Abstract：Objective To identify anatomical features of the cerebral veins in middle cranial fossa on cadaver and to correlate such features with that of digital subtraction angiogram (DSA), computed tomographic venography (CTV) and magnetic resonance venography (MRV). Methods A total of 30 adult cadavers and 86 patients were examined with anatomical dissections or DSA, CTV and MRV, respectively. The number, diameter, and the location of the cerebral veins entering the sinus in middle cranial fossa were measured and compared between cadavers and neuroimages. Results Compared with cadavers, DSA, CTV, and MRV revealed 70%, 52%, and 42% of the cerebral veins in middle cranial fossa respectively. The dural entrances of cerebral veins varied but were identifiable in neuroimages. According to the location of dural entrance, the cerebral veins in middle cranial fossa were divided into four types: veins entered cavernous sinus, sphenoparietal sinus, sphenopetrosal sinus or superior petrosal sinus. There were no significant differences about the number and typing of SMCV between cadavers and neuroimages. Conclusions Unique anatomical features of the cerebral veins in middle cranial fossa in the cadaver are correlated to that of the neuroimages and thus the variants of the veins with neuroimaging modalities should be considered in the preoperative planning.
邓雪飞 陶伟 朱友余 刘斌 赵红 王峰 韩卉. 颅中窝脑静脉的显微解剖与影像学观察[J]. 中华解剖与临床杂志, 2014, 19(1): 24-28.
Deng Xuefei, Tao Wei, Zhu Youyu, Liu Bin, Zhao Hong, Wang Feng, Han Hui. Microanatomy of cerebral veins in the middle cranial fossa and its venograms obtained by neuroimages. Chinese Journal of Anatomy and Clinics, 2014, 19(1): 24-28.
Hasegawa H, Inoue T, Sato K, et al. Mobilization of the sphenoparietal sinus: a simple technique to preserve prominent frontobasal bridging veins during surgical clipping of anterior communicating artery aneurysms: technical case report[J]. Neurosurgery, 2013, 73(1 Suppl Operative): onsE124-127.
[2]
Nagata T, Ishibashi K, Metwally H, et al. Analysis of venous drainage from sylvian veins in clinoidal meningiomas[J]. World Neurosurg, 2013, 79(1): 116-123.
[3]
Hayashi N, Sato H, Tsuboi Y, et al. Consequences of preoperative evaluation of patterns of drainage of the cavernous sinus in patients treated using the anterior transpetrosal approach[J]. Neurol Med Chir (Tokyo), 2010, 50(5): 373-377.
[4]
San Milln Ruíz D, Fasel JH, Rufenacht DA, et al. The sphenoparietal sinus of breschet: does it exist? An anatomic study[J]. AJNR Am J Neuroradiol, 2004, 25(1): 112-120.
[5]
San Milln Ruíz D, Gailloud P, de Miquel Miquel MA, et al. Laterocavernous sinus[J]. Anat Rec, 1999, 254(1):7-12.
[6]
Tubbs RS, Salter EG, Wellons JC, 3rd, et al. The sphenoparietal sinus[J]. Neurosurgery, 2007, 60(2 Suppl 1): ONS9-12.
[7]
Gailloud P, San Milln Ruíz D, Muster M, et al. Angiographic anatomy of the laterocavernous sinus[J]. AJNR Am J Neuroradiol, 2000, 21(10): 1923-1929.
[8]
Han H, Deng X, Fong AH, et al. Dural entrance of the bridging vein in the middle cranial fossa: a novel classification of the cerebral veins for preoperative planning[J]. Neurosurgery, 2010, 67(3 Suppl Operative): ons9-15.
[9]
Brockmann C, Kunze SC, Schmiedek P, et al. Variations of the superior sagittal sinus and bridging veins in human dissections and computed tomography venography[J]. Clin Imaging, 2012, 36(2): 85-89.
[10]
Boeckh-Behrens T, Lutz J, Lummel N, et al. Susceptibility-weighted angiography (SWAN) of cerebral veins and arteries compared to TOF-MRA. Eur J Radiol[J], 2012, 81(6): 1238-1245.
[11]
Saito R, Kumabe T, Kanamori M, et al. Preoperative evaluation of the deep cerebral veins using 3-tesla magnetic resonance imaging[J]. Minim Invasive Neurosurg, 2011, 54(3): 105-109.
[12]
Suzuki Y, Nakajima M, Ikeda H, et al. Preoperative evaluation of the venous system for potential interference in the clipping of cerebral aneurysm[J]. Surg Neurol, 2004, 61(4): 357-364.
2014, Vol. 19 
