Anatomical variations of the transverse sinus and clinical-surgical repercussions

an integrative literature review

Authors

DOI:

https://doi.org/10.56102/afmo.2023.250

Keywords:

Transverse sinus, Anatomy, Literature, Review

Abstract

Introduction: The dural venous sinuses drain the blood and cerebrospinal fluid circulating through the brain toward the internal jugular veins. The transverse sinuses are bilateral structures in the posterior portion of the skull that originate at the confluence of sinuses. Such cerebral venous structures have a complex anatomy and are marked by variations. Thus, a complete understanding of the morphology and variations of these anatomical structures is essential for clinical and surgical practice. This study summarized the literature on the anatomical organization of the transverse sinuses, variations, and potential clinical-surgical repercussions. Objective: To review the anatomy, variations, and possible clinical-surgical implications of the transverse sinuses. Methods: This integrative literature review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Studies published in English in the last 15 years were retrieved from PubMed, Virtual Health Library, and MEDLINE databases, based on the following descriptors: transverse sinuses, anatomy, and anatomic variation. Results: Of the 48 studies identified after duplicate removal, 10 met the eligibility criteria and were included in the synthesis. Conclusion: Hypoplasia of the left transverse sinus is the most common anatomical variation and is more frequent in adult men over 60 years old.

Author Biographies

Ismael Felipe Gonçalves Galvão, Faculdade de Medicina de Olinda

Graduando em medicina pela Faculdade de Medicina de Olinda (FMO). Foi três vezes monitor de anatomia, radiologia e patologia do sistema nervoso e sensorial do laboratório morfofuncional (LMF) da FMO. É integrante pela terceira vez do programa de iniciação Científica (PRODIIC) da FMO e integrante da Comissão de extensão da Liga Acadêmica de Neurologia e Neurocirurgia da Universidade Federal De Pernambuco (LANNE-UFPE). Olinda, Pernambuco, Brasil.

Marcos Antônio Barbosa da Silva, Faculdade de Medicina de Olinda

Doutor em Neurociências pela Universidade Federal de Pernambuco ( 2013). Mestre em Anatomia no Centro de Ciências da Saúde pela Universidade Federal de Pernambuco (2005). Atualmente é Neurorradiologista Intervencionista do Hospital da Restauração - Recife/PE, do Hospital Unimed - Recife /PE e do Centro de Intervenção Vascular do Nordeste ( CIVAN) Recife/PE. Coordenador do Serviço de Neurorradiologia Intervencionista do Hospital São Marcos - Recife /PE . Tem experiência na área de Medicina, com residência em Radiologia Geral no Centro Radiológico de Brasília (1993- 1994), Radiologia Intervencionista, Cirurgia Endovascular e Neurorradiologia Intervencionista no Hospital Beneficência Portuguesa de São Paulo - MED IMAGEM ( 1995-1996) . Fellow na Université Paris Sud em Neurorradiologia Intervencionista - Hospital Bicêtre / Paris 2003-2004. Especialização em Neuropsicologia - Faculdade Esuda Recife/PE- 2005. Especialização em Neurologia pela Faculdade de Ciências Médicas Ipemed /Afya Salvador /BA- 2023. Professor de Medicina pela Faculdade de Medicina Tiradentes/ Afya - Jaboatão dos Guararapes PE e pela Faculdade de Medicina de Olinda. Olinda, Pernambuco, Brasil.

Fernando Augusto Pacífico, Faculdade de Medicina de Olinda

Fonoaudiólogo pela Universidade Federal de Pernambuco - UFPE (2011). Especialista em Morfologia pela Universidade Federal de Pernambuco - UFPE. Especialista em Neurociência Aplicada pela UFPE. Mestre em Neuropsiquiatria e Ciências do Comportamento, Área de Concentração: Neurociências, pela Universidade Federal de Pernambuco - UFPE (2014). Doutor em Neuropsiquiatria e Ciências do Comportamento, Área de Concentração: Neurociências, pela Universidade Federal de Pernambuco - UFPE (2018). Professor Substituto do Departamento de Anatomia da Universidade Federal de Pernambuco - UFPE (2014-2016). Atualmente, é professor da Faculdade de Medicina de Olinda (FMO). Olinda, Pernambuco, Brasil.

