TY - JOUR
T1 - Tentorial venous anatomy
T2 - Variation in the healthy population
AU - Rosenblum, J. S.
AU - Tunacao, J. M.
AU - Chandrashekhar, V.
AU - Jha, A.
AU - Neto, M.
AU - Weiss, C.
AU - Smirniotopoulos, J.
AU - Rosenblum, B. R.
AU - Heiss, J. D.
N1 - Publisher Copyright:
© 2020 American Society of Neuroradiology. All rights reserved.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - BACKGROUND AND PURPOSE: A new transtentorial venous system consisting of medial, intermediate, and lateral tentorial veins, connecting infra- and supratentorial compartments, was recently shown in 2 cadaver dissections and 2 patient scans. We sought to characterize the venous patterns within the tentorium and their relation to measures of skull development in a cohort of healthy adults. MATERIALS AND METHODS: We retrospectively reviewed tentorial venous anatomy of the head using CTA/CTV performed for routine care or research purposes in 238 patients. Included studies had adequate contrast opacification of venous structures and a section thickness of #2 mm; we excluded cases with space-occupying lesions and vascular pathologies. Tentorial angle, dural sinus configurations, and measures of skull base development were assessed as predictors of tentorial venous anatomy variation via Cramér V association, the binary encoded Pearson correlation, and nearest-point algorithm with the Euclidean distance metric for clustering. RESULTS: Tentorial vein development was related to the ringed configuration of the tentorial sinuses (P,.005). There were 3 configurations. Groups 1A and 1B (n ¼ 50/238) had ringed configuration, while group 2 did not (n ¼ 188/238). Group 1A (n ¼ 38/50) had a medialized ringed configuration, and group 1B had a lateralized ringed configuration (n ¼ 12/50). Measurements of skull base development were predictive of these groups. The ringed configuration of group 1 was related to the presence of a split confluens, which correlated with a decreased internal auditory canal-petroclival fissure angle. Configuration 1A was related to the degree of petrous apex pneumatization (P value ¼.010). CONCLUSIONS: Variations in the transtentorial venous system directly correlate with cranial development.
AB - BACKGROUND AND PURPOSE: A new transtentorial venous system consisting of medial, intermediate, and lateral tentorial veins, connecting infra- and supratentorial compartments, was recently shown in 2 cadaver dissections and 2 patient scans. We sought to characterize the venous patterns within the tentorium and their relation to measures of skull development in a cohort of healthy adults. MATERIALS AND METHODS: We retrospectively reviewed tentorial venous anatomy of the head using CTA/CTV performed for routine care or research purposes in 238 patients. Included studies had adequate contrast opacification of venous structures and a section thickness of #2 mm; we excluded cases with space-occupying lesions and vascular pathologies. Tentorial angle, dural sinus configurations, and measures of skull base development were assessed as predictors of tentorial venous anatomy variation via Cramér V association, the binary encoded Pearson correlation, and nearest-point algorithm with the Euclidean distance metric for clustering. RESULTS: Tentorial vein development was related to the ringed configuration of the tentorial sinuses (P,.005). There were 3 configurations. Groups 1A and 1B (n ¼ 50/238) had ringed configuration, while group 2 did not (n ¼ 188/238). Group 1A (n ¼ 38/50) had a medialized ringed configuration, and group 1B had a lateralized ringed configuration (n ¼ 12/50). Measurements of skull base development were predictive of these groups. The ringed configuration of group 1 was related to the presence of a split confluens, which correlated with a decreased internal auditory canal-petroclival fissure angle. Configuration 1A was related to the degree of petrous apex pneumatization (P value ¼.010). CONCLUSIONS: Variations in the transtentorial venous system directly correlate with cranial development.
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U2 - 10.3174/ajnr.A6775
DO - 10.3174/ajnr.A6775
M3 - Article
C2 - 33023913
AN - SCOPUS:85092620959
SN - 0195-6108
VL - 41
SP - 1825
EP - 1832
JO - American Journal of Neuroradiology
JF - American Journal of Neuroradiology
IS - 10
ER -