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01-03-2017 | Diagnostic Neuroradiology

Analysis of the venous channel within the clivus using multidetector computed tomography digital subtraction venography

Authors: Katsuhiro Mizutani, Masahiro Toda, Jun Kurasawa, Takenori Akiyama, Hirokazu Fujiwara, Masahiro Jinzaki, Kazunari Yoshida

Published in: Neuroradiology | Issue 3/2017

Abstract

Purpose

Although neuroradiologists and skull base neurosurgeons are aware of the existence of veins within the clivus, such vessels have seldom been described in the literature. The aim of the present study is to elucidate the detailed venous structure of the clivus.

Methods

Computed tomography digital subtraction venography (CT-DSV) images of 50 unruptured aneurysm cases were examined retrospectively.

Results

Eighteen emissary veins were identified in 14 (28.0%) cases. A half of the emissary veins connected the inferior petrosal sinus with the inferior petro-occipital vein (IPOV) in the middle clivus. The clival diploic vein (CDV) was identified in 14.0% of cases, 42.9% of which had the clivus of the presellar type. The CDV was connected to the posterior intercavernous sinus or the rostral end of the basilar plexus superiorly, and was connected to the IPOV, anterior condylar vein, marginal sinus, or the anterior condylar confluence.

Conclusion

The CDV provides collateral channels between the cavernous sinus and the internal jugular vein and the inferior petrosal sinus and the IPOV. Understanding of the emissary veins in the clivus and the CDV is valuable for skull base surgery, especially for endonasal endoscopic skull base procedures.

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Title: Analysis of the venous channel within the clivus using multidetector computed tomography digital subtraction venography
Authors: Katsuhiro Mizutani
Masahiro Toda
Jun Kurasawa
Takenori Akiyama
Hirokazu Fujiwara
Masahiro Jinzaki
Kazunari Yoshida
Publication date: 01-03-2017
Publisher: Springer Berlin Heidelberg
Published in: Neuroradiology / Issue 3/2017
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-017-1784-4

At a glance: The STEP trials

Springer Medicine

Analysis of the venous channel within the clivus using multidetector computed tomography digital subtraction venography

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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