Dural Venous Sinuses

With Dr. Craig Canby

Nicole Yatawara, nicoleyatawara@gmail.com

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 Dural Venous Sinuses
General Considerations

• Superior sagittal sinus is shown.

• Channels form where the periosteal

and meningeal layers of dura mater
separate.

• Endothelium-lined channels

• Drain most structures of cranial

Superior sagittal sinus
cavity

• Sinus venous blood drains primarily

into internal jugular veins.

Image: Elsevier, Paulsen

Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Dural Venous Sinuses
Arachnoid Granulations
Arachnoid granulation

• Protrusions of arachnoid
through the dura mater into
the venous sinuses

• Prominent in the lateral

lacunae

• Effect is the return of CSF to

the venous circulation

Image: Elsevier, Paulsen

Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Dural Venous Sinuses
Arachnoid Granulations

• Protrusions of arachnoid
Lateral
through the dura mater into lacunae
the venous sinuses

• Prominent in the lateral

lacunae

• Effect is the return of CSF to

the venous circulation

Image: Elsevier, Paulsen

Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Dural Venous Sinuses
Arachnoid Granulations

Arachnoid
granulations

• Prominent arachnoid
granulations
Lateral
• Lateral lacunae lacunae

Image: Elsevier, Paulsen

Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Dural Venous Sinuses
Tributaries

Emissary veins
Diploic veins Arachnoid granulation

Meningeal
veins

Cerebral and cerebelli

veins (bridging veins)
PD

Nicole Yatawara, nicoleyatawara@gmail.com

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 Dural Venous Sinuses
Major Sinuses

Superior sagittal sinus

Inferior sagittal sinus

Transverse sinus

Cavernous Sigmoid sinus

sinus
Straight sinus
Confluence of
sinuses

Superior petrosal sinus Occipital sinus

Image: Elsevier, Paulsen

Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Confluence of Sinuses
Formed by Union of:

Superior sagittal sinus

Straight sinus
Confluence of
sinuses

Occipital sinus

Image: Elsevier, Paulsen

Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Dural Venous Sinuses
Drainage

• Confluence of sinuses

• Transverses sinuses

• Sigmoid sinuses > bulb of Bulb

internal jugular veins IJV

Sigmoid
sinus

Confluence Transverse
of sinuses sinus
Image: Elsevier, Paulsen
Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Cavernous Sinuses
Related Structures

• Internal carotid artery (ICA)

• Carotid plexus of sympathetic

nerves (not shown)

• Abducent nerve (CN VI)

• Oculomotor nerve (CN III)

• Trochlear nerve (CN IV)

• Ophthalmic nerve (CN V/1)

• Maxillary nerve (CN V/2)

Image: Elsevier, Paulsen

Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Cavernous Sinuses
Related Structures
ICA
• Internal carotid artery (ICA)

• Carotid plexus of sympathetic

nerves (not shown)

• Abducent nerve (CN VI)

• Oculomotor nerve (CN III)

• Trochlear nerve (CN IV)

• Ophthalmic nerve (CN V/1)

• Maxillary nerve (CN V/2)

Image: Elsevier, Paulsen

Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Cavernous Sinuses
Related Structures
ICA
• Internal carotid artery (ICA)

• Carotid plexus of sympathetic

CN III
nerves (not shown)
CN IV
• Abducent nerve (CN VI) CN VI

• Oculomotor nerve (CN III) CN V/1

CN V/2
• Trochlear nerve (CN IV)

• Ophthalmic nerve (CN V/1)

• Maxillary nerve (CN V/2)

Image: Elsevier, Paulsen

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Yatawara, nicoleyatawara@gmail.com
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 Thrombophlebitis of Facial Veins
Danger Triangle (Zone)

Image: Elsevier, Paulsen

Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Cavernous Sinuses
Thrombophlebitis
ICA

• Infection from danger triangle CN III

CN IV
• Abducent nerve may be
affected (internal strabismus). CN VI

• Other cranial nerves CN V/1

CN V/2
• Septic thrombosis usually
results in acute meningitis.

Image: Elsevier, Paulsen

Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Cavernous Sinuses
Pituitary Gland Tumor
ICA

CN III
CN IV

• Internal carotid artery CN VI

• Cranial nerves CN V/1

CN V/2

Image: Elsevier, Paulsen

Nicole and Waschke
Yatawara, nicoleyatawara@gmail.com
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 Summary
Dural Venous Sinuses

• Dural sinuses are formed where the periosteal and

meningeal dural layers separate.

• The sinuses drain venous blood from cranial cavity

structures as well as CSF into the internal jugular
veins.

• Thrombophlebitis of the facial veins may result in

internal strabismus (CN VI) and impairment of other
cranial nerves.

• A pituitary gland tumor may result in a watershed

infarct and produce cranial nerve palsies.

Nicole Yatawara, nicoleyatawara@gmail.com

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 Attribution

The images used in this presentation were

sourced from:

Paulsen and Waschke:

Atlas of Human Anatomy, 15th edition,
Elsevier GmbH 2011

Nicole Yatawara, nicoleyatawara@gmail.com

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 This document is a property of: Nicole Yatawara

Note: This document is copyright protected. It may not be copied, reproduced, used, or
distributed in any way without the written authorization of Lecturio GmbH.

Nicole Yatawara, nicoleyatawara@gmail.com

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