Anatomy of the falcine venous plexus

R. Shane Tubbs, Marios Loukas, Robert G. Louis, Mohammadali Mohajel Shoja, Leslie Acakpo-Satchivi, Jeffrey P. Blount, E. George Salter, W. Jerry Oakes, John C. Wellons

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Object. The superior and inferior sagittal sinuses have been well studied. Interestingly, other venous structures within the falx cerebri have received scant attention in the medical literature. The present study was performed to elucidate the presence and anatomy of these midline structures. Methods. The authors examined 27 adult latex- or ink-injected cadaveric specimens to observe the morphological features of the sinuses within the falx cerebri (excluding the inferior and superior sagittal sinuses). Results. All specimens were found to have an extensive network of small tributaries within the falx cerebri that were primarily concentrated in its posterior one third. In this posterior segment, these structures were usually more pronounced in the inferior two thirds. The portion of the falx cerebri not containing significant falcine venous sinus was termed a "safe area." These vascular channels ranged in size from 0.5 mm to 1.1 cm (mean 0.6 mm); 100% of these vessels communicated with the inferior sagittal sinus. Classification of the structures was then performed based on communication of the falcine venous sinus with the superior sagittal sinus. Type I falcine sinuses had no communication with the superior sagittal sinus, Type II falcine sinuses had limited communication with the superior sagittal sinus, and Type III falcine sinuses had significant communication with the superior sagittal sinus. Seventeen (63%) of 27 specimens communicated with the superior sagittal sinus (Types II and III). Further subdivision revealed 10 Type I, seven Type II, and 10 Type III falcine venous plexuses. Conclusions. There are other venous sinuses in the falx cerebri in addition to the superior and inferior sagittal sinuses. Neurosurgical procedures that necessitate incising or puncturing the falx cerebri can be done more safely via a described safe area. Given that the majority of specimens in the authors' study were found to have a plexiform venous morphology within the falx cerebri, they propose that these channels be referred to as the falcine venous plexus and not sinus. The falcine venous plexus should be taken into consideration by the neurosurgeon.

Original languageEnglish (US)
Pages (from-to)155-157
Number of pages3
JournalJournal of Neurosurgery
Volume107
Issue number1
DOIs
StatePublished - Jul 1 2007
Externally publishedYes

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Superior Sagittal Sinus
Anatomy
Spinal Cord
Communication
Neurosurgical Procedures
Ink
Latex
Blood Vessels

Keywords

  • Cadaver
  • Cranium
  • Falx cerebri
  • Vein
  • Venous anatomy

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)
  • Clinical Neurology

Cite this

Tubbs, R. S., Loukas, M., Louis, R. G., Mohajel Shoja, M., Acakpo-Satchivi, L., Blount, J. P., ... Wellons, J. C. (2007). Anatomy of the falcine venous plexus. Journal of Neurosurgery, 107(1), 155-157. https://doi.org/10.3171/JNS-07/07/0155

Anatomy of the falcine venous plexus. / Tubbs, R. Shane; Loukas, Marios; Louis, Robert G.; Mohajel Shoja, Mohammadali; Acakpo-Satchivi, Leslie; Blount, Jeffrey P.; Salter, E. George; Oakes, W. Jerry; Wellons, John C.

In: Journal of Neurosurgery, Vol. 107, No. 1, 01.07.2007, p. 155-157.

Research output: Contribution to journalArticle

Tubbs, RS, Loukas, M, Louis, RG, Mohajel Shoja, M, Acakpo-Satchivi, L, Blount, JP, Salter, EG, Oakes, WJ & Wellons, JC 2007, 'Anatomy of the falcine venous plexus', Journal of Neurosurgery, vol. 107, no. 1, pp. 155-157. https://doi.org/10.3171/JNS-07/07/0155
Tubbs RS, Loukas M, Louis RG, Mohajel Shoja M, Acakpo-Satchivi L, Blount JP et al. Anatomy of the falcine venous plexus. Journal of Neurosurgery. 2007 Jul 1;107(1):155-157. https://doi.org/10.3171/JNS-07/07/0155
Tubbs, R. Shane ; Loukas, Marios ; Louis, Robert G. ; Mohajel Shoja, Mohammadali ; Acakpo-Satchivi, Leslie ; Blount, Jeffrey P. ; Salter, E. George ; Oakes, W. Jerry ; Wellons, John C. / Anatomy of the falcine venous plexus. In: Journal of Neurosurgery. 2007 ; Vol. 107, No. 1. pp. 155-157.
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abstract = "Object. The superior and inferior sagittal sinuses have been well studied. Interestingly, other venous structures within the falx cerebri have received scant attention in the medical literature. The present study was performed to elucidate the presence and anatomy of these midline structures. Methods. The authors examined 27 adult latex- or ink-injected cadaveric specimens to observe the morphological features of the sinuses within the falx cerebri (excluding the inferior and superior sagittal sinuses). Results. All specimens were found to have an extensive network of small tributaries within the falx cerebri that were primarily concentrated in its posterior one third. In this posterior segment, these structures were usually more pronounced in the inferior two thirds. The portion of the falx cerebri not containing significant falcine venous sinus was termed a {"}safe area.{"} These vascular channels ranged in size from 0.5 mm to 1.1 cm (mean 0.6 mm); 100{\%} of these vessels communicated with the inferior sagittal sinus. Classification of the structures was then performed based on communication of the falcine venous sinus with the superior sagittal sinus. Type I falcine sinuses had no communication with the superior sagittal sinus, Type II falcine sinuses had limited communication with the superior sagittal sinus, and Type III falcine sinuses had significant communication with the superior sagittal sinus. Seventeen (63{\%}) of 27 specimens communicated with the superior sagittal sinus (Types II and III). Further subdivision revealed 10 Type I, seven Type II, and 10 Type III falcine venous plexuses. Conclusions. There are other venous sinuses in the falx cerebri in addition to the superior and inferior sagittal sinuses. Neurosurgical procedures that necessitate incising or puncturing the falx cerebri can be done more safely via a described safe area. Given that the majority of specimens in the authors' study were found to have a plexiform venous morphology within the falx cerebri, they propose that these channels be referred to as the falcine venous plexus and not sinus. The falcine venous plexus should be taken into consideration by the neurosurgeon.",
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AU - Blount, Jeffrey P.

