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Venous sinuses




           Dr.Saeed Mustafa
Cranial Meninges
Meninges of the Spinal Cord
               Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

Spinal cord



Ventral root
                                                                                                              Subarachnoid
                                             Pia mater                                                        space
Dorsal root

Spinal nerve                             Arachnoid mater

                                                                                                              Epidural space
Dorsal root                                 Dura mater
ganglion
                                                                                                              Dorsal root

                                                                                                              Dorsal branch
                                               Spinal
                                                                                                              (dorsal ramus)
                                               nerve
                                                                                                              Ventral branch
                                              Dorsal root                                                     (ventral ramus)
                                              ganglion
                                                                                                              Spinal cord
                                                                                                              Ventral root
                                                                                                              Epidural
                                                                                                              space
Thoracic
vertebra                                                                                                      Body of
                                                                                                              vertebra
(a)                                                           (b)

                                                                                                                     3
CRANIAL MENINGES


• Dura:
   – an inner (meningeal) layer and outer (periosteal) layer
   – Most of the dura’s venous sinuses lie between the dural layers
   – Dural layers are generally fused, except where they separate to
     provide space for the venous sinuses and where the inner
     layer forms septa between the brain portions
   – Outer layer firmly attached to inner surface of cranial bones;
     inner layer continuous with spinal dura
Meninges: Dura Mater
• Reflections:
     Falx cerebri:
            Midline fold of dura mater
            extending between two cerebral
            hemispheres.
     Tentorium cerebelli:
            Dural fold located between
     cerebellum and occipital lobes of
     cerebral hemispheres.
Meninges: Dura Mater
• Reflections:
     Falx cerebelli:
           Dural fold between two cerebellar
     hemispheres.
     Diaphragma sellae
              Dural fold over hypophyseal
     fossa.
CRANIAL MENINGES


                      CRANIAL MENINGES
• Arachnoid:
   – Delicate avascular membrane covers the subarachnoid
     space
   – Between the arachnoid and dura mater lies the subdural
     space
   – Arachnoid granulations project into the superior sagittal
     sinus
• Arachnoid granulations- project into sinuses of dura mater, serve as
   sites where cerebrospinal fluid diffuses into bloodstream
Circulation of cerebrospinal fluid
CSF drains from lateral ventricle            interventricular foramina      third ventricle



 mesencephalic aqueduct                                 median and two lateral apertures
                                    fourth ventricle



subarachnoid space         arachnoid granulations       superior sagittal sinus         vein
CRANIAL MENINGES


• Pia:
   – Thin connective tissue membrane that covers the brain
     surface and extends into sulci and fissures and around
     blood vessels throughout the brain
   – Beyond the end of the spinal cord continues as the
     filum terminale
Dural Nerve Supply
• Branches of trigeminal,vagus
     and 1st 3 cervical nerves
• Sensitive to streching which produces the sensation
  of headache
Dural arterial supply
Int. carotid artery
Maxillary
Ascending pharyngeal
Occipital
Vertebral
*Middle meningeal artery
Intra cranial hemorrhage
1.Extra dural (middle meningeal artery)
2.Subdural (sup.cerebral vein)
3.Subarachnoid (the circle of willis)
 Blood stained csf
4.Cerebral (lenticulostriate artery)
VENOUS DRAINAGE


 • Venous drainage of the brain and
   coverings includes veins of the brain
   itself, dural venous sinuses, dura’s
   meningeal veins, and diploic veins
 • Eventual cerebral venous drainage is
   the internal jugular vein
 • Cerebral veins contain no valves
Vasculature: Venous Sinuses
Dural venous sinuses
• :
      Superior sagittal sinus:
              Lies along superior margin of falx
      cerebri.
      receives in its course the sup.cerebral vein

