Cranial venous sinus dominance: what to expect? Analysis of 100 cerebral angiographies / Dominância dos seios venosos cranianos: o que esperar? Análise de 100 angiografias cerebrais

ABSTRACT We report an analysis of the cranial venous sinuses circulation, emphasizing morphological and angiographic characteristics. Methods Data of 100 cerebral angiographies were retrospectively analyzed (p = 0.05). Results Mean age was 56.3 years, 62% female and 38% male. Measurements and dominance are shown in the Tables. There was no association between age or gender and dominance. Right parasagittal division of the superior sagittal sinus was associated with right dominance of the transverse sinus, sigmoid sinus and internal jugular vein; and left parasagittal division of the superior sagittal sinus was associated with left dominance of the transverse sinus, sigmoid sinus and internal jugular vein. Conclusion A dominance pattern of cranial venous sinuses was found. Age and gender did not influence this pattern. Angiographic findings, such as division of the superior sagittal sinus, were associated with a pattern of cranial venous dominance. We hope this article can add information and assist in preoperative venous analysis for neurosurgeons and neuroradiologists.

RESUMO Relatamos uma análise da circulação dos seios venoso cranianos, enfatizando características morfológicas e angiográficas. Métodos Dados de 100 angiografias cerebrais foram retrospectivamente analisados (p = 0,05). Resultados Média de idade 56,3 anos, 62% feminino e 38% masculino. Medições e dominância expostos em tabelas. Sem associação entre idade ou sexo e dominância. Divisão parassagittal direita do Seio Sagital Superior (SSS) foi associada com dominância direita do Seio Transverso (ST), Seio Sigmóide (SS) e Veia Jugular Interna (VJI), e divisão parassagittal esquerda do SSS foi associada com dominância esquerda do ST, SS e VJI. Conclusão Um padrão de dominância dos seios venosos do crânio foi encontrado. Idade e sexo não influenciaram esse padrão. Achados angiográficos, como divisão do SSS, foram associados com o padrão de dominância venoso cerebral. Esperamos que este artigo acrescente informações e auxilie na análise venosa pré-operatória para neurocirurgiões e neuroradiologistas.

The localization of the asterion according to the anatomical landmarks of posterior cranial fossa in newborns: clinical implications / Localización del asterión de acuerdo con los puntos anatómicos de la fosa craneal posterior en recién nacidos: implicaciones clínicas

The purpose of this study was to determine the localization of the asterion according to the anatomical landmarks of posterior cranial fossa and its relation with sinuses for posterolateral surgical approaches in newborns. On 70 head-halves, a needle about 2 mm with diameter was placed on the centre point of asterion (posterolateral fontanel) by inserting into the whole cranial bony tissue by forming an right angle with the bony surface. Various localizations of asterion and its measurements from the internal and external anatomical landmarks were investigated on term neonatal cadavers. The localization of asterion was found as on the sigmoid-transverse sinus junction (STJ) (5., 6., 7., 8. squares) in 40% of cases on right side and in 34%, on left side. Additionally, it was located below the STJ (9., 10., 11., 12. squares) in 60% of cases, on right side and in 63% of cases on left side. We determined that the most frequent localization of asterion as the 11. square both for the right and left sides 12 (34%) cases for the right side and 11 (31,4%) cases for the left side. The asterion was not located on 1., 2., 3., 4., 5. and 12. squares on right side and 1., 3., 4., 8. and 9. squares on left side. It has been found that the region of asterion has an average distance value of 19.9 mm to internal acoustic meatus (MI), 31.7 mm to posterior clinoid process (PC), 34.4 to dorsum sellae (DS), 19.2 mm to jugular foramen (FJ), 23.0 mm to hypoglossal canal (HC), internally. The distance of asterion as 28.8 mm to zygoma root (ZR) and 22.3 mm to Henle's spine (HS) and 15.8 mm to mastoid tip (MT) and 35.9 mm to external occipital protuberance (PE) were observed. By the guide of point asterion on newborns the area of 1cm2 on this point which was placed on superior 4 squares of our scale diagram is suggested as a safe area of placement of first burr hole to avoid from the risk of bleeding of sigmoid and transverse sinuses on craniotomies of posterior fossa.

