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Research ArticlePEDIATRICS

Variations of Intracranial Dural Venous Sinus Diameters from Birth to 20 Years of Age: An MRV-Based Study

A.S. Larson, G. Lanzino and W. Brinjikji
American Journal of Neuroradiology October 2020, DOI: https://doi.org/10.3174/ajnr.A6816
A.S. Larson
aFrom the Department of Radiology (A.S.L., G.L., W.B.)
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G. Lanzino
aFrom the Department of Radiology (A.S.L., G.L., W.B.)
bNeurosurgery (G.L., W.B.), Mayo Clinic, Rochester, Minnesota
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W. Brinjikji
aFrom the Department of Radiology (A.S.L., G.L., W.B.)
bNeurosurgery (G.L., W.B.), Mayo Clinic, Rochester, Minnesota
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  • FIG 1.
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    FIG 1.

    Measurement strategy for determining the diameter of components of dural venous sinuses. A, The maximal diameter of torcula is obtained. Superior sagittal sinus (B) and bilateral transverse sinuses (C) are measured (red line) 1 cm away from the center of the torcula (yellow line). D, The maximal diameter of the internal jugular vein is measured at the skull base. E, The maximal diameter of the vein of Galen is obtained. F, The sigmoid sinuses are measured (red line) 1 cm distal to the transverse sigmoid junction (yellow line). G, The maximal diameter of the straight sinus is obtained. JV indicates jugular vein; SS, sigmoid sinus; St. Sin., straight sinus; TS, transverse sinus; SSS, superior sagittal sinus; VOG, vein of Galen.

  • FIG 2.
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    FIG 2.

    Examples of various transverse venous sinus anatomy patterns. A, Codominance between the right (solid arrow) and left (dashed arrow) transverse sinuses. B, Right-side-dominant (solid white arrow) transverse sinus compared with the left (dashed white arrow), with an occipital sinus noted (black arrow). C, Left-side-atretic transverse sinus (dashed arrow) with flow through the right (solid white arrow).

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    FIG 3.

    Variations in venous size by age in the torcula (A), superior sagittal sinus (B), straight sinus (C), and vein of Galen (D). SSS indicates superior sagittal sinus; St. Sinus, straight sinus; VOG, vein of Galen.

  • FIG 4.
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    FIG 4.

    Variations in venous sinus size by age in the left (A) and right (B) transverse venous sinuses, left (C) and right (D) sigmoid sinuses, and left (E) and right (F) internal jugular veins.

  • FIG 5.
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    FIG 5.

    Examples of embryonic sinuses. Persistent falcine sinus in a 2-month-old infant seen on 3D-MRV (A) and a sagittal section of 2D-MRV (B, arrows). C, Occipital sinus (arrow).

Tables

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    Table 1:

    Baseline demographics

    Demographics
    Total MR venograms Included429
    Total patients included429
    No. of MR venograms with IV contrast (%)327 (76.2)
    Age categories (No.) (%) (yr)
     025 (5.8)
     1–524 (5.6)
     6–1021 (4.9)
     11–1570 (16.3)
     16–20289 (67.4)
    Mean age (SD) (yr)15.1 (5.9)
    Male (No.) (%)129 (30.0)
    • View popup
    Table 2:

    Variations in size measurements of cerebral venous system components by agea

    Age Category (Years)
    <11–56–1011–1516–20
    No.25242170289
    Right transverse sinus diameter (mm)3.7 (2.1)5.4 (2.8)8.1 (2.0)7.1 (2.2)7.6 (2.1)
    Left transverse sinus diameter (mm)3.1 (2.2)5.9 (3.1)6.4 (2.5)6.4 (2.4)6.1 (2.0)
    Torcula8.4 (4.1)13.3 (4.5)15.4 (3.4)16.5 (4.1)17.4 (4.1)
    Superior sagittal sinus4.0 (1.5)7.4 (2.5)8.8 (1.6)8.6 (1.9)8.7 (1.6)
    Straight sinus3.9 (1.1)5.4 (2.7)5.2 (1.6)5.2 (1.5)4.8 (1.3)
    Vein of Galen3.2 (0.8)4.4 (1.1)4.8 (0.9)4.9 (1.0)4.8 (1.0)
    Right sigmoid sinus5.0 (2.1)6.7 (1.4)8.6 (2.4)10.1 (2.4)10.0 (1.9)
    Left sigmoid sinus4.0 (2.0)7.3 (2.8)8.0 (2.2)8.8 (2.5)9.0 (2.1)
    Right internal jugular vein4.4 (1.5)6.8 (1.4)9.0 (2.2)9.9 (2.2)10.0 (2.2)
    Left internal jugular vein3.9 (1.4)6.8 (2.8)7.4 (1.7)7.8 (2.2)8.1 (2.1)
    • ↵a Data are mean diameters (SD).

    • View popup
    Table 3:

    Persistence of postnatal sinuses by age

    Age Category (Years)
    <11–56–1011–1516–20P Value
    No.25242170289–
    Persistent falcine sinus (No.) (%)2 (8.0)2 (8.3)1 (4.8)2 (2.9)4 (1.4).09
    Occipital sinus (No.) (%)6 (24.0)6 (25.0)1 (4.8)6 (8.7)8 (2.8)<.0001
    • Note:—– indicates that no P-value was calculated.

    • View popup
    Table 4:

    Transverse venous sinus anatomy patterns by age

    Age Category (Years)
    <11–56–1011–1516–20P Value
    No. patients in each age category25242170289–
    Codominant (No. of patients) (% of age group)12 (48.0)12 (50.0)8 (38.1)37 (52.9)177 (61.2).14
    Right-dominant8 (32.0)4 (16.7)9 (42.9)22 (31.4)76 (26.3).18
    Left-dominant3 (12.0)6 (25.0)3 (14.3)9 (12.9)23 (8.0)
    Right-atretic1 (4.0)1 (4.2)0 (0.0)1 (1.4)3 (1.0).81
    Left-atretic1 (4.0)1 (4.2)1 (4.8)1 (1.4)10 (3.4)
    • Note:—– indicates that no P-value was calculated.

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A.S. Larson, G. Lanzino, W. Brinjikji
Variations of Intracranial Dural Venous Sinus Diameters from Birth to 20 Years of Age: An MRV-Based Study
American Journal of Neuroradiology Oct 2020, DOI: 10.3174/ajnr.A6816

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Variations of Intracranial Dural Venous Sinus Diameters from Birth to 20 Years of Age: An MRV-Based Study
A.S. Larson, G. Lanzino, W. Brinjikji
American Journal of Neuroradiology Oct 2020, DOI: 10.3174/ajnr.A6816
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