      Inferior sagittal sinus:
             Lies along inferior margin of falx
             cerebri.
              joins great cerebral vein
18
Meninges: Dura Mater
• Dural venous sinuses:
     Straight sinus:
           Lies at intersection of falx cerebri and
           tentorium cerebelli.
     Confluence of sinuses:
           Common confluence of superior
           sagittal sinus and straight sinus.
Venous sinuses
Meninges: Dura Mater
• Dural venous sinuses:
      Transverse:
               Begins at confluence of sinuses.
               Extends along edges of tentorium
       cerebelli.
               Right receives blood from superior
       sagittal sinus.
               Left receives blood from straight sinus.
   receives sup.petrosal sinus,inf.cerebral n cerebellar veins n
  diploic veins
Meninges: Dura Mater
• Dural venous sinuses:
     Sigmoid:
          Continuation of straight sinus.
          “S”-shaped.
          Ends at jugular foramen:
                 Joins internal jugular vein.
• Superior n inferior petrosal sinuses
• Petrous part of temporal bone
• Sup.petrosal sinus drains the cavernous sinus
  into transverse sinus
• Inf.petrosal sinus drains the cavernous sinus
  into IJV
Vasculature: Venus Sinuses
The flowing of the blood in dural sinus

 Sup. sagittal sinus


 Inf. sagittal sinus   Straight sinus      Confluence of sinus       Transverse sinus

                               Sup. petrosal sinus

                                                                        Sigmoid sinus
Cavernous sinus


                               Inf. petrosal sinus               Internal jugular vein
Cavernous sinus
• Middle cranial fossa
• Extends from Sup.orbital fissure to petrous part
  of temporal bone
• Tributaries
• Sup.n inf.ophthalmic veins,cerebral veins,the
  sphenoparietal sinus n the central vein of retina
• Drains Posteriorly into sup n inf petrosal sinuses
  and inferiorly into pterygoid venous plexus
Cavernous sinus
• Position: lies on each side of sella turcica
• Relations of cavernous sinus:
    – Internal carotid artery and abducent nerve run through the sinus
    – Oculomotor and trochlear nerves and ophthalmic and maxillary
      divisions of trigeminal nerve lie in the lateral wall of the sinus
Veins of brain
Superficial cerebral veins
• Drain blood from cortex
  and subcortical medullary
  substance and empty into
  adjacent sinuses of dura
  mater
Veins of brain
• Deep cerebral veins:
  drain deeper parts of
  hemispheres, basal
  nuclei, internal
  capsule, diencephalon
  and choroid
  plexus, ultimately form
  great cerebral vein which
  enter straight sinus
Thanku

