Skip to main content
SpringerLink
Log in

The trans-cerebral veins: normal and non-pathologic angiographic aspects

Les Veines trans-cérébrales: aspect angiographique normal et anormal

  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Summary

The trans-cerebral v. have long been described, but there is little or no knowledge of their function and dysfunction. They are the site of fundamental interchange across the blood-brain barrier, a unique process within the organism. Two systems can be structurally distinguished: the venous system draining the white matter and the trans-cerebral anastomotic system. The former seems to be associated with the nutrition and drainage of the parenchyma, and is rendered visible at angiography by anatomic variations based on developmental venous anomalies. The anastamotic trans-cerebral ventriculo-cortical system seems concerned with the regulation of reabsorption of the cerebrospinal fluid. It is visualized only in exceptional situations where an increased flow (arteriovenous shunt) is combined with obstruction of the normal routes of venous drainage and collateral circulation. It usually functions in the ventriculo-cortical direction. No specific dysfunction of this system is currently recognized.

Résumés

Les v. trans-cérébrales sont décrites depuis longtemps, mais leur fonctionnement et leur dysfonctionnement sont peu ou pas connus. Elles sont le siège d'échanges fondamentaux sur un mode unique dans l'organisme: la barrière hémato-encéphalique. Architecturalement on distingue 2 systèmes: le système veineux drainant la substance blanche et le système anastomotique trans-cérébral. Le premier semble lié à des fonctions de nutrition et de drainage du parenchyme; les anomalies veineuses de développement constituent des variations anatomiques qui le rendent angiographiquement visible. Le système anastomotique trans-cérébral ventriculo-cortical semble prédisposé à la régulation de la résorption du liquide céphalo-rachidien; il n'est visible que dans des situations exceptionnelles associant une augmentation de débit (shunt artério-veineux) à des obstacles veineux des voies habituelles de drainage et de circulation collatérale. Il est mis à contribution, le plus souvent dans le sens ventriculo-cortical. Aucun dysfonctionnement spécifique de ce système n'est actuellement connu.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Auer LM, McKenzie ET (1984) Physiology of the cerebral venous system. In: Kapp JP, Schmidek HH (eds) The cerebral venous system and its disorders. Grune and Stratton, New York

    Google Scholar 

  2. Baumgartner J, Woringer E, Braun JP, Abada M (1963) Phlébogramme cérébral profond de face et ses variations en cas de processus expensifs de l'espace intracrânien sustentoriel. Acta Radiol (Diagn) 1: 182–205

    Google Scholar 

  3. Bedford T (1934) The great vein of Galen and the syndrome of increased intracranial pressure. Brain 57: 1–24

    Google Scholar 

  4. Duret H (1874) Recherches anatomiques sur la circulation de l'encéphale. Arch Physiol Norm Pathol 6: 316–353

    Google Scholar 

  5. Duvernoy H, Delon S, Vannson J (1981) Cortical blood vessels of the human brain. Brain Res Bull 7: 519–579

    PubMed  Google Scholar 

  6. Goetzen B (1961) Veines internes du cerveau humain. Arch Anat Pathol 12: 126–133

    Google Scholar 

  7. Hassler O (1964) Angioarchitecture in hydrocephalus, an autopsy and experimental study with the aid of microangiography. Acta Neuropathol 4: 65–74

    Google Scholar 

  8. Hassler O (1966) Deep cerebral venous system in man: a microangiography study on its areas of drainage and its anastomoses with the superficial cerebral veins. Neurology 16: 505–511

    PubMed  Google Scholar 

  9. Hauw J, Lefauconnier JM (1983) La barrière hémato-encéphalique. Rev Neurol 139: 611–624

    PubMed  Google Scholar 

  10. Huang YP, Wolf BS (1964) Veins of the white matter of the cerebral hemispheres (the medullary veins), diagnostic importance of the carotid angiography. Am J Roentgenol Radium Ther Nucl Med 95: 808–821

    Google Scholar 

  11. Huang YP, Patel SC, Robbins A, Chaudhary M (1984) Cerebral venous malformations, a new classification of cerebral vascular malformations. In: Kapp JP, Schmidek HH (eds). The cerebral venous system and its disorders. Grune and Stratton, New York

