)

Find the labelled structures in your textbook on the 3Dmodel

Turn and zoom the model as needed to improve yourunderstanding of the 3D structure

These slides can be navigated by clicking on the headingsin the margin or with the small slide icons below

Labelled 2D screenshots are provided as slides after themodel

Veins of thebrain

Arnab Rana

How to use this online tutorial

Have your favourite neuroanatomy textbook beside yourcomputer (or an online equivalent)

Find the labelled structures in your textbook on the 3Dmodel

Turn and zoom the model as needed to improve yourunderstanding of the 3D structure

These slides can be navigated by clicking on the headingsin the margin or with the small slide icons below

Labelled 2D screenshots are provided as slides after themodel

Veins of thebrain

Arnab Rana

How to use this online tutorial

Have your favourite neuroanatomy textbook beside yourcomputer (or an online equivalent)

Find the labelled structures in your textbook on the 3Dmodel

Turn and zoom the model as needed to improve yourunderstanding of the 3D structure

These slides can be navigated by clicking on the headingsin the margin or with the small slide icons below

Labelled 2D screenshots are provided as slides after themodel

Veins of thebrain

Arnab Rana

How to use this online tutorial

Have your favourite neuroanatomy textbook beside yourcomputer (or an online equivalent)

Find the labelled structures in your textbook on the 3Dmodel

Turn and zoom the model as needed to improve yourunderstanding of the 3D structure

These slides can be navigated by clicking on the headingsin the margin or with the small slide icons below

Labelled 2D screenshots are provided as slides after themodel

Veins of thebrain

Arnab Rana

Controlling the model

Pre-defined views can be chosen from Views in thefloating menu, e.g. the straight sinus

Hold the left mouse button and move the mouse to turnthe model

Rolling the mouse wheel zooms the model

Right click brings up a context menu for Tools->Pan

Veins of thebrain

Arnab Rana

Controlling the model

Pre-defined views can be chosen from Views in thefloating menu, e.g. the straight sinus

Hold the left mouse button and move the mouse to turnthe model

Rolling the mouse wheel zooms the model

Right click brings up a context menu for Tools->Pan

Veins of thebrain

Arnab Rana

Controlling the model

Pre-defined views can be chosen from Views in thefloating menu, e.g. the straight sinus

Hold the left mouse button and move the mouse to turnthe model

Rolling the mouse wheel zooms the model

Right click brings up a context menu for Tools->Pan

Veins of thebrain

Arnab Rana

Controlling the model

Pre-defined views can be chosen from Views in thefloating menu, e.g. the straight sinus

Hold the left mouse button and move the mouse to turnthe model

Rolling the mouse wheel zooms the model

Right click brings up a context menu for Tools->Pan

Veins of thebrain

Arnab Rana

What are the main veins in the brain?

Veins visible in this model which are worth learning

Superior sagittal sinus

Straight sinus

Right and left transverse sinuses

Right and left sigmoid sinuses

Cavernous sinus

Veins of thebrain

Arnab Rana

What are the main veins in the brain?

Veins visible in this model which are worth learning

Superior sagittal sinus

Straight sinus

Right and left transverse sinuses

Right and left sigmoid sinuses

Cavernous sinus

Veins of thebrain

Arnab Rana

What are the main veins in the brain?

Veins visible in this model which are worth learning

Superior sagittal sinus

Straight sinus

Right and left transverse sinuses

Right and left sigmoid sinuses

Cavernous sinus

Veins of thebrain

Arnab Rana

What are the main veins in the brain?

Veins visible in this model which are worth learning

Superior sagittal sinus

Straight sinus

Right and left transverse sinuses

Right and left sigmoid sinuses

Cavernous sinus

Veins of thebrain

Arnab Rana

What are the main veins in the brain?

