, Volume 33, Issue 3, pp 234–238 | Cite as

Deep venous drainage in great cerebral vein (vein of Galen) absence and malformations

  • P. Lasjaunias
  • R. Garcia-Monaco
  • G. Rodesch
  • K. Terbrugge


We report two types of venous patterns associated with great cerebral vein (vein of Galen) absence or unavailability. Developmental venous anomalies or vein of Galen arteriovenous malformations (VGAM) serve as an illustrative material. A diencephalic pattern that collects the thalamo-striate veins into the tentorial sinus is recognized in most VGAM. A telencephalic arrangement connecting the striate veins with the rostral afferents to the basal vein is less frequent. Both patterns reproduce embryonic stages preceeding the development of the great cerebral vein, thus confirming Raybaud's hypothesis that in VGAM the pouch is not the vein of Galen but the medial vein of the prosencephalon. The prognostic value of each pattern can then be appreciated and the therapeutic strategies rationalized; some unexplained complications of the venous approach for non selected VGAM can thus be avoided.

Key words

Vein of Galen malformation Embolization Venous angiomas Cerebral veins Embryology 


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  1. 1.
    Barkovitch AJ (1988) Abnormal vascular drainage in anomalies of neuronal migration. AJNR 9: 939–942Google Scholar
  2. 2.
    Bedford TH (1934) The great vein of Galen and the syndrome of increased intracranial pressure. Brain 57: 1–24Google Scholar
  3. 3.
    Goetzen B (1964) Veines internes du cerveau humain. Arch Anat Pathol 12: 126–133Google Scholar
  4. 4.
    Huang YP, Wolf BS (1974) Veins of the posterior fossa. In: Newton TH, Pott DG (eds) Radiology of the skull and brain, vol II. Mosby, St Louis, pp 2155–2216Google Scholar
  5. 5.
    Jimenez JL, Lasjaunias P, Terbrugge K, Flodmark O, Rodesch G (1989) The trans-cerebral veins: normal and non pathologic anatomic aspects. Surg Radiol Anat 11: 63–72Google Scholar
  6. 6.
    Kaplan HA (1959) The transcerebral venous system. An anatomic study. Arch Neurol 1: 148–152Google Scholar
  7. 7.
    Lasjaunias P, Burrows P, Planet C (1986) Developmental venous anomalies (DVA): the so-called venous angioma. Neurosurg Rev 9: 233–244Google Scholar
  8. 8.
    Lasjaunias P, Berenstein A (1987) Surgical neuro-angiography. Functional anatomy of craniofacial arteries, vol 1. Springer, Berlin Heidelberg New YorkGoogle Scholar
  9. 9.
    Lasjaunias P (1989) Vein of Galen malformation — correspondance. Neurosurgery 25: 666Google Scholar
  10. 10.
    Morgan MK, Johnston IH, Sundt TM (1989) Normal perfusion breakthough complicating surgery for vein of Galen malformation: report of three cases. Neurosurgery 24: 406–409Google Scholar
  11. 11.
    Okudera T, Ohta T, Huang YP (1984) Embryology of the cranial venous system (with particular reference to the dural venous sinuses related to the torcular). In: Knap JP, Schmidek HH (eds) The cerebral venous system and its disorders. Grune and Stratton, New York, pp 93–108Google Scholar
  12. 12.
    Ono M, Rhoton AL, Peace D, Rodriguez RJ (1984) Microsurgical anatomy of the deep venous system of the brain. Neurosurgery 15: 621–657Google Scholar
  13. 13.
    Padget DH (1957) The development of the cranial venous system in man from the viewpoint of comparative anatomy. Contrib Embryol 36: 81–139Google Scholar
  14. 14.
    Raybaud Ch, Hald JK, Strother CM, Choux M, Jiddane M (1987) Les anévrysmes de la veine de Galien. Etude angiographique et considérations morphogénétiques. Neurochirurgie 33: 302–314Google Scholar
  15. 15.
    Schlesinger B (1939) The venous drainage of the brain, with special reference to the Galenic system. Brain 62: 274–291Google Scholar
  16. 16.
    Terbrugge K, Lasaunias P (1988) Radiologic and anatomic feature of a case. The tentorial sinus. Surg Radiol Anat 10: 243–246Google Scholar
  17. 17.
    Valavanis A, Wellauer J, Yasargil MG (1983) The radiological diagnosis of cerebral venous angioma: cerebral angiography and computed tomography. Neuroradiology 24: 193–199Google Scholar
  18. 18.
    Yokota A, Oota T, Matsukado Y, Okudera T (1978) Structure and development of the venous system in congenital malformation of the brain. Neuroradiology 16: 26–30Google Scholar

Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • P. Lasjaunias
    • 1
  • R. Garcia-Monaco
    • 1
  • G. Rodesch
    • 1
  • K. Terbrugge
    • 1
  1. 1.Unité de neuroradiologie vasculaire diagnostique et thérapeutique, Hôpital BicêtreUniversité Paris SudKremlin BicêtreFrance

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