    Google Scholar 

  12. Kaplan H (1959) The transcerebral venous system. AMA Arch Neurology 1: 148–152

    Google Scholar 

  13. Kaplan H, Ford D (1966) The brain vascular system. Elsevier, Amsterdam New York

    Google Scholar 

  14. Laine E, Jomin M, Clarisse, J, Combelles G (1981) Les malformations artério-veineuses cérébrales profondes. Neurochirurgie 27: 147–160

    PubMed  Google Scholar 

  15. Lasjaunias P, Burrows P, Planet Ch (1986) Developemental venous anomalies (DVA): the so-called venous angioma. Neurosurg Rev 9: 233–244

    PubMed  Google Scholar 

  16. Oka K, Rhoton A, Barry M, Rodriguez R (1985) Microsurgical anatomy of the superficial veins of the cerebrum. Neurosurg 17: 711–748

    Google Scholar 

  17. Okudera T, Ohta T, Huang PY (1984) Embryology of the cranial venous system. In: Kapp JP, Schmidek HH (eds) The cerebral venous system and its disorders. Grune and Stratton, New York

    Google Scholar 

  18. Okuyama T, Hashi K, Sasaki S, Suso K, Kurokawa Y (1987) Changes in cerebral microvasculature in congenital hydrocephalus of the inbred rat LEW/Jms: light and electron microscopic examination. Surg Neurol 27: 338–342

    PubMed  Google Scholar 

  19. Ono M, Rhoton A, Peace D, Rodriguez R (1984) Microsurgical anatomy of the deep venous system of the brain. Neurosurgery 15: 621–657

    PubMed  Google Scholar 

  20. Padget D (1957) The development of the cranial venous system in man from the view point of comparative anatomy. Contr Embryol Carneg Inst 611: 79–140

    Google Scholar 

  21. Poirier P, Charpy A (1921) Traité d'anatomie humaine. Masson, Paris

    Google Scholar 

  22. Povlishock JT, Levine JE (1984) Cerebrospinal fluid absorption In: Kapp JP, Schmidek HH (eds) The cerebral venous system and its disorders. Grune and Stratton, New York

    Google Scholar 

  23. Roggendorf W, Cervos-Navarro J (1984) Normal and pathologic ultrastructure of human cerebral venules. In: Kapp JP, Schmidek HH (eds) The cerebral venous system and its disorders. Grune and Stratton, New York

    Google Scholar 

  24. Schlessinger B (1939) The venous drainage of the brain, with special reference of the Galenic system. Brain 62: 274–297

    Google Scholar 

  25. Stein R, Rosenbaum A (1974) Deep supratentorial veins. In: Newton TH, Potts DG (eds) Radiology of the skull and brain. Mosby, St Louis

    Google Scholar 

  26. Stephens RB, Steelwell DL (1969) Arteries and veins of human brain. Thomas, Stringfield, Ill

    Google Scholar 

  27. Testut L (1911) Traité d'anatomie humaine, 6e édition, Vol II. Doin, Paris

    Google Scholar 

  28. Wolf B, Huang YP (1964) The subependymal veins of the lateral ventricle. Am J Roentgenol Radium Ther Nucl Med 91: 406–426

    PubMed  Google Scholar 

  29. Wozniak M, McLonce D, Raimondi A (1975) Micro- and macrovascular changes as the direct of parenchymal destruction in congenital murine hydrocephalus. J Neurosurg 43: 535–548

    PubMed  Google Scholar 

  30. Yasargil MG, Damur M (1974) Thrombosis of the cerebral veins and dural sinuses. In: Newton TH, Potts DG (eds) Radiology of the skull and brain. Mosby, St Louis

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Laboratoire de Morphologie in vivo, Hôpital du Kremlin-Bicêtre, 78, rue du Général-Leclerc, F-94275, Le Kremlin-Bicêtre, France

    J. L. Jimenez, P. Lasjaunias & G. Rodesch

  2. Department of Radiology, Toronto Western Hospital, M5T 2S8, Toronto, Ont, Canada

    P. Lasjaunias & K. Terbrugge

  3. Department of Radiology, Childrens' Hospital, Vancouver, British Columbia, Canada

    O. Flodmark

Authors
  1. J. L. Jimenez
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Lasjaunias
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. K. Terbrugge
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. O. Flodmark
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. G. Rodesch
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jimenez, J.L., Lasjaunias, P., Terbrugge, K. et al. The trans-cerebral veins: normal and non-pathologic angiographic aspects. Surg Radiol Anat 11, 63–72 (1989). https://doi.org/10.1007/BF02102249

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02102249

Key words

Search

Navigation