Review Paper

Child's Nervous System

, Volume 29, Issue 2, pp 199-207

First online:

The safety of the intraoperative sacrifice of the deep cerebral veins

  • Laurence DavidsonAffiliated withDivision of Neurosurgery, Walter Reed National Military Medical CenterNeurosurgery Clinic Email author 
  • , J. Gordon McCombAffiliated withDivision of Neurosurgery, Children’s Hospital Los Angeles

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The effect of surgically ligating the deep cerebral veins is often thought to be of significant risk. That concern and the paucity of information on surgery of the deep venous system confound surgical decision making when operations involve manipulation of the deep cerebral veins.


The authors review the human and animal literature on the selective sacrifice of the deep cerebral veins. Robust experimental studies and limited clinical experience indicate that occlusion of one or several deep cerebral veins is generally safe.


Craniotomy Deep cerebral vein Internal cerebral vein Pineal tumor Vein of Galen