Veins visible in this model which are worth learning

Superior sagittal sinus

Straight sinus

Right and left transverse sinuses

Right and left sigmoid sinuses

Cavernous sinus

Veins of thebrain

Arnab Rana

Diagram from radiologyassistant.nl

There are more veins labelled here than what you need to know

http://www.radiologyassistant.nl/en/4befacb3e4691

Veins of thebrain

Arnab Rana

Limitations

Limitations of this model

The inferior sagittal sinus is not visible (this is usually thecase in MR venography)

There is contamination of the internal carotid arteriesbetween the internal jugular veins and the cavernous sinus

Veins of thebrain

Arnab Rana

Limitations

Limitations of this model

The inferior sagittal sinus is not visible (this is usually thecase in MR venography)

There is contamination of the internal carotid arteriesbetween the internal jugular veins and the cavernous sinus

Veins of thebrain

Arnab Rana

Model slow loading

The next slide contains the model and it loads slowly

Veins of thebrain

Arnab Rana

3D model

Veins of thebrain

Arnab Rana

Superior sagittal sinus viewed from the right

Veins of thebrain

Arnab Rana

Transverse sinuses viewed from posterior

Veins of thebrain

Arnab Rana

Cavernous sinus

Veins of thebrain

Arnab Rana

Cerebral venous sinus thrombosis quick facts

Cerebral venous sinus thrombosis is mentioned briefly in theheadache lecture.

Epidemiology and risk factors:

Incidence: RareCaused by infection in the mastiods or orbitOther inherited and acquired thrombophilic states such asoral contraceptives, dehydration, cancer, sepsis,myeloproliferative disorders. Also pregnancy and thepuerperium.More common in younger people due to oral contraceptionbeing a major risk factor

History and examination:

Headaches (in 92% of patients) with strokes, seizures ordecreased conscious stateIntracranial hypertension with nausea, vomiting,papilloedema, visual obscuration

Veins of thebrain

Arnab Rana

Cerebral venous sinus thrombosis quick facts

Cerebral venous sinus thrombosis is mentioned briefly in theheadache lecture.

Epidemiology and risk factors:

Incidence: RareCaused by infection in the mastiods or orbitOther inherited and acquired thrombophilic states such asoral contraceptives, dehydration, cancer, sepsis,myeloproliferative disorders. Also pregnancy and thepuerperium.More common in younger people due to oral contraceptionbeing a major risk factor

History and examination:

Headaches (in 92% of patients) with strokes, seizures ordecreased conscious stateIntracranial hypertension with nausea, vomiting,papilloedema, visual obscuration

Veins of thebrain

Arnab Rana

Cerebral venous sinus thrombosis quick facts

Cerebral venous sinus thrombosis is mentioned briefly in theheadache lecture.

Epidemiology and risk factors:

Incidence: RareCaused by infection in the mastiods or orbitOther inherited and acquired thrombophilic states such asoral contraceptives, dehydration, cancer, sepsis,myeloproliferative disorders. Also pregnancy and thepuerperium.More common in younger people due to oral contraceptionbeing a major risk factor

History and examination:

Headaches (in 92% of patients) with strokes, seizures ordecreased conscious stateIntracranial hypertension with nausea, vomiting,papilloedema, visual obscuration

Veins of thebrain

Arnab Rana

Cerebral venous sinus thrombosis quick facts

Treatment

Anticoagulation, even if there is haemorrhagic venousinfarction

Outcome

Usually complete recovery with treatmentBut mortality approx 10%

Veins of thebrain

Arnab Rana

Cerebral venous sinus thrombosis quick facts

Treatment

Anticoagulation, even if there is haemorrhagic venousinfarction

Outcome

Usually complete recovery with treatmentBut mortality approx 10%

Veins of thebrain

Arnab Rana

Cerebral venous sinus thrombosis quick facts

Treatment

Anticoagulation, even if there is haemorrhagic venousinfarction

Outcome

Usually complete recovery with treatmentBut mortality approx 10%

Veins of thebrain

Arnab Rana

Feedback contact

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Feedback can e-mailed to arnab.rana@abdn.ac.uk

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