scholarly journals Morphological Pattern and Classification of the Superficial Middle Cerebral Vein by Cadaver Dissections: An Embryological Viewpoint

2019 ◽  
Vol 59 (7) ◽  
pp. 264-270
Author(s):  
Yasutaka IMADA ◽  
Kaoru KURISU ◽  
Toru TAKUMI ◽  
Hirohiko AOYAMA ◽  
Takashi SADATOMO ◽  
...  
Keyword(s):  
Cerebral Vein ◽  
Morphological Pattern ◽  
Superficial Middle Cerebral Vein

Combined Surgical and Endovascular Access of the Superficial Middle Cerebral Vein to Occlude a High-Grade Cavernous Dural Arteriovenous Fistula: Case Report

Neurosurgery ◽  
2011 ◽  
Vol 69 (2) ◽  
pp. E475-E482 ◽  
Author(s):  
Michael C. Hurley ◽  
Rudy J. Rahme ◽  
Andrew J. Fishman ◽  
H. Hunt Batjer ◽  
Bernard R. Bendok
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Venous Drainage ◽  
Uneventful Recovery ◽  
Cerebral Vein ◽  
High Grade ◽  
Direct Puncture ◽  
Superficial Middle Cerebral Vein ◽  
Endovascular Approach ◽  
Cortical Venous Drainage

Abstract BACKGROUND AND IMPORTANCE: High-grade cavernous sinus (CS) dural arteriovenous fistulae with cortical venous drainage often have a malignant presentation requiring urgent treatment. In the absence of a venous access to the lesion, transarterial embolization can potentially cure these lesions; however, the high concentration of eloquent arterial territories adjacent to the fistula creates a precarious risk of arterial-arterial reflux. In such cases, a combined surgical and endovascular approach may provide the least invasive option. CLINICAL PRESENTATION: We describe a patient presenting with a venous hemorrhagic infarct caused by a high-grade CS dural arteriovenous fistula (Barrow type D caroticocavernous fistula) with isolated drainage via the superficial middle cerebral vein into engorged perisylvian cortical veins. No transfemoral or ophthalmic strategy was angiographically apparent, and the posterior location of the involved CS compartment mitigated a direct puncture. The patient underwent direct puncture of the superficial middle cerebral vein via an orbitozygomatic craniotomy and the CS was catheterized under fluoroscopic guidance. The CS was coil-embolized back into the distal superficial middle cerebral vein with complete obliteration of the fistula. The patient did well with no new deficits and made an uneventful recovery. CONCLUSION: This novel combined open surgical and endovascular approach enables obliteration of a CS dural arteriovenous fistula with isolated cortical venous drainage and avoids the additional manipulation with direct dissection and puncture of the CS itself.

scholarly journals Venous Anatomy of the Sphenoparietal Sinus: Evaluation by MR Imaging

2007 ◽  
Vol 13 (1_suppl) ◽  
pp. 84-89 ◽  
Author(s):  
S. Takahashi ◽  
I. Sakuma ◽  
T. Otani ◽  
K. Yasuda ◽  
N. Tomura ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Three Dimensional ◽  
Venous Sinus ◽  
Cerebral Vein ◽  
Venous Anatomy ◽  
Anterior Branch ◽  
Bony Canal ◽  
Superficial Middle Cerebral Vein ◽  
Magnetic Resonance Imaging Mri ◽  
Spgr Sequence

