14350807 Dural Venous Sinuses

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 DURAL VENOUS SINUSES

Transcript of 14350807 Dural Venous Sinuses

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    DURAL VENOUS SINUSES

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    definition

    1.Venous spaces present between

    the two layers of dura

    2.Lined by endothelium

    3.Devoid of valves

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    Paired are:Cavernous sinuses JPetrosal sinuses H,I

    Transverse sinuses GSigmoid sinuses C

    Sphenoparietal sinuses A

    ClassificationPaired and unpaired

    http://www.meddean.luc.edu/lumen/meded/grossanatomy/h_n/cn/dvs/dvs1B.htm
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    unpaired are:Superior sagittal sinusInferior sagittal sinus

    Straight sinusOccipital sinus

    asilar ple!us of sinuses

    http://ect.downstate.edu/courseware/haonline/imgs/00000/4000/900/4949.jpghttp://ect.downstate.edu/courseware/haonline/imgs/00000/4000/900/4946.jpghttp://ect.downstate.edu/courseware/haonline/imgs/00000/4000/900/4947.jpg
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    "ural #enous Sinuses:$ateral #ie%

    A. Superior Sagittal Sinus

    B. Great Cerebral Vein

    C. Ophthalmic Veins

    D. Facial Vein

    E. Cavernous Sinus

    F. Inferior etrosal Sinus

    G. !ugular Vein

    ". Sigmoi# Sinus

    I. Superior etrosal Sinus

    !. $ransverse Sinus

    %. Straight Sinus

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    Cavernous sinusSituated on either side of the &od' of sphenoid

    (!tends from superior or&ital fissureTo the ape! of petrous temporal

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    "elations

    )ediall' related to pituitar' gland

    and sphenoidal air sinus

    $ateral %all contains

    III,I#,#*,#+ nerves

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    Passing through the sinus are ICA and A&ducent nerve

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    It receives tri&utaries from &rain &ones s-ull.,pter'goid ple!us,

    or&it and the e'e central vein of retina.

    Connections

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    Superior and inferior ophthalmicveins from the or&it.

    are regarded as emissar' veins

    as the' do not have valves/

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    Ophthalmic veins also have communication

    %ith the facial vein c 0 d. so the infections from

    the 1dangerous area2 of face can spread to

    Cavernous sinus causing throm&osis/

    http://www.bartleby.com/107/171.html
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    drainage

    http://www.meddean.luc.edu/lumen/meded/grossanatomy/h_n/cn/dvs/dvs1B.htm
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    Applied anatomy

    */infections from face, or&it,shenoid sinus can cause throm&osis/+/III,I#,#*,#+,#I can &e involved resulting in

    various diplopias3/rupture of ICA can cause pulsatile e!ophthalmos

    Caput medusae in cavernous sinus throm&osis

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    )4 image at the level of the pituitar' stal- sho%s &ilateral involvement of the cavernous sinuses %ith narro%ing of the right internal carotid arter' due to infiltration of the lesion arro%s./

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    Situated along the upper margin of the fal! cere&riegins at the foramen caecum near crista galli

    &' the union of small veins from the nasal cavit'.enlarges as it passes posterior

    uperior sa#ittal sinus

    http://ect.downstate.edu/courseware/haonline/imgs/00000/4000/900/4946.jpg
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    5suall' turns to the right side and

    forms the right transverse sinus

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    Presents gaps called 6lacunae laterales which areThree on each side usuall'/

    Arachnoid villi pro7ect into these pla'ing important role in CS8 circulation

    uperior sa#ittal sinus

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    Arachnoid villi pro7ecting into the sinus

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    Arachnoid foveae

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    Tributaries of sup.sagittal sinus

    */superior cere&ral veins from &rain+/emissar' veins from the scalp

    3/diploic veins and nose

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    */infections can spread from scalp,nasal cavit'causing throm&osis/

    +/ It can &e used to dra% venous &lood9 fluid administration through the anterior fontanelle

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    Transverse sinuses

    Grooving the inner aspect of occipital &one

    http://www.bartleby.com/107/illus570.html
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    Transverse sinuses receive the cavernous sinuses through superior petrosal sinuses/

    4ight transverse sinus is usuall' largerthan the left

    because it is the continuation of superior sagittal sinus(!)

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    $eft transverse sinus is formed &' the continuation of straightsinus/

    Straight sinus is formed &' unionof inferior sagittal sinus andgreat cere&ral vein of Galen.

    Straight sinus

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    Sigmoid sinuses

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    Continuations of transverse sinuses

    Groove the inner aspect of posteroinferior angle

    of parietal &one mastoid angle.

    Pass into 7ugular foramina and continue as

    Internal 7ugular veins IJ#.

    http://ect.downstate.edu/courseware/haonline/imgs/00000/3000/600/3601.jpghttp://ect.downstate.edu/courseware/haonline/imgs/00000/3000/600/3601.jpg
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    asterion

    Groove for sigmoid sinus

    TP

    O

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    Close relation of sigmoid sinus %ith the mastoid process

    )astoid process

    Sigmoid sinus

    http://rds.yahoo.com/_ylt=A9G_RqucYHVEHRUAvSuJzbkF;_ylu=X3oDMTBjYzZubXM2BHBvcwM4BHNlYwNzcg--/SIG=1d1f9a2vp/EXP=1148629532/**http%3a//images.search.yahoo.com/search/images/view%3fback=http%253A%252F%252Fimg.search.yahoo.com%252Fsearch%252Fimages%253Fei%253Dutf-8%2526fr%253Dslv8-msgr%2526p%253Dsigmoid%252520sinus%26w=480%26h=480%26imgurl=www.axisarts.com%252Fimages%252Fm-p11.jpg%26rurl=http%253A%252F%252Fwww.axisarts.com%252Fm11.htm%26size=59.9kB%26name=m-p11.jpg%26p=sigmoid%2bsinus%26type=jpeg%26no=8%26tt=39%26ei=UTF-8
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    Sigmoid sinus thrombosis can occur

    as a complication of otitis media(middle ear infection)

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    Identif'

    A