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N2 - Object. The superior and inferior sagittal sinuses have been well studied. Interestingly, other venous structures within the falx cerebri have received scant attention in the medical literature. The present study was performed to elucidate the presence and anatomy of these midline structures. Methods. The authors examined 27 adult latex- or ink-injected cadaveric specimens to observe the morphological features of the sinuses within the falx cerebri (excluding the inferior and superior sagittal sinuses). Results. All specimens were found to have an extensive network of small tributaries within the falx cerebri that were primarily concentrated in its posterior one third. In this posterior segment, these structures were usually more pronounced in the inferior two thirds. The portion of the falx cerebri not containing significant falcine venous sinus was termed a "safe area." These vascular channels ranged in size from 0.5 mm to 1.1 cm (mean 0.6 mm); 100% of these vessels communicated with the inferior sagittal sinus. Classification of the structures was then performed based on communication of the falcine venous sinus with the superior sagittal sinus. Type I falcine sinuses had no communication with the superior sagittal sinus, Type II falcine sinuses had limited communication with the superior sagittal sinus, and Type III falcine sinuses had significant communication with the superior sagittal sinus. Seventeen (63%) of 27 specimens communicated with the superior sagittal sinus (Types II and III). Further subdivision revealed 10 Type I, seven Type II, and 10 Type III falcine venous plexuses. Conclusions. There are other venous sinuses in the falx cerebri in addition to the superior and inferior sagittal sinuses. Neurosurgical procedures that necessitate incising or puncturing the falx cerebri can be done more safely via a described safe area. Given that the majority of specimens in the authors' study were found to have a plexiform venous morphology within the falx cerebri, they propose that these channels be referred to as the falcine venous plexus and not sinus. The falcine venous plexus should be taken into consideration by the neurosurgeon.

AB - Object. The superior and inferior sagittal sinuses have been well studied. Interestingly, other venous structures within the falx cerebri have received scant attention in the medical literature. The present study was performed to elucidate the presence and anatomy of these midline structures. Methods. The authors examined 27 adult latex- or ink-injected cadaveric specimens to observe the morphological features of the sinuses within the falx cerebri (excluding the inferior and superior sagittal sinuses). Results. All specimens were found to have an extensive network of small tributaries within the falx cerebri that were primarily concentrated in its posterior one third. In this posterior segment, these structures were usually more pronounced in the inferior two thirds. The portion of the falx cerebri not containing significant falcine venous sinus was termed a "safe area." These vascular channels ranged in size from 0.5 mm to 1.1 cm (mean 0.6 mm); 100% of these vessels communicated with the inferior sagittal sinus. Classification of the structures was then performed based on communication of the falcine venous sinus with the superior sagittal sinus. Type I falcine sinuses had no communication with the superior sagittal sinus, Type II falcine sinuses had limited communication with the superior sagittal sinus, and Type III falcine sinuses had significant communication with the superior sagittal sinus. Seventeen (63%) of 27 specimens communicated with the superior sagittal sinus (Types II and III). Further subdivision revealed 10 Type I, seven Type II, and 10 Type III falcine venous plexuses. Conclusions. There are other venous sinuses in the falx cerebri in addition to the superior and inferior sagittal sinuses. Neurosurgical procedures that necessitate incising or puncturing the falx cerebri can be done more safely via a described safe area. Given that the majority of specimens in the authors' study were found to have a plexiform venous morphology within the falx cerebri, they propose that these channels be referred to as the falcine venous plexus and not sinus. The falcine venous plexus should be taken into consideration by the neurosurgeon.

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