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Venous sinuses

  • 1. Venous sinuses Dr.Saeed Mustafa
  • 3. Meninges of the Spinal Cord Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Spinal cord Ventral root Subarachnoid Pia mater space Dorsal root Spinal nerve Arachnoid mater Epidural space Dorsal root Dura mater ganglion Dorsal root Dorsal branch Spinal (dorsal ramus) nerve Ventral branch Dorsal root (ventral ramus) ganglion Spinal cord Ventral root Epidural space Thoracic vertebra Body of vertebra (a) (b) 3
  • 4.
  • 5. CRANIAL MENINGES • Dura: – an inner (meningeal) layer and outer (periosteal) layer – Most of the dura’s venous sinuses lie between the dural layers – Dural layers are generally fused, except where they separate to provide space for the venous sinuses and where the inner layer forms septa between the brain portions – Outer layer firmly attached to inner surface of cranial bones; inner layer continuous with spinal dura
  • 6. Meninges: Dura Mater • Reflections: Falx cerebri: Midline fold of dura mater extending between two cerebral hemispheres. Tentorium cerebelli: Dural fold located between cerebellum and occipital lobes of cerebral hemispheres.
  • 7. Meninges: Dura Mater • Reflections: Falx cerebelli: Dural fold between two cerebellar hemispheres. Diaphragma sellae Dural fold over hypophyseal fossa.
  • 8. CRANIAL MENINGES CRANIAL MENINGES • Arachnoid: – Delicate avascular membrane covers the subarachnoid space – Between the arachnoid and dura mater lies the subdural space – Arachnoid granulations project into the superior sagittal sinus
  • 9. • Arachnoid granulations- project into sinuses of dura mater, serve as sites where cerebrospinal fluid diffuses into bloodstream
  • 10. Circulation of cerebrospinal fluid CSF drains from lateral ventricle interventricular foramina third ventricle mesencephalic aqueduct median and two lateral apertures fourth ventricle subarachnoid space arachnoid granulations superior sagittal sinus vein
  • 11. CRANIAL MENINGES • Pia: – Thin connective tissue membrane that covers the brain surface and extends into sulci and fissures and around blood vessels throughout the brain – Beyond the end of the spinal cord continues as the filum terminale
  • 12. Dural Nerve Supply • Branches of trigeminal,vagus and 1st 3 cervical nerves • Sensitive to streching which produces the sensation of headache
  • 13. Dural arterial supply Int. carotid artery Maxillary Ascending pharyngeal Occipital Vertebral *Middle meningeal artery
  • 14. Intra cranial hemorrhage 1.Extra dural (middle meningeal artery) 2.Subdural (sup.cerebral vein) 3.Subarachnoid (the circle of willis) Blood stained csf 4.Cerebral (lenticulostriate artery)
  • 15. VENOUS DRAINAGE • Venous drainage of the brain and coverings includes veins of the brain itself, dural venous sinuses, dura’s meningeal veins, and diploic veins • Eventual cerebral venous drainage is the internal jugular vein • Cerebral veins contain no valves
  • 17. Dural venous sinuses • : Superior sagittal sinus: Lies along superior margin of falx cerebri. receives in its course the sup.cerebral vein Inferior sagittal sinus: Lies along inferior margin of falx cerebri. joins great cerebral vein
  • 18. 18
  • 19. Meninges: Dura Mater • Dural venous sinuses: Straight sinus: Lies at intersection of falx cerebri and tentorium cerebelli. Confluence of sinuses: Common confluence of superior sagittal sinus and straight sinus.
  • 21. Meninges: Dura Mater • Dural venous sinuses: Transverse: Begins at confluence of sinuses. Extends along edges of tentorium cerebelli. Right receives blood from superior sagittal sinus. Left receives blood from straight sinus. receives sup.petrosal sinus,inf.cerebral n cerebellar veins n diploic veins
  • 22.
  • 23. Meninges: Dura Mater • Dural venous sinuses: Sigmoid: Continuation of straight sinus. “S”-shaped. Ends at jugular foramen: Joins internal jugular vein.
  • 24. • Superior n inferior petrosal sinuses • Petrous part of temporal bone • Sup.petrosal sinus drains the cavernous sinus into transverse sinus • Inf.petrosal sinus drains the cavernous sinus into IJV
  • 26. The flowing of the blood in dural sinus Sup. sagittal sinus Inf. sagittal sinus Straight sinus Confluence of sinus Transverse sinus Sup. petrosal sinus Sigmoid sinus Cavernous sinus Inf. petrosal sinus Internal jugular vein
  • 27. Cavernous sinus • Middle cranial fossa • Extends from Sup.orbital fissure to petrous part of temporal bone • Tributaries • Sup.n inf.ophthalmic veins,cerebral veins,the sphenoparietal sinus n the central vein of retina • Drains Posteriorly into sup n inf petrosal sinuses and inferiorly into pterygoid venous plexus
  • 28. Cavernous sinus • Position: lies on each side of sella turcica • Relations of cavernous sinus: – Internal carotid artery and abducent nerve run through the sinus – Oculomotor and trochlear nerves and ophthalmic and maxillary divisions of trigeminal nerve lie in the lateral wall of the sinus
  • 29. Veins of brain Superficial cerebral veins • Drain blood from cortex and subcortical medullary substance and empty into adjacent sinuses of dura mater
  • 30. Veins of brain • Deep cerebral veins: drain deeper parts of hemispheres, basal nuclei, internal capsule, diencephalon and choroid plexus, ultimately form great cerebral vein which enter straight sinus
  • 31.
  • 32.