References

Massrey C, Altafulla JJ, Iwanaga J, Litvack Z, Ishak B, Oskouian RJ, Loukas M, Tubbs RS. Variations of the Transverse Sinus: Review with an Unusual Case Report. Cureus 2018 Set; 10(9):e3248.

Kiliç T, Akakin A. Anatomy of cerebral veins and sinuses. Front Neurol Neurosci. 2008; 23: 4-15.

Tantawy, Heba F; Morsy, Manal M; Basha, Mohammad A; Nageeb, Rania S. Different normal anatomical variations of the transverse dural sinus in magnetic resonance venography (MRV): do age and sex matter? Eur. j. anat. 2020; 24(1): 49-56.

McCormick MW, Bartels HG, Rodriguez A, Johnson JE, Janjua RM. Anatomical Variations of the Transverse-Sigmoid Sinus Junction: Implications for Endovascular Treatment of Idiopathic Intracranial Hypertension. Anat Rec (Hoboken) 2016 Ago; 299(8):1037-42.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021 Mar 29;372:n71.

Arauz, A., Chavarria-Medina, M., Patiño-Rodriguez, H. M., Varela, E., Serrano, F., Becerril, M., & Barboza, M. A. Association between Transverse Sinus Hypoplasia and Cerebral Venous Thrombosis: A Case-Control Study. J Stroke Cerebrovasc Dis. 2018 Out; 27(2): 432-437.

Goyal G, Singh R, Bansal N, Paliwal VK. Anatomical Variations of Cerebral MR Venography: Is Gender Matter? Neuroint. 2016 Set; 11(2):92-8.

Sharma UK, Sharma K. Intracranial MR venography using low-field magnet: normal anatomy and variations in Nepalese population. JNMA J Nepal Med Assoc. 2012 Abr-jun; 52(186):61-5.

Kitamura MAP, Costa LF, Silva DOA, Batista LL, Holanda MMA, Valença MM. Cranial venous sinus dominance: what to expect? Analysis of 100 cerebral angiographies. Arq Neuropsiquiatr. 2017 Maio;75(5):295-300.

Doğan E, Apaydın M. The evaluation of cerebral venous normal anatomy and variations by phase-contrast cranial magnetic resonance venography. Folia Morphol (Warsz). 2022; 81(2):314-323.

Bayaroğulları H, Burakgazi G, Duman T. Evaluation of dural venous sinuses and confluence of sinuses via MRI venography: anatomy, anatomic variations, and the classification of variations. Childs Nerv Syst. 2018 Jun;34(6):1183-1188.

Ahmed MS, Imtiaz S, Shazlee MK, Ali M, Iqbal J, Usman R. Normal variations in cerebral venous anatomy and their potential pitfalls on 2D TOF MRV examination: Results from a private tertiary care hospital in Karachi. J Pak Med Assoc. 2018 Jul; 68(7):1009-1013.

Cosar M, Seker A, Ceylan D, Tatarli N, Sahin F, Tokmak M, Songur A, Kilic T, Ozen OA. Determining the morphometry and variations of the confluens sinuum and related structures via a silicone painting technique on autopsy patients. J Craniofac Surg. 2014 Nov; 25(6):2199-204.

Cheng Y, Li WA, Fan X, Li X, Chen J, Wu Y, Meng R, Ji X. Normal anatomy and variations in the confluence of sinuses using digital subtraction angiography. Neurol Res. 2017 Jun;39(6):509-515.

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Published

2023-06-29

How to Cite

Galvão, I. F. G., Silva, M. A. B. da, & Pacífico, F. A. (2023). Anatomical variations of the transverse sinus and clinical-surgical repercussions: an integrative literature review. Annals of Olinda Medical School, 1(9), 43–54. https://doi.org/10.56102/afmo.2023.250

Issue

Vol. 1 No. 9 (2023)

Section

Artigos de revisão integrativa, sistemática e metanálise

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Copyright (c) 2023 Ismael Felipe Gonçalves Galvão, Marcos Antônio Barbosa da Silva, Fernando Augusto Pacífico

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