El propósito de este estudio fue determinar la localización del asterion de acuerdo con los puntos anatómicos de la fosa craneal posterior y su relación con los senos de abordajes quirúrgicos posterolaterales en los recién nacidos. Fueron utilizadas 70 hemicabezas y se colocó una aguja de alrededor de 2 mm de diámetro en el punto central del asterion (fontanela posterolateral) en todo el tejido óseo craneal produciéndose la formación de un ángulo recto con la superficie ósea. La localización del asterion y las mediciones de los puntos de referencia anatómicos internos y externos fueron investigados en cadáveres de neonatos a término. La localización del asterion se encontró en la unión sinusal transverso sigmoide (STJ) (cuadrados 5., 6., 7., 8.) en el 40% de los casos en el lado derecho y en el 34%, en el lado izquierdo. Además, se encontró por debajo del STJ (cuadrados 9., 10., 11., 12.) en un 60% de los casos en el lado derecho y en el 63% de los casos en el lado izquierdo. Se determinó que la localización más frecuente del asterion fue 11., tanto para los lados derecho e izquierdo, 12 casos (34%) para el lado derecho y 11 casos (31,4%) para el lado izquierdo. El asterion no se encuentra en los cuadrados 1., 2., 3., 4., 5. y 12. del lado derecho y 1., 3., 4., 8. y 9. del lado izquierdo. Se determinó que la región del asterion tiene una distancia promedio de 19,9 mm al meato acústico interno, 31,7 mm al proceso clinoides posterior, 34,4 mm al dorso selar, 19,2 mm al foramen yugular y 23,0 mm al canal hipogloso, internamente. La distancia del asterion a la raíz del hueso cigomático fue 28,8 mm y 22,3 mm a la columna vertebral, siendo de 15,8 mm al proceso mastoides y 35,9 mm a la protuberancia occipital externa. En los recién nacidos, se sugiere un área de 1cm2 y se colocan en 4 casillas superiores de nuestro diagrama a escala, como una zona segura para la realización de la primera trepanación para evitar el riesgo de sangrado de los senos sigmoide y transverso en craneotomías de fosa posterior.

Comparative morphometric study of the sigmoid sinus sulcus and the jugular foramen / Estudo morfométrico comparativo do sulco do seio sigmóideo e do forame jugular

Objective To compare the right and left sides of the same skulls as far as the described landmarks are concerned, and establish the craniometric differences between them. Method We carried out measurements in 50 adult dry human skulls comparing both sides. Results The sigmoid sinus width at the sinodural angle level was larger on the right side in 78% of the cases and at the level of the digastric notch in 72%. The jugular foramen width was also larger on the right side in 84% of the cases. The sigmoid sinus distance at the level of the digastric notch was larger on the right side in 64% of the cases, and the sigmoid sinus distance at the level of the digastric notch to the jugular foramen was larger on the right side in 70% of the cases. Conclusion Significant craniometric differences were found between both sides of the same skulls. .

Objetivo Comparar os lados direito e esquerdo no mesmo crânio nos pontos referenciais descritos e definir as diferenças craniométricas entre ambos. Método Realizamos mensurações em 50 crânios secos de humanos adultos comparando os lados direito e esquerdo. Resultados Como resultado, obtivemos as medidas da largura do seio sigmóideo na altura do ângulo sinodural maiores no lado direito em 78% dos casos e na altura do ponto digástrico em 72%. A largura do forame jugular foi também maior no lado direito em 84% dos casos. A distância do seio sigmóideo na altura do ângulo sinodural até a altura do ponto digástrico foi maior do lado direito em 64% dos casos, e a distância do seio sigmóideo na altura do ponto digástrico até o forame jugular foi maior do lado direito em 70% dos casos. Conclusão Diferenças craniométricas significativas foram encontradas entre os dois lados do crânio. .

Biometria da cabeça e da cavidade craniana de ovinos deslanados sem raça definida (Ovis aries LINNAEUS, 1758) em Petrolina/Pernambuco, Brasil / Biometry of head and cranial cavity of wooless mongrel sheep (Ovis aries LINNAEUS, 1758) in Petrolina/Pernambuco, Brazil

A espécie ovina é largamente utilizada na região Nordeste do Brasil por apresentar alta rusticidade. No entanto, sua anatomia ainda é pouco estudada. Assim, crescem os estudos para gerar subsídios técnico-científicos àqueles profissionais que trabalham com as áreas aplicadas da Medicina Veterinária e afins. O objetivo do presente estudo foi estabelecer correlações entre as dimensões da cabeça e da cavidade craniana, utilizando 80 ovinos, 40 machos e 40 fêmeas, com média de peso entre 27,0 e 33,0 kg. Em fêmeas, foi observada correlação entre a massa corpórea e o comprimento da cabeça; entre a massa corpórea e largura da cabeça; entre o comprimento da cabeça e sua respectiva largura; entre comprimento da cabeça e o comprimento da cavidade craniana e entre a altura da cabeça e o comprimento da cavidade craniana. As demais dimensões, nas fêmeas, não tiveram correlação estatisticamente significativa. Já em animais do sexo masculino, foi possível evidenciar correlação apenas entre a altura da cabeça e altura da cavidade craniana. Desta forma, é possível concluir que, quanto maiores forem as proporções da cabeça, maiores serão as dimensões e volume intracranianos.

The sheep is a commonly used species in Northeast region of Brazil because of its high rusticity. Yet, very little is known about the anatomy of these species. Therefore, the number of studies in this field is increasing to stimulate technical and scientific subsidies to professionals in Veterinary Medicine. The aim of this study was to establish correlations between the head and cranial cavity dimensions, using 80 sheep, 40 males and 40 females, with a medium weight of 27,0 to 33,0 kg. In females, it was observed correlation between corporal weight and length of the head; corporal weight and width of the head; length of the head and its respective width; length of the head and length of the cranial cavity; height of the head and length of the cranial cavity. The other dimensions, in females, had non-significant correlation. In males, the only correlation established was between height of the head and height of the cranial cavity. Thus, it was possible to conclude that the larger the proportions of the cranium are, the larger will be the dimensions and the intracranial volume.

Dimensions of the cranium and of the cranial cavity andintracranial volume in goats (Capra hircus LINNAEUS, 1758)

The aim of this project is to determine the dimensions of the cranium and the cranial cavity and the intracranialvolume in goats, using 64 adults. The dimensions of the cranium and cranial cavity were measured throughmetric tape and paquimeter, considering the intervals of the largest distances. To determine the intracranialvolume, balloons of latex were introduced in the cranial cavity, through the magnum foramen, later on, filledwith water that was transferred for graduate test tube. The average and the standard deviation of length, widthand height of the cranium, in millimeters, were respectively: 218.01 ± 6.96, 120.17 ± 10.01 and 108.14 ± 4.46.The average and the standard deviation of length, width, height, in millimeters, and of the volume of thecranial cavity, in cubic centimeters, were respectively: 109.31 ± 7.25, 61.36 ± 4.51, 63.85 ± 2.88 and119.31 ± 12.21. It was observed that, the width of the cranium possesses positive significant correlationswith the length (r = 0.6865), with the height (r = 0.5644) and with the intracranial volume (r = 0.5436).They were still established, positive significant correlations among the height of the cranial cavity, with thelength (r = 0.5682) and with the intracranial volume (r = 0.5473). Differences were evidenced between malesand females, in relation to the dimensions of the cranium and cranial cavity. There wasn’t difference of theintracranial volume in function of the sex of the goats.