Acta Neurochirurgica

, Volume 161, Issue 4, pp 807–810 | Cite as

Aberrant trans-osseous venous drainage of the superficial middle cerebral vein: case report

  • Katsuhiro MizutaniEmail author
  • Arturo Consoli
  • Federico Di Maria
  • Oguzhan Coskun
  • Georges Rodesch
Case Report - Vascular Neurosurgery - Other
Part of the following topical collections:
  1. Vascular Neurosurgery – Other


The superficial middle cerebral veins (SMCVs) are large veins to drain the brain and therefore anatomical knowledge of them is important for neurosurgeons and neuroradiologists. In a patient with a ruptured blister aneurysm, we incidentally found during angiography an aberrant drainage of the SMCVs, which penetrated the lateral part of the greater sphenoid wing and directly connected the SMCVs with the deep facial vein. Neurosurgeons usually need to remove that part of the greater sphenoid wing during the fronto-temporal approach. The existence of a well-developed current channel could be a contraindication for this type of procedure.


Superficial middle cerebral vein Deep facial vein Trans-osseous channel 



We thank Mrs. Polly Gobin for the English language editing.

Compliance with ethical standards

Conflict of interests

The authors declare that they have no conflict of interest.

Patient consent

The patient has consented to the submission of the case report for submission to the journal.


  1. 1.
    Butler H (1957) The development of certain human Dural venous sinuses. J Anat 91:510–526Google Scholar
  2. 2.
    Gailloud P, San Millán Ruíz D, Muster M, Murphy KJ, Fasel JH, D a R (2000) Angiographic anatomy of the laterocavernous sinus. AJNR Am J Neuroradiol 21:1923–1929Google Scholar
  3. 3.
    Hacker H (1968) Abflusswege der Sylvischen Venengruppe. Radiologe 8:383–387Google Scholar
  4. 4.
    Mizutani K, Miwa T, Akiyama T, Sakamoto Y, Fujiwara H, Yoshida K (2018) Fate of the three embryonic dural sinuses in infants: the primitive tentorial sinus, occipital sinus, and falcine sinus. Neuroradiology 60:325–333CrossRefGoogle Scholar
  5. 5.
    Padget DH (1957) The development of the cranial venous system in man from the viewpoint of comparative anatomy. Contrib Embryol 36:79–140Google Scholar
  6. 6.
    San Millán Ruíz D, Fasel JHD, D a R, Gailloud P (2004) The sphenoparietal sinus of breschet: does it exist? An anatomic study. AJNR Am J Neuroradiol 25:112–120Google Scholar
  7. 7.
    Streeter GL (1921) The developmental alteration in the vascular system of the brain of human embryo. Contrib Embryol 8:7–38Google Scholar
  8. 8.
    Suzuki Y, Matsumoto K (2000) Variations of the superficial middle cerebral vein: classification using three-dimensional CT angiography. AJNR Am J Neuroradiol 21:932–938Google Scholar
  9. 9.
    Tanoue S, Kiyosue H, Okahara M, Sagara Y, Hori Y, Kashiwagi J, Mori H (2006) Para-cavernous sinus venous structures: anatomic variations and pathologic conditions evaluated on fat-suppressed 3D fast gradient-echo MR images. AJNR Am J Neuroradiol 27:1083–1089Google Scholar
  10. 10.
    Yasargil M (1969) Microsurgery: applied to neurosurgery. George Thieme Verlag, StuttgartGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Service de Neuroradiologie Diagnostique et ThérapeutiqueHôpital FochSuresnesFrance
  2. 2.Department of Neurosurgery, School of MedicineKeio UniversityTokyoJapan

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