POSTER SECTIONS Coverpage Learning objectives Background Findings and procedure details Conclusion Personal information and conflict of interest References

ECR 2022 / C-15127

Anatomy of medullary veins of the brain and their pathologies: an unexplored territory

Congress:

ECR 2022

Poster Number:

C-15127

Type:

Educational Exhibit

Keywords:

Neuroradiology brain, MR, Education, Blood

Authors:

S. Mahal, S. Tiwari, T. Yadav, P. K. Garg, P. S. Khera, B. Sureka

DOI:

10.26044/ecr2022/C-15127

DOI-Link:

https://dx.doi.org/10.26044/ecr2022/C-15127

References

Taoka T, Fukusumi A, Miyasaka T, Kawai H, Nakane T, Kichikawa K, et al. Structure of the medullary veins of the cerebral hemisphere and related disorders. Radiographics. 2017 Jan;37(1):281-97.
Matsushima T, Rhoton AL, de Oliveira E, Peace D. Microsurgical anatomy of the veins of the posterior fossa. Journal of neurosurgery. 1983 Jul 1;59(1):63-105.
Arrigoni F, Parazzini C, Righini A, Doneda C, Ramenghi LA, Lista G, et al. Deep medullary vein involvement in neonates with brain damage: an MR imaging study. American journal of neuroradiology. 2011 Dec 1;32(11):2030-6.
Aguiar de Sousa D, Lucas Neto L, Jung S, Penas S, Panos L, Heldner MR, et al. Brush sign is associated with increased severity in cerebral venous thrombosis. Stroke. 2019 Jun;50(6):1574-7.
Mucke J, Möhlenbruch M, Kickingereder P, Kieslich PJ, Bäumer P, Gumbinger C, et al. Asymmetry of deep medullary veins on susceptibility weighted MRI in patients with acute MCA stroke is associated with poor outcome. PloS one. 2015 Apr 7;10(4):e0120801.
Xu Z, Duan Y, Yang B, Huang X, Pei Y, Li X. Asymmetric deep medullary veins in patients with occlusion of a large cerebral artery: association with cortical veins, leptomeningeal collaterals, and prognosis. Frontiers in neurology. 2019 Dec 5;10:1292.
Sohn CH, Lee HP, Park JB, Chang HW, Kim E, Kim E, et al. Imaging findings of brain death on 3-tesla MRI. Korean journal of radiology. 2012 Oct 1;13(5):541-9.
Keith J, Gao FQ, Noor R, Kiss A, Balasubramaniam G, Au K, et al. Collagenosis of the deep medullary veins: an underrecognized pathologic correlate of white matter hyperintensities and periventricular infarction?. Journal of Neuropathology & Experimental Neurology. 2017 Apr 1;76(4):299-312.

Fig 1: Intracranial venous system

Fig 2: Intracranial venous system

Fig 3: Table showing characteristics of superficial and deep draining parenchymal veins

Fig 4: Zones of convergence of deep medullary veins

Fig 5: Axial susceptibility weighted image(SWI) with colour overlay showing named...

Fig 6: Drainage pathway of superficial parenchymal veins

Fig 7: Drainage pathway of deep parenchymal veins

Fig 8: Veins of the posterior fossa

Fig 9: Superficial veins of the posterior fossa

Fig 10: Flowchart showing drainage pathway of the posterior fossa veins

Fig 11: Pathologies affecting medullary veins

Fig 12: Developmental venous anomaly

Fig 13: Superficial and deep drainage type of developmental venous anomaly

Fig 14: Illustration showing (A) deep drainage type of DVA and (B) superficial drainage...

Fig 15: Developmental venous anomaly: Axial MIP of post-contrast T1WI shows multiple...

Fig 16: Brush sign in deep venous thrombosis: (A) Illustration showing prominent deep...

Fig 17: Iris sign in deep medullary venous thrombosis: (A) Illustration showing...

Fig 18: Medullary venous involvement in multiple sclerosis (A)Sagittal FLAIR image...

Fig 19: Asymmetric deep medullary and cortical vein in case of stroke: (A) Axial DWI...

Fig 20: In a patient clinically diagnosed to be brain dead, (A) Axial susceptibility...