Int J Med Sci 2021; 18(7):1699-1710. doi:10.7150/ijms.54891

Research Paper

CT angiographic study of the cerebral deep veins around the vein of Galen

Kun Hou1#, Tiefeng Ji2#, Tengfei Luan1, Jinlu Yu1✉

1. Department of Neurosurgery, The First Hospital of Jilin University, Changchun, 130021, China.
2. Department of Radiology, The First Hospital of Jilin University, Changchun, 130021, China.
#Co-authors with equal contributions to this work.

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Citation:
Hou K, Ji T, Luan T, Yu J. CT angiographic study of the cerebral deep veins around the vein of Galen. Int J Med Sci 2021; 18(7):1699-1710. doi:10.7150/ijms.54891. Available from https://www.medsci.org/v18p1699.htm

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Abstract

Research on the anatomy of cerebral deep veins (CDVs) around the vein of Galen (VG) is very important and has fundamental clinical significance. Large-scale anatomical studies of CDVs using computed tomography angiography (CTA) are rarely reported. A retrospective study of the CDVs around the VG was conducted in Chinese patients of Han nationality. One hundred cases were included in the final analysis. The patients were aged from 17 to 78 years (mean: 42.3 years). Also, 46% of the patients were female. The diameter of the internal cerebral vein (ICV) at its beginning and termination points ranged from 0.4 to 2.8 mm (1.49 ± 0.39 mm) and 0.4 to 3.5 mm (2.05 ± 0.47 mm), respectively. There was statistical significance regarding the diameter of the ICV at its beginning and termination points (P <0.01). The ICV length ranged from 28.5 to 47.9 mm (36.86 ± 3.74 mm). The length of the straight sinus (SS) ranged from 30.2 to 57.8 mm (43.6 ± 6.37 mm). The length of the VG ranged from 1.5 to 41.8 mm (9.30 ± 4.76 mm). The angle at the VG and SS transition area ranged from 25.4 to 110.6° (77.2 ± 18.0°). This study was a meaningful attempt to conduct anatomical research of CDVs using CTA. Preoperative familiarity with the normal venous structure and its variation around the VG would be helpful for endovascular treatment.

Keywords: basal vein, cerebral deep vein, computed tomography angiography, internal cerebral vein, straight sinus, vein of Galen