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The pathophysiology of cranial venous outflow obstruction involves the disruption of normal venous drainage from the brain. Cerebral veins play a crucial role in draining brain interstitial fluid (ISF), and their significance has been linked in various neurological conditions. [1] It can be caused by extrinsic or intrinsic anomalies. [7]
The deep venous system is primarily composed of traditional veins inside the deep structures of the brain, which join behind the midbrain to form the great cerebral vein (vein of Galen). This vein merges with the inferior sagittal sinus to form the straight sinus which then joins the superficial venous system mentioned above at the confluence ...
The superior thalamic vein (Latin: vena superioris thalami), initially called by Benno Shlesinger in 1976 the principal thalamic vein (vena principalis thalami) or centro-medial thalamic vein (vena centro-medialis thalami), also called by Russian surgeon Pirogoff internal thalamic vein (vena interioris thalami) is the most prominent vein of the thalamus.
[1] [22] Five ultrasound criteria of venous drainage have been proposed to be characteristic of the syndrome, although two are considered sufficient for diagnosis of CCSVI: [1] [22] [35] reflux in the internal jugular and vertebral veins, reflux in the deep cerebral veins, high-resolution B-mode ultrasound evidence of stenosis of the internal ...
These sinuses play a crucial role in cerebral venous drainage. A dural venous sinus, in human anatomy, is any of the channels of a branching complex sinus network that lies between layers of the dura mater, the outermost covering of the brain, and functions to collect oxygen-depleted blood. Unlike veins, these sinuses possess no muscular coat.
For example, an increase in lesion volume (e.g., epidural hematoma) will be compensated by the downward displacement of CSF and venous blood. [24] Additionally, there is some evidence that brain tissue itself may provide an additional buffer for elevated ICP in circumstances of acute intracranial mass effect via cell volume regulation. [25] [26]
Both biopsy samples and various types of brain scans have shown an increased water content of the brain tissue. It remains unclear why this might be the case. [5] The third theory suggests that restricted venous drainage from the brain may be impaired resulting in congestion. Many people with IIH have narrowing of the transverse sinuses. [15]
This continuous flow into the venous system dilutes the concentration of larger, lipid-insoluble molecules penetrating the brain and CSF. [9] CSF is normally free of red blood cells and at most contains fewer than 5 white blood cells per mm 3 (if the white cell count is higher than this it constitutes pleocytosis and can indicate inflammation ...