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Anomalous cerebral venous sinus drainage.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Hamnett, Nathan T. J. Ogungbo, Biodun Nahser, Hans Javadpour, Mohsen
Description	Country affiliation: United kingdom Author Affiliation: Hamnett NT ( Department of Neurosurgery, Walton Centre for Neurology and Neurosurgery, Liverpool, UK. nathanhamnett@hotmail.com)
Abstract	The case discussed is a 58 year old female that presented with sudden onset of headache, a Glasgow Coma Score of 15 and no neurological deficit. Computed tomography (CT) scan of the brain did not show any evidence of haemorrhage. CT angiography revealed a left sided cerebellar ateriovenous malformation with the Digital Subtraction Angiography (DSA) also showing anomalous posterior fossa venous sinus anatomy. In this case the occipital sinus provided the only drainage pathway for both the superior sagittal sinus (SSS) and the straight sinus. Of clinical significance is during the routine method of access to midline posterior fossa surgery the occipital sinus is ligated and divided. This would have resulted in massive venous infarction. Highlighting the importance of reviewing the venous anatomy on radiological images prior to neurosurgical procedures.
File Format	HTM / HTML
ISSN	02688697
Issue Number	4
Volume Number	24
e-ISSN	1360046X
Journal	British Journal of Neurosurgery
Language	English
Publisher	Taylor & Francis
Publisher Date	2010-08-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Neurosurgery Cranial Sinuses Abnormalities Intracranial Arteriovenous Malformations Cerebral Angiography Female Headache Etiology Humans Complications Middle Aged Tomography, X-ray Computed Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Neurology (clinical) Surgery

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