Detailed Anatomy of Bridging Veins Around the Foramen Magnum : a Multicenter Study Using Three-dimensional Angiography

© 2023. The Author(s)..

BACKGROUND AND PURPOSE: There has been limited literature regarding the bridging veins (BVs) of the medulla oblongata around the foramen magnum (FM). The present study aims to analyze the normal angioarchitecture of the BVs around the FM using slab MIP images of three-dimensional (3D) angiography.

METHODS: We collected 3D angiography data of posterior fossa veins and analyzed the BVs around the FM using slab MIP images. We analyzed the course, outlet, and number of BVs around the FM. We also examined the detection rate and mean diameter of each BV.

RESULTS: Of 57 patients, 55 patients (96%) had any BV. The median number of BVs was two (range: 0-5). The BVs originate from the perimedullary veins and run anterolaterally to join the anterior condylar vein (ACV), inferior petrosal sinus, sigmoid sinus, or jugular bulb, inferolaterally to join the suboccipital cavernous sinus (SCS), laterally or posterolaterally to join the marginal sinus (MS), and posteriorly to join the MS or occipital sinus. We classified BVs into five subtypes according to the draining location: ACV, jugular foramen (JF), MS, SCS, and cerebellomedullary cistern (CMC). ACV, JF, MS, SCS, and CMC BVs were detected in 11 (19%), 18 (32%), 32 (56%), 20 (35%), and 16 (28%) patients, respectively. The mean diameter of the BVs other than CMC was 0.6 mm, and that of CMC BV was 0.8 mm.

CONCLUSION: Using venous data from 3D angiography, we detected FM BVs in most cases, and the BVs were connected in various directions.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

Clinical neuroradiology - 34(2024), 1 vom: 01. Feb., Seite 67-74

Sprache:

Englisch

Beteiligte Personen:

Hiramatsu, Masafumi [VerfasserIn]
Ozaki, Tomohiko [VerfasserIn]
Tanoue, Shuichi [VerfasserIn]
Mizutani, Katsuhiro [VerfasserIn]
Nakamura, Hajime [VerfasserIn]
Tokuyama, Kohei [VerfasserIn]
Sakata, Hiroyuki [VerfasserIn]
Matsumaru, Yuji [VerfasserIn]
Nakahara, Ichiro [VerfasserIn]
Niimi, Yasunari [VerfasserIn]
Fujinaka, Toshiyuki [VerfasserIn]
Kiyosue, Hiro [VerfasserIn]

Links:

Volltext

Themen:

Bridging vein
Cone-beam CT
Dural arteriovenous fistula
Foramen magnum
Journal Article
Multicenter Study
Slab maximum intensity projection
Venous phase three-dimensional rotational angiography

Anmerkungen:

Date Completed 22.02.2024

Date Revised 24.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00062-023-01327-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360518931