Summary
Venous drainage dominance of the dural venous sinuses may be defined as the drainage only or mainly into one of the transverse sinuses, as shown by bilateral carotid angiography. The aim of this study was to evaluate the venous drainage dominance in bilateral carotid angiograms of 189 cases retrospectively. Among these cases 41.3% showed drainage mainly to the right side, 37.6% showed equal drainage to each side, 18.5% showed drainage mainly to the left side, 2.1% showed drainage only to the right side and 0.53% showed drainage only to the left side. Cerebral venous drainage dominance is of great importance and should be considered before operations on patients for radical neck dissection, removal of tumors in the neck that invade the internal jugular vein or tumors of the glomus jugulare which may require ligation of the internal jugular vein.
Résumé
La prédominance angiographique du drainage des sinus veineux dure-mériens se traduit par le drainage de la substance radioopaque essentiellement ou uniquement par l'un des sinus transverses au cours d'angiographies carotidiennes bilatérales. Le but de ce travail est d'évaluer la prédominance du drainage veineux sur 189 angiographies carotidiennes bilatérales. Dans 41,3% des cas, on note une prédominance à droite. Dans 37,6% des cas, le drainage veineux s'effectue de façon égale des deux côtés. Dans 18,5% des cas, il y a prédominance à gauche. Dans 2,1% des cas le drainage est limité à droite et dans 0,53% des cas il est limité à gauche. La connaissance de cette prédominance du drainage veineux cérébral est capitale pour le chirurgien lors de curage cervical radical, lors d'intervention pour des tumeurs du cou envahissant la veine jugulaire interne ou pour des tumeurs du glomus jugulaire nécessitant la ligature de la veine jugulaire interne.
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Durgun, B., Ilgit, E., Çizmeli, M. et al. Evaluation by angiography of the lateral dominance of the drainage of the dural venous sinuses. Surg Radiol Anat 15, 125–130 (1993). https://doi.org/10.1007/BF01628311
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DOI: https://doi.org/10.1007/BF01628311