Thrombosis of Cranial Veins and Sinuses: Brain Parenchymal Effects

  • J. H. Garcia


The blood contained within the intracranial sinuses and veins comprises 70% of the total cerebral blood volume [6]; therefore, interrupting the flow of blood through one of the large intracranial sinuses could have disastrous consequences for the entire brain circulation. Nevertheless, because of abundant interconnections among sinuses and some of the larger veins, some portions of the sinuses may be surgically occluded without undesirable consequences. In contrast, thrombosis of a cerebral cortical vein almost always is followed by serious effects [21,22]; this is because these cortical cerebral veins lack collateral anastomoses [6,23]. The region of the superior sagittal sinus (SSS) extending caudal to the Rolandic veins is critical; sudden interruption of flow in this region, including the vein of Galen and major tributaries, may have disastrous results. Gradual dural sinus occlusion of the type that is induced by slow growing tumors, such as a meningioma, is much better tolerated than acute occlusion secondary to either trauma or surgical intervention [24].


Subarachnoid Hemorrhage Sinus Thrombosis Superior Sagittal Sinus Cerebral Venous Thrombosis Dural Sinus 
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Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • J. H. Garcia
    • 1
  1. 1.Department of Pathology (Neuropathology)Henry Ford HospitalDetroitUSA

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