The termination of the superficial middle cerebral vein (SMCV) has been described as entering or being partially equivalent to the venous sinus coursing under the lesser sphenoid wing, which has classically been called the sphenoparietal sinus. However, the recent literature reports that the SMCV is not connected to the sphenoparietal sinus. In this study, the venous anatomy was evaluated to clarify the anatomy of the sphenoparietal sinus and the termination of the SMCV. Magnetic resonance imaging (MRI) was performed on 1.5-T superconductive units using a three-dimensional fast spoiled gradient-recalled acquisition in the steady state (3-D fast SPGR) sequence with fat suppression in a total of 48 sides of 24 patients. Coronal source images and reconstructed axial images were displayed on the Advantage Window Console, and connections to the cavernous sinus were then evaluated for the venous sinus coursing under the lesser sphenoid wing (hereafter called the sinus of the lesser sphenoid wing), the middle meningeal vein, and the SMCV. The following findings were observed bilaterally in all patients. The sinus of the lesser sphenoid wing was connected medially with the cavernous sinus and laterally with the anterior branch of the middle meningeal vein near the pterion. The anterior branch of the middle meningeal vein entered the bony canal laterally above the junction with the sinus of the lesser sphenoid wing and coursed along the inner table of the skull or emerged into the diploic vein, indicating its parietal portion. Although the termination of the SMCV had several patterns, the SMCV was not connected with the sinus of the lesser sphenoid wing in any of the patients. The sphenoparietal sinus is considered to consist of the sinus of the lesser sphenoid wing and the parietal portion of the anterior branch of the middle meningeal vein; these were identified as venous structures distinct to the SMCV.

Squamosal type superficial middle cerebral vein: A rare venous drainage pattern

2012 ◽  
Vol 60 (5) ◽  
pp. 546 ◽  
Author(s):  
PS Chandra ◽  
DipankerS Mankotia ◽  
Manjari Tripathi ◽  
Ajay Garg ◽  
AshokK Mahapatra ◽  
...  
Keyword(s):  
Venous Drainage ◽  
Cerebral Vein ◽  
Drainage Pattern ◽  
Superficial Middle Cerebral Vein

scholarly journals Prognostic Evaluation Based on Cortical Vein Score Difference in Stroke

Stroke ◽  
2013 ◽  
Vol 44 (10) ◽  
pp. 2748-2754 ◽  
Author(s):  
Rajsrinivas Parthasarathy ◽  
Mahesh Kate ◽  
Jeremy L. Rempel ◽  
David S. Liebeskind ◽  
Thomas Jeerakathil ◽  
...  
Keyword(s):  
Ct Angiography ◽  
Odds Ratio ◽  
Arterial Occlusion ◽  
Venous Drainage ◽  
Cerebral Vein ◽  
Anterior Circulation ◽  
Prognostic Evaluation ◽  
Cortical Vein ◽  
Score Difference ◽  
Superficial Middle Cerebral Vein

Background and Purpose— Multimodal imaging in acute ischemic stroke defines the extent of arterial collaterals, resultant penumbra, and associated infarct core, yet limitations abound. We identified superficial and deep venous drainage patterns that predict outcomes in patients with a proximal arterial occlusion of the anterior circulation. Methods— An observational study that used computed tomography (CT) angiography to detail venous drainage in a consecutive series of patients with a proximal anterior circulation arterial occlusion. The principal veins that drain the cortex (superficial middle cerebral, vein of Trolard, vein of Labbé, and basal vein of Rosenthal) and deep structures were scored with a categorical scale on the basis of degree of contrast enhancement. The Prognostic Evaluation based on Cortical vein score difference In Stroke score encompassing the interhemispheric difference of the composite scores of the veins draining the cortices (superficial middle cerebral+vein of Trolard+vein of Labbé+basal vein of Rosenthal) was analyzed with respect to 90-day modified Rankin Scale outcomes. Results— Thirty-nine patients were included in the study. A Prognostic Evaluation based on Cortical vein score difference In Stroke score of 4 to 8 accurately predicted poor outcomes (modified Rankin Scale, 3–6; odds ratio, 20.53; P <0.001). On stepwise logistic regression analyses adjusted for CT Alberta stroke program early CT score, CT angiography collateral grading and National Institutes of Health Stroke Scale score, a Prognostic Evaluation based on Cortical vein score difference In Stroke score of 4 to 8 (odds ratio, 23.598; P =0.009) and an elevated admission National Institutes of Health Stroke Scale (odds ratio, 1.423; P =0.023) were independent predictors of poor outcome. Conclusions— The Prognostic Evaluation based on Cortical vein score difference In Stroke score, a novel measure of venous enhancement on CT angiography, accurately predicts clinical outcomes. Venous features on computed tomography angiography provide additional characterization of collateral perfusion and prognostication in acute ischemic stroke.

Application of S transform and morphological pattern spectrum for gear fault diagnosis

2011 ◽  
Vol 225 (12) ◽  
pp. 2963-2972 ◽  
Author(s):  
B Li ◽  
P-L Zhang ◽  
Z-J Wang ◽  
S-S Mi ◽  
D-S Liu
Keyword(s):  
Fault Diagnosis ◽  
Wavelet Transforms ◽  
Morphological Pattern ◽  
Vibration Signals ◽  
Pattern Spectrum ◽  
Time Frequency ◽  
S Transform ◽  
Gear Fault ◽  
Gear Fault Diagnosis

Time–frequency representations (TFR) have been intensively employed for analysing vibration signals in gear fault diagnosis. However, in many applications, TFR are simply utilized as a visual aid to detect gear defects. An attractive issue is to utilize the TFR for automatic classification of faults. A key step for this study is to extract discriminative features from TFR as input feature vector for classifiers. This article contributes to this ongoing investigation by applying morphological pattern spectrum (MPS) to characterize the TFR for gear fault diagnosis. The S transform, which combines the separate strengths of the short-time Fourier transform and wavelet transforms, is chosen to perform the time–frequency analysis of vibration signals from gear. Then, the MPS scheme is applied to extract the discriminative features from the TFR. The promise of MPS is illustrated by performing our procedure on vibration signals measured from a gearbox with five operating states. Experiment results demonstrate the MPS to be a satisfactory scheme for characterizing TFRs for an accurate classification of gear faults.

Transcortical Venous Approach for Direct Embolization of a Cavernous Sinus Dural Arteriovenous Fistula: Technical Case Report

2011 ◽  
Vol 70 (suppl_2) ◽  
pp. onsE343-onsE348 ◽  
Author(s):  
Navjot Chaudhary ◽  
Stephen P. Lownie ◽  
Miguel Bussière ◽  
David M. Pelz ◽  
David Nicolle
Keyword(s):  
Cavernous Sinus ◽  
Transarterial Embolization ◽  
Middle Cranial Fossa ◽  
External Carotid ◽  
Cerebral Vein ◽  
Arteriovenous Fistulas ◽  
Coil Occlusion ◽  
Superficial Middle Cerebral Vein ◽  
Cortical Venous Reflux ◽  
Cranial Fossa

ABSTRACT BACKGROUND AND IMPORTANCE: Dural arteriovenous fistulas (dAVFs) represent 10% to 15% of all intracranial arteriovenous malformations. Most often, embolization is accomplished with transfemoral catheter techniques. We present a case in which embolization of a cavernous sinus dAVF was made possible through transcranial cannulation of a cortical draining vein. CLINICAL PRESENTATION: An 82-year-old woman presented with diplopia, left sixth cranial nerve palsy, intraocular hypertension, and bilateral chemosis. Angiography revealed a complex cavernous dAVF with cortical venous reflux, supplied by both external carotid arteries and the left meningohypophyseal trunk. Percutaneous transvenous access failed, and only partial occlusion was achieved by transarterial embolization. A frontotemporal craniotomy was performed to access the superficial middle cerebral vein in the left sylvian fissure. Under fluoroscopic guidance, a microcatheter was advanced through this vein to the floor of the middle cranial fossa and into the dAVF, permitting coil occlusion. CONCLUSION: This transcranial vein technique may be a useful adjunct in dAVF therapy when percutaneous transarterial or transvenous approaches fail